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Job Description
We are seeking a detail-oriented and customer-focused professional to assist healthcare providers and hospitals with queries related to claims submission, claim status, and patient-related inquiries.
Key Responsibilities
- Act as the primary point of contact for providers and hospitals regarding
- Claim submission issues
- Claim status update
- Payment discrepancies
- Patient-related inquiries
- Analyze and resolve claim-related queries by reviewing claim details and payer responses.
- Provide accurate information on claim adjudication outcomes, including denials, rejections, and approvals.
- Ensure compliance with US healthcare regulations including HIPAA guidelines while handling sensitive patient information.
- Maintain high levels of customer satisfaction through effective communication and timely resolution.
- Document all interactions accurately in internal systems.
- Collaborate with internal teams (billing, coding, QA) to ensure issue resolution.
- Meet and exceed call center performance metrics.
Eligibility Criteria / Experience Requirements
- Minimum 1year of experience in BPO environment.
- Experience handling voice and/or non-voice processes (candidates with non-voice experience but strong communication skills are encouraged).
Soft Skills
- Excellent communication skills (verbal & written)
- Strong problem-solving and analytical abilities
- Customer-centric mindset
- Ability to work independently and as part of a team
Work Requirements
- Willingness to work in rotational shifts
- Flexible with rotational week-offs
Skills
Customer SatisfactionCall CenterBpoCustomer SupportInternational Voice ProcessVoice ProcessIf a job posting appears fraudulent, asks for payment, contains misleading information, or violates our guidelines, please report it immediately. Our team will review it promptly, Jobaaj does not charge any fee from the applicants.
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