Bulk Hiring For Customer Service Representative (US)

RxAdvance is a pharmacy benefit management (PBM) company that focuses on transforming the PBM industry through innovation and technology. They offer a cloud based collaborative PBM platform designed to manage complex medications and improve patient outcomes. Their solutions aim to reduce costs, enhance medication adherence, and provide real time data analytics. RxAdvance's services include claims processing, formulary management, and clinical programs. The company strives to deliver transparency and value to its clients and members. RxAdvance PBM India Pvt Ltd likely operates as a subsidiary or branch of RxAdvance, focusing on delivering these PBM services within the Indian market.Roles &

Manage inbound & outbound calls from US providers, pharmacies, and members regarding benefits or claim denials.Handle US Medical/PBM denied claims and Utilization Management (PA, Appeals, etc.).Manage RCM cycle for patient financial encounters.Evaluate documents to ensure accurate claim information.Resolve customer queries and complaints professionally.Adhere to call center scripts, maintain quality standards, and prepare reports.

2 years of US Healthcare voice process experience.Excellent communication skills.Comfortable with rotational shifts (247) and working on Indian holidays.Strong knowledge of claims handling and CRM systems.Customer focused, adaptable, with good problem solving skills.Must be willing to work in a voice process. .