Role & responsibilities

Experience: 2- 6 years of International Calling Experience.
Manage Inbound & Outbound calls and customer service enquiries, in this profile specifically agent will be answering inbound calls which they will receive from the providers/pharmacies/members to seek assistance on perks or on claim denials.
US Medical/PBM denied Claims Handling process.
Utilization Management handling including PA, Appeals, etc.
RCM cycle that is used to manage the financial cycle of a patients encounter.
Management and resolve customer complaints.
Identifying customers needs, clarify information, research every issue and providing solutions.
Working towards highest level of customer satisfaction.
Must maintain high patience level while handling cases/queries.
Following call centre scripts when handling different topics.
Work with the team to resolve issues with positive aptitude.




Maintain and prepare activity reports.
Maintain and improve quality results by adhering to standards and guidelines, recommending improved procedures

Mandatory Skills/Experience:
Candidates must be willing to work in Voice process.
Should be comfortable with rotational shifts and offs.
Should be comfortable with working on Indian Holidays.
Robust phone and verbal communication skills along with active listening
Familiarity with CRM systems and practices
Ability to multi-task, set priorities and manage time effectively
Customer focus and adaptability to different personality types.
Previous experience in US Healthcare will be an added advantage.
Immediate joiners will be given the top preference.

📌 Immediate Opening Customer Support Representative Immediate Joiner Noida
🏢 Rxadvance Pbm
📍 Noida