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. The role requires strong knowledge of the US healthcare system, claims adjudication, and call center operations.

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

Fresher to 1years of experience in BPO environment.

Prior experience in US Healthcare domain is mandatory.

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)

Solid 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

📌 Fresher- Customer Support service (Bengaluru)
🏢 ResultsCX
📍 Bengaluru