Looking for Immediate joiner only.

Job Location - Pune - Bibwewadi

Shift Timing - 6pm - 3.30am(Monday - Friday)WFO

Job Title: Customer Service Representative (US Healthcare Voice)

Role Objective

To act as a primary point of contact for US-based members or providers, delivering high-quality support regarding health insurance advantages, claims, medical billing, or appointment scheduling while ensuring 100% compliance with healthcare regulations.

Key Responsibilities
Call Handling: Manage inbound and/or outbound calls professionally. This may include verifying insurance coverage, explaining plan advantages, or assisting with claim status.
Issue Resolution: Troubleshoot and resolve complex billing discrepancies, authorization issues, or enrollment queries.
Data Management:



Accurately document all interactions in the CRM (Customer Relationship Management) system in real-time.
Compliance (HIPAA): Maintain the highest level of confidentiality and security for Protected Health Information (PHI) as per US federal guidelines.
Provider Coordination: Communicate with doctors offices, hospitals, and pharmacies to verify medical necessity or facilitate "Prior Authorizations."
Performance Metrics: Meet or exceed Daily/Weekly targets related to AHT (Average Handling Time), CSAT (Customer Satisfaction Score), and Quality Scores.

📌 Customer Service Executive Maharashtra
🏢 XBP Global
📍 Maharashtra