Customer Care Sr. Representative

Position's General Duties and Tasks

In these roles you will be responsible for:

• Answer incoming phone calls from healthcare providers regarding benefits and eligibility, billing and payments, authorizations for treatment, explanation of benefits, etc.
• Create written correspondence if issues were not resolved during the call
• Conduct provider outreach phone calls to collect missing information from medical providers.
• Route inquiries needing further investigation to the appropriate department and conduct routine case checks as needed.
• Complete all relevant documentation necessary to track provider issues and facilitate the reporting of overall trends.

Requirements for this role include:

• Ability to work regularly scheduled shifts from Monday to Friday, 8PM to 5AM Eastern Standard Time.
• Undergraduate degree or equivalent that required 3+ years of formal studies using English language as a medium of communication.
• - 1+ year(s) of healthcare industry experience in a Provider (hospital/doctor’s office)

*** The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.