We are looking for candidates with excellent communication skills to join our US Healthcare Voice Process team. The role involves handling inbound and outbound calls with US patients, healthcare providers, insurance companies, and other healthcare stakeholders.

The candidate will be responsible for resolving queries, verifying healthcare/insurance information, updating systems, and maintaining high standards of quality, productivity, and HIPAA compliance.

Key Responsibilities

- Handle inbound and outbound calls with US patients, providers, and insurance companies.
- Resolve queries related to claims, eligibility, benefits, billing, authorizations, and insurance coverage.
- Verify patient/member and insurance information accurately.
- Explain claim status, EOBs, benefits, copays, deductibles, and other relevant information when applicable.
- Follow up with patients, providers, or payers for missing information.
- Update patient/member and call details accurately in internal systems.
- Document every interaction and resolution properly.
- Escalate complex issues to the appropriate department or team.
- Maintain strict HIPAA compliance and confidentiality of patient information.
- Achieve defined quality, productivity, AHT,



SLA, and customer-service targets.
- Follow process guidelines and client-specific procedures.
- Maintain professional communication and provide excellent customer service.

Eligibility

- Graduate / Undergraduate candidates can be considered based on process requirements.
- US Healthcare Voice, International Voice, Customer Service, Medical Billing, RCM, Claims, or related processes.
- Candidates with US Healthcare Voice Process experience will be preferred.
- Excellent spoken and written English communication.
- Good listening and problem-solving skills.
- Comfortable working in US/night shifts.
- Basic computer knowledge and valuable typing skills.
- Ability to work in a high-volume calling environment.

Preferred Knowledge

- US Healthcare / RCM
- Claims & Denials
- Eligibility & Benefits
- Medical Billing
- Prior Authorization
- Patient/Provider Calling
- EOB / ERA
- Medicare / Medicaid
- HIPAA
- CPT / ICD-10 / HCPCS

Pay: ₹40,000.00 - ₹55,000.00 per month

Benefits:

- Flexible schedule
- Health insurance
- Provident Fund

Work Location: In person

📌 US Healthcare Voice Process (Pune)
🏢 MG Consulting Private
📍 Pune