Process Executive (Voice)

Key Responsibilities:

• The following are the primary duties and responsibilities of this role. Other related duties may be assigned to meet the business need.
• Customer Interaction Answer calls, emails, and chats professionally. Provide product/service information and resolve queries. Handle complaints and escalate unresolved issues to specialized departments, order entry, cash posting, etc.
• Perform end-to-end AR follow-up with insurance companies via outbound calls to resolve pending/unpaid claims.
• Analyze claims to identify reasons for rejections/denials and ensure timely resolution.
• Initiate appeals or escalate unresolved claims to the appropriate department.
• Document all call outcomes and actions taken in the billing system with accuracy.
• Achieve and exceed SLA/KPI metrics such as productivity, call quality, resolution rate, and turnaround time.
• Handle complex claim escalations and ensure effective closure.
• Collaborate with Data, Quality, and Client Teams to ensure smooth claim resolution.
• Ensure strict adherence to HIPAA compliance and data confidentiality guidelines.

Required Skills:

• Knowledge of US Healthcare RCM, Front-end and back-end processes aligned in Revenue cycle management
• Excellent verbal communication skills with neutral accent and active listening.
• Ability to handle difficult conversations and negotiate effectively with payers.
• Proficiency in working with practice management systems, payer portals, and MS Office tools.
• Strong problem-solving and analytical ability.
• Attention to detail and ability to multitask while working with multiple systems.
• Flexibility to work in night shifts/US time zones.
• Ability to work 5 days a week in Hyderabad office

Qualifications:

• Graduate in any stream BA/BCOM/BBA, etc (No technical/IT background)
• 0-1 years of experience in US Healthcare RCM Voice / Customer Service (AR calling, patient billing, or claim resolution).

ABOUT ENOVIS

What does creating better together mean to us at Enovis? Discover the “why” behind our purpose, values and behaviors:

We offer a comprehensive benefits package which includes:

• Medical, Life, and Accidental Insurance
• Leaves and Holidays
• Transportation Allowance/ Pick and Drop Facility
• Nightshift Allowances and Other Benefits

EQUAL EMPLOYMENT OPPORTUNITY