About this role
Job Description
Position Title, Responsibility Level
Executive
Function
Healthcare
Reports to
Team Manager
Permanent/ Temporary
Permanent
Span of Control
Individual Contributor
Location Noida, India
Basic Function • Work Type - Back office (Level 2) • Case creation in Client tool/application, basis the data received • Once the case is received, action to be taken as per Standard Operating Procedure • Determine if case can be processed and/or to be routed to another queue • If case creation needed- Identify the procedure and diagnosis codes in the fax, create case, add notes (standard templates to be followed) and task timely to correct team/nurse for further handling. High priority on compliance
Essential Functions • Navigate through multiple system / applications for data gathering • Proficiency with computer skills (navigating multiple systems and keyboarding) • Understand the goals and standards to ensure that quality and productivity standards are met • Accurate and timely updating of the database • Meet the agreed upon KPIs as per the operational definitions and targets • Participate in the User Acceptance Testing as needed • 98% - 100% attendance during training/nesting period is required • Must be flexible to work hours with Monthly work schedules changes
Primary Internal Interactions • Actively participate in the team meetings, discussions and provide inputs • Calibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals
Primary External Interactions
• None
Organizational Relationships
Reports To : Team Manager Supervises : None
Skills
Technical Skills
• Working knowledge of MS office (Word and Excel) and Internet / Outlook
Process Specific Skills
• Strong comprehension skills • US Healthcare knowledge is preferred but not mandatory
Soft skills (Desired)
• Written Communication – Good • Verbal Communication - Average
Soft Skills (Minimum)
• None
Education Requirements
Diploma/Graduation with a minimum 15 years of education
Work Experience Requirements
0 to 1 year of experience
Annexure:
Acknowledgement (acknowledge that the information contained in this document is factual and complete)
___________________________________ ___________________________________________ ____________________________
Candidate Supervisor/Manager Date
Understand PMS and client PMS systems: Familiarity with Property Management Systems (PMS) used in the industry.
Handson experience in AR Calling: Ability to call payers for claims status and manage accounts receivable.
Thorough understanding of AR process: Knowledge of the accounts receivable cycle and best practices.
Graduate in stream or 12th Standard 1 - 2 Years