01Key Responsibilities
Handle inbound and outbound calls with patients, insurance companies, or healthcare providers.Assist with insurance verification, eligibility checks, prior authorization, and claims follow-ups.Explain medical bills and resolve queries related to EOBs, co-pays, deductibles, and account balances.Accurately document call details and update patient or insurance records in the system.Escalate unresolved or complex cases to the appropriate team.Maintain HIPAA compliance and confidentiality in all communications.Meet individual and team performance metrics like call handling time, accuracy, and customer satisfaction.Participate in training sessions to stay updated on healthcare processes, regulations, and tools.Qualifications:Graduate in any discipline (preferred: Life Sciences, B.Pharm, Nursing, or related).02 years of experience in US healthcare process (AR calling, insurance verification, medical billing).Freshers with excellent communication skills and a willingness to work in night shifts are welcome.Skills and Competencies:Excellent spoken English and neutral accent.Knowledge of US healthcare terminology (ICD, CPT, EOB, HMO/PPO) is a plus.Basic understanding of revenue cycle management (RCM).Strong listening, problem-solving, and multitasking skills.Familiarity with CRM tools, MS Office, and call center software. .
