BPO Customer Care Associate

Responsibilities

• Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
• Identifies opportunities and reports on inaccuracies that may be present in reviewed documents.
• Learn CRM system and access different internal online resources to obtain required information in a timely manner.
• Perform inbound and outbound calls to insurance companies, medical facilities, and customers in the US.
• Respond to customer requests by phone and/or in writing to ensure customer satisfaction and that service standards are met.
• Analyze medical insurance claims for quality assurance.
• Resolve moderately routine questions following pre-established guidelines.
• Perform routine research on customer inquiries.
• Develop and maintain a solid working knowledge of the healthcare insurance industry and of all products, serv...