Process Associate-Voice
Technology, Data & Digital · Software & Web Development · Software Engineering
In short
This role involves outbound calling to insurance companies for eligibility verification and prior authorization, as well as inbound call handling to resolve customer inquiries and complaints. You will be responsible for meeting performance targets and adhering to compliance measures.
Responsibilities
- Contact insurance companies to verify eligibility and obtain prior authorization.
- Request missing or incomplete payer information and update patient information.
- Handle inbound calls to resolve customer inquiries, process payments, and address complaints.
- Assess and resolve customer inquiries, requests, and complaints primarily via telephone.
- Log, process, and monitor service requests according to procedures.
- Provide customers with product and service information and offer upsell opportunities.
- Manage and update customer interactions daily through workflows and queues.
- Achieve key and critical performance targets.
- Ensure efficiency measures are met in accordance with performance targets and process guidelines.
- Participate as an active member of the customer service team.
- Use business tools and industry knowledge to identify problem areas and document business requirements.
- Maintain effective work procedures as per client process workflows and HCL policy guidelines.
- Adhere to US healthcare compliance measures.
Requirements
- Strong verbal and written communication skills.
- Focus on delivering a positive customer experience.
- Active listening skills.
- Good data entry and typing skills.
- Ability to multitask.
- Ability to contribute to the process through improvement ideas.
- Analytical and problem-solving skills.
- Ability to use sound judgment and take decisions.
Desired Qualifications
- Experience in US healthcare compliance is preferred.
Benefits
- Opportunity to work with a global technology company (HCLTech).
- Career growth and development opportunities.
- A place that prioritizes its people.
#Customer Service#Voice Process#Healthcare#Insurance