L2 - Operations Healthcare Calling Specialist

Who are we:

Fulcrum Digital is an agile and nextgeneration digital accelerating company providing digital transformation and technology services right from ideation to implementation. These services have applicability across a variety of industries including banking & financial services insurance retail higher education food healthcare and manufacturing.

Role

Healthcare/Prescription Calling Specialist is primarily responsible for obtaining prescriptions via OBgyn offices/doctor set up. A strong candidate will be able to successfully handle phone interactions with the hospital/Obgyn offices/individual doctor set up/doctor s office agents.

SkillSets

Healthcare Calling Specialist

Requirements

• To call doctor s offices verify correct phone number and obtain correct fax number to the doctor s office.
  
• Communicating with agents to provide prescription based on requirements the insurance covered.
  
• Updating patient information/keeping records
  
• Sending prescription forms to the doctor s offices. Followup with offices if prescription not received.
  
• Performs miscellaneous jobrelated duties as assigned
  
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  

Qualifications

• Graduate with minimum 2 years of prior calling experience in Insurance
  
• Healthcare domain (US Healthcare/Data Domain)/Customer Service.
  
• Understanding of insurance requirements (US insurance domain)
  
• Preauthorization knowledge/experience
  
• Strong communication skills. Ability to answer the agents questions. Experience in technology (Excel and Reporting)
  
• Ability to manage daily weekly and monthly reporting