03 Sep
|
Anisha Global Services
|
Noida
03 Sep
Anisha Global Services
Noida
Job Title: Healthcare Customer Service Associate International Voice Process
Process: US Healthcare
Process Type: International Voice / Operations
Employment Type: Full time
Shift: US Shift / Night Shift
Work Mode: Work from Office
Experience: Freshers / Experienced candidates can be considered
Job Summary For more info call & WhatsApp
Poonam - (phone hidden)
We are looking for a confident and customer-focused Healthcare Customer Service Associate to handle international voice interactions for a US healthcare process.
The candidate will be responsible for handling inbound and/or outbound calls from US healthcare members, patients, providers, hospitals, and insurance representatives, resolving queries related to healthcare benefits, eligibility, claims, billing, appointments, and other healthcare-related services.
The role requires excellent English communication, active listening, problem-solving ability, and the ability to work in a high-volume international voice environment.
Key Responsibilities
- Handle inbound and outbound calls from US healthcare customers, members, patients, and providers.
- Resolve queries related to health insurance, eligibility, benefits, claims, billing, and provider information.
- Verify customer/member information and provide accurate information as per process guidelines.
- Research customer concerns using multiple healthcare applications and internal systems.
- Explain healthcare benefits, claim status, coverage details, and required next steps clearly to customers.
- Maintain accurate records of every customer interaction in the CRM/system.
- Escalate complex issues to the appropriate internal department while ensuring proper follow-up.
- Handle customer complaints professionally and work toward First Call Resolution (FCR).
- Maintain professional call etiquette, empathy, active listening, and effective call control.
- Follow defined SOPs, quality guidelines, compliance requirements, and process workflows.
- Strictly maintain confidentiality while handling Protected Health Information (PHI) and follow HIPAA-related requirements.
- Meet defined productivity, quality, attendance, adherence, and customer satisfaction targets.
- Manage multiple applications simultaneously while speaking with customers.
- Complete accurate after-call work (ACW) and documentation within the required timelines.
- Participate in training, coaching, quality feedback sessions, and process updates.
Key Skills Required
- Excellent English verbal communication and pronunciation.
- Strong listening and comprehension skills.
- Good customer service and problem-solving abilities.
- Ability to handle difficult or irate customers professionally.
- Good typing and computer navigation skills.
- Comfortable working on multiple systems/screens simultaneously.
- Ability to work in a high-volume international voice process.
- Good knowledge of MS Office and basic computer applications.
- Strong attention to detail and ability to maintain data accuracy.
- Willingness to work in US/night shifts and Sat/Sun week-offs.
For more info call & WhatsApp Poonam - (phone hidden)
📌 Process Executive (Noida)
🏢 Anisha Global Services
📍 Noida