Hiring-Customer Service || US Healthcare

Department Icon Operations Maintenance & Support
Posted: 8 months ago
1-5 years
Gurugram
Operations Maintenance & Support
work from office
Full Time

Posted: 8 months ago
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Posted over 15 days ago, so the role may have closed. Confirm on the employer's page when you apply, or see similar jobs.

Job Description

Job SummaryWe are hiring for Customer Service International Voice Process focused on the US Healthcare domain. You will be responsible for resolving customer queries via calls, assisting with claims, benefits, authorizations, and billing inquiries, while ensuring compliance with US healthcare regulations and delivering an exceptional experience.

Role & responsibilities

  • Respond to inbound and outbound calls related to healthcare insurance, claims, billing, and eligibility.
  • Assist US-based members and providers with accurate and timely information.
  • Maintain a strong understanding of healthcare benefits, medical terminology, and insurance workflows.
  • Accurately document customer interactions and transactions in the system.
  • Ensure HIPAA compliance and protect patient privacy at all times.
  • Meet and exceed key performance metrics including quality, customer satisfaction (CSAT), and Average Handling Time (AHT).
  • Collaborate with internal teams for escalation resolution and process improvement.
  • Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
  • Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
  • Assist customers in navigating the member website, and other websites while encouraging and re-assure them to become self-sufficient

Preferred candidate profile

  • Minimum 6 months to 4 years of experience in international voice process.
  • Experience in Voice International Healthcare process is preferred.
  • Excellent verbal and written communication skills in English.
  • Strong interpersonal skills with the ability to remain patient and empathetic.
  • Comfortable working night shifts and rotational offs.
  • Basic computer literacy and typing skills.
  • Experience with international healthcare insurance processes (e.g., claims adjudication, EOB, authorizations).
  • Knowledge of HIPAA regulations.
  • Graduate in any stream (preferably Life Sciences, Healthcare, or related fields).
  • Undergraduates with relevant BPO experience are eligible to apply
  • Knowledge of billing practices and procedures preferred
  • Proficiency with word processing and spreadsheet software and required

Perks & Benefits

  • Salary range- 3.2 LPA- 3.7 LPA
  • Paid training and continuous development
  • Cab Facility (Pick Up & Drop)
  • Medical Insurance
  • Life Insurance

Call or Whatsapp - 9971467538 (Ujala)

Skills

US HealthcareHealth ClaimsAR CallingHealthcare BpoCallsVoice ProcessHealthcareAugmented RealityCustomer SatisfactionCustomer ServiceInternational Voice ProcessBpoVoice Process

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