Healthcare Call Center Representative jobs in United States
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Mindlance · 1 day ago

Healthcare Call Center Representative

Mindlance is a company focused on providing support in the healthcare sector, and they are seeking a Claims & PR Advocate to service inbound claim calls from both members and providers. The role involves managing inquiries about claim status, educating callers on billing protocols, and ensuring exceptional customer service through effective problem-solving and communication skills.

Human Resources
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H1B Sponsor Likelynote
Hiring Manager
Kunal Choudhary
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Responsibilities

The primary responsibility of this role is to answer inbound claim calls from members or providers, as well as contracting and Provider Relations related calls from providers
The work environment is structured, and the majority of the day will be spent answering these calls from a queue
Occasional outbound calls may be necessary for issues requiring follow-up
Within a call a Claims & PR Advocate may:
Assist a member or provider with understanding how a claim has processed
Verify claim status for a member or provider
Educate a member or provider on billing protocols
Write or correct authorizations to ensure claims are paid correctly
Send claims for adjustment/reprocessing
Request duplicate EOBs for a member or provider
Send a request for a cancelled check copy, to reissue a check, or request a stop pay/do not reissue on a check
Provide follow-up on issues by making outbound calls when necessary
Send resources to members and providers via email
Submit a complaint on the member or provider's behalf
Send handoff requests to matrix partners for escalated or complex issues
Assist providers with contract related inquiries and demographic updates
Independently problem-solve to ensure accurate information is given, exceptional customer service, and first call resolution is achieved

Qualification

Customer Service experienceTechnical capabilitiesInterpersonal communicationProblem-solving skillsPC skillsTime management skillsOrganizational skillsEffective listening

Required

Customer Service experience
Able to excel and/or prior successful experience in a virtual team environment
Ability to maintain a professional and positive image to members, providers, facilities, billing offices, etc
Candidate must possess superb interpersonal communication skills
Effective listening and organizational skills, with the ability to manage multiple tasks
Intuitive technical capabilities with the ability to quickly understand and apply working knowledge on several claim systems and applications
Independent problem-solving skills
Strong time management skills
Ability to type effectively and have strong PC skills

Company

Mindlance

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Mindlance is a Staffing and Recruiting company which provides multi-vertical staffing services

H1B Sponsorship

Mindlance has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (53)
2023 (37)
2022 (72)
2021 (36)
2020 (40)

Funding

Current Stage
Late Stage

Leadership Team

R
Rajat Paul Dhall
Co-Founder & Managing Director
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V
Vik Kalra
Co-Founder and Managing Director
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Company data provided by crunchbase