HC & Insurance Operations Senior Rep.

Ensuring accurate and timely completion of transactions to meet or exceed client SLAs.

Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables

Analyzing medical insurance claims for quality assurance

Resolving moderately routine questions following pre-established guidelines

Review remittance and action the claim for solution towards payment.

Resolve unpaid and denied claims as per client SOP’s.

Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials.

Maintaining patient confidentiality.

Ability to work regularly scheduled shifts from Monday-Friday 17:30pm to 3:30am IST.

University degree or equivalent that required 3+ years of formal studies of the English language.

0-1 year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 6+ months of experience in a service-oriented role where you had to correspond in writing or over the phone with customers who spoke English.

6+ months of experience in a service-oriented role where you had to apply business rules to varying fact situations and make appropriate decisions