Healthcare Support Representative

About the Role:

• The Operations Specialist supports both member/provider advocacy and claims operations in a blended role.
• Serves as primary point of contact via omni-channel and ensures accurate claim processing and resolution.
• Requires a strong service-first mindset, attention to detail, and ability to move between real-time support and operational work.

Key Responsibilities:

• Handle inbound and outbound inquiries, provide benefit information, and resolve complaints and escalations.
• Process, adjudicate, and research institutional and professional medical claims, including behavioral health.
• Perform provider outreach, maintain data accuracy, and support overpayment recovery actions.

Experience Required:

• 3-5 years in a healthcare payer, TPA, or health insurance environment with contact center and claims experience.
• Strong knowledge of health insurance concepts, medical terminology, and claims lifecycle.
• Excellent English communication, problem-solving skills, and ability to multitask in a fast-paced environment.

Additional Details:

• Must support USA contact center hours and participate in a rotating on-call schedule.
• Full compensation packages based on experience; salary range ₹500,000 - ₹1,500,000 INR.
• XO Health is an equal opportunity employer committed to diversity and inclusion.