We are seeking a versatile and skilled call representative to join our dynamic Payment Integrity team. This critical role involves conducting outbound and accepting inbound calls with hospitals, clinics, physician offices, and supply companies. This position requires a positive understanding of the US Healthcare system and HIPAA / PHI. This opportunity requires a self-motivated individual who thrives on accuracy, compliance, and continuous learning in a high-growth setting.
What you’ll do:
Conduct outbound and accept inbound calls with hospitals, clinics, physician offices and supply companies
Provide detailed and accurate documentation
Collaborate with additional teams to ensure clear communication and support in obtaining medical records for the payment integrity process
Required Qualifications:
Knowledge of medical terminology and medical records
Self-motivated and able to work independently in a remote environment while maintaining high performance
Exceptional time management, problem-solving, and analytical skills
Commitment to teamwork,
collaboration with internal teams, and continuous learning
Ability to accurately document call details
Possess excellent interpersonal skills
Excellent written and verbal English communication skills
Ability to follow protocol and call scripts
Flexibility to change as company and client needs dictate
Ability to work late shift to accommodate USA time zones
Ability to commute/relocate:
Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred)
Interview Process*:
Connect with Talent Acquisition
Meet with the Hiring Manager
Behavioral Interview(s)
Case Study
Interview with Senior Leadership
*Subject to change
About Cohere Health:
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an ent