Description
Medical Billing Agent
Summary
Our client, a leading AI platform specializing in medical billing operations, is seeking dedicated and detail-oriented Medical Billing and Insurance Claims Specialists to join our team. The ideal candidates will have at least 1 year of experience in medical billing, insurance claims, or a related field and possess strong English proficiency. As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis.
Key Responsibilities
- Outbound Calling:
- Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.
- Conduct all calls in full compliance with client guidelines and applicable healthcare regulations.
- Maintain professionalism and ensure clear communication during each call.
- Data Categorization and Labeling:
- Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.
- Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.
- Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency.
- Call Transcript Analysis:
- Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.
- Compile findings into periodic reports, providing valuable information to client to support process improvements and optimize workflows.
Required Qualifications & Skills
- Minimum of 6 months - 1 year of experience in medical billing, insurance claims, or a related field.
- Strong English proficiency, both verbal and written.
- Familiarity with healthcare regulations and industry guidelines.
- Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
- Detail-oriented and able to maintain accurate records.
- Ability to work independently while adhering to internal guidelines and procedures.
- Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.
Additional Information
This is a full-time position, and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic, technology-driven environment
About Company
TELUS Digital is the customer experience transformation partner to the world's most admired brands. Our diverse team weaves data, technology, and human ingenuity to deliver differentiated customer journeys, drive operational effectiveness, and scale AI solutions with meaningful value and positive impact.
We craft real-world solutions in the moments that matter, from customer acquisition to lifelong loyalty. Enabled by our global reach - spanning 78,000 experts in 33 countries - and deep industry expertise, we help over 600 organizations make the customer experience feel effortless.
Our solutions span Data & AI, Digital Experience & IT, CX Management and Trust & Safety. At the core of our innovation is Fuel iX™, an enterprise-grade generative AI platform that helps clients safely access and optimize leading LLMs to scale their own AI from pilot to production.
Equal Opportunity Employer Statement
At TELUS Digital, we are proud to be an equal opportunity employer and are committed to creating a diverse and inclusive workplace. All aspects of employment, including the decision to hire and promote, are based on applicant's qualifications, merits, competence and performance without regard to any characteristic related to diversity.
