Key Responsibilities:
Handle inbound and outbound calls from members, providers, and payers regarding healthcare benefits, claims, and authorizations
Provide accurate information related to insurance coverage, billing, and payment status
Assist callers in navigating payer portals and resolving service-related concerns
Document all interactions accurately in the system following compliance and confidentiality standards (HIPAA)
Escalate complex issues to the appropriate departments as needed
Meet performance metrics including call quality, resolution time, and customer satisfaction
Qualifications:
Bachelors degree in any field if no CSE
2nd year college Graduates should have At least 1 year of BPO experience, preferably in a healthcare account
Strong verbal and written communication skills
Basic knowledge of healthcare processes, insurance terms, and medical billing is an advantage