ResultsCX
Website:
resultscx.com
Job details:
We are seeking a detail-oriented and customer-focused professional to assist healthcare providers and hospitals with queries related to claims submission, claim status, and patient-related inquiries.
Key Responsibilities
- Act as the primary point of contact for providers and hospitals regarding
- Claim submission issues
- Claim status update
- Payment discrepancies
- Patient-related inquiries
- Analyze and resolve claim-related queries by reviewing claim details and payer responses.
- Provide accurate information on claim adjudication outcomes, including denials, rejections, and approvals.
- Ensure compliance with US healthcare regulations including HIPAA guidelines while handling sensitive patient information.
- Maintain high levels of customer satisfaction through effective communication and timely resolution.
- Document all interactions accurately in internal systems.
- Collaborate with internal teams (billing, coding, QA) to ensure issue resolution.
- Meet and exceed call center performance metrics.
Eligibility Criteria / Experience Requirements
- Minimum 1year of experience in BPO environment.
- Experience handling voice and/or non-voice processes (candidates with non-voice experience but strong communication skills are encouraged).
Soft Skills
- Excellent communication skills (verbal & written)
- Strong problem-solving and analytical abilities
- Customer-centric mindset
- Attention to detail
- Ability to work independently and as part of a team
Work Requirements
- Willingness to work in rotational shifts
- Flexible with rotational week-offs
Click on Apply to know more.