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US Healthcare
ConfidentialHyderabad / Secunderabad, Telangana30+ days ago
Job descriptionEducation : Any graduate (life sciences or healthcare background preferred). Experience : 6 months to 2 years in US healthcare voice process (AR Calling, Claims Processing, etc.). Freshers with excellent communication skills can apply. Excellent verbal communication skills in English (neutral or US accent preferred). Knowledge of medical billing terminologies , ICD / CPT codes , or EOBs is a plus. Comfortable working night shifts and in a performance-driven environment. Strong problem-solving and data entry skills.
Key Responsibilities :
- Handle inbound and outbound calls to / from insurance companies and patients in the US.
- Work on various aspects of RCM like eligibility verification, claim status inquiry, prior authorization, and denial management.
- Accurately document call details and update patient or claim records in internal systems.
- Follow HIPAA compliance and maintain the confidentiality of patient information.
- Coordinate with internal teams to resolve issues related to claims or billing.
- Meet KPIs including AHT (Average Handling Time) , FCR (First Call Resolution) , and Quality Scores .
- Stay updated with US healthcare guidelines, insurance terminologies, and payer policies.
Requirements :
Skills Required
AHT, Denial Management
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Us Healthcare • Hyderabad / Secunderabad, Telangana