Provider Outreach Specialist

Cohere Health; Hyderabad; Remote; INR 350,000 - 550,000; Full time

Job summary

Cohere Health is seeking a versatile call representative for its Payment Integrity team. The role involves outbound calls and accepting inbound calls with hospitals and provider offices, accurate documentation, and collaboration to obtain medical records for payments.

Remote work in India with alignment to US time zones is expected. Strong English communication and medical terminology knowledge are required.

Qualifications

• Knowledge of medical terminology and medical records.
• Self-motivated and able to work independently in a remote environment.
• Excellent time management, problem solving, and analytical skills.
• Teamwork and collaboration with internal teams.
• Ability to accurately document call details.
• Strong interpersonal and written/verbal English communication.
• Ability to follow protocol and call scripts.
• Flexibility to adapt to changing company/client needs.
• Willingness to work late shifts for USA time zones.

Responsibilities

• Conduct outbound and inbound calls with hospitals, clinics, and provider entities.
• Provide detailed and accurate documentation of call activities.
• Collaborate with other teams to obtain medical records for payment integrity.

Skills

Medical terminology

Independent work

Time management

Team collaboration

Documentation

Interpersonal skills

English communication

Call scripts

Flexibility

US time zones

Job description

Opportunity Overview:

We are seeking a versatile and skilled call representative to join our dynamic Payment Integrity team. This critical role involves conducting outbound and accepting inbound calls with hospitals, clinics, physician offices, and supply companies. This position requires a good understanding of the US Healthcare system and HIPAA / PHI. This opportunity requires a self-motivated individual who thrives on accuracy, compliance, and continuous learning in a high-growth environment.

What you’ll do:

• Conduct outbound and accept inbound calls with hospitals, clinics, physician offices and supply companies


• Provide detailed and accurate documentation


• Collaborate with additional teams to ensure clear communication and support in obtaining medical records for the payment integrity process

ISMS roles and responsibilities

• Fair understanding of Information Security practices.


• Align to the organization policies and procedures.


• Ensure to get updated with ISMS roles as assigned by the department/process heads.

Required Qualifications:

• Knowledge of medical terminology and medical records


• Self-motivated and able to work independently in a remote environment while maintaining high performance


• Exceptional time management, problem-solving, and analytical skills


• Commitment to teamwork, collaboration with internal teams, and continuous learning


• Ability to accurately document call details


• Possess excellent interpersonal skills


• Excellent written and verbal English communication skills


• Ability to follow protocol and call scripts


• Flexibility to change as company and client needs dictate


• Ability to work late shift to accommodate USA time zones

Ability to commute/relocate:

• Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred)

Interview Process*

1. Connect with Talent Acquisition


2. Meet with the Hiring Manager


3. Behavioral Interview(s)


4. Case Study


5. Interview with Senior Leadership

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.

With the acquisition of ZignaAI, we expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs.

Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement:

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal.