Telephone triage nurses

Remote Nurse - High Volume Claims Call Specialist Location: Remote (Work from Home) Hours: Full-time, 3Pm-11pmSA (Monday Friday) Must Reside in South Africa Overview: We are seeking a tech-savvy, highly communicative Nurse to join our team as a Claims Call Specialist . You will be responsible for conducting outbound calls to patients recently discharged from hospitals, assessing their post-discharge needs, discussing medication adherence, appointment scheduling, and related care. All calls are processed through a sophisticated system that automatically records the conversation, generates tasks, applies billing codes, and prepares claims. The focus is on phone communication only no direct nursing or clinical tasks. Key Responsibilities: - Conduct high-volume outbound calls to patients discharged from medical facilities. - Discuss topics such as medication management, follow-up appointments, and general well-being. - Follow a structured call guide to capture specific information tied to billing codes. - Meet productivity targets (aiming for 2-3 completed claims calls per hour). - Ensure all conversations are clear, empathetic, and professional. - Use the automated system effectively to ensure accurate task generation and billing preparation. - Maintain confidentiality and adhere to HIPAA and privacy regulations. Requirements: - Active Nursing License (RN, LPN, or LVN) must be current and unrestricted. - Excellent verbal communication and listening skills. - Comfortable handling a high volume of structured calls (phone-based role). - Tech-savvy; able to learn and operate call management and billing software. - Ability to work independently, stay focused, and meet hourly call/claims targets. - High attention to detail and strong organizational skills. - Reliable internet connection, computer, and headset for remote work. Preferred Experience: - Previous experience in telehealth, care management, insurance claims, or call center environments is a plus. - Familiarity with medical coding and billing is an advantage (not required). Originally posted on Himalayas