Designation/ Role: Quality Analyst/ TL
Department: Pre Auth
Work Timing: Night Shift
Qualifications: Any Graduate
Skills: A successful candidate must have proficient knowledge/capabilities in the following areas: 1. Claims management and/or customer service experience desired.
- Bachelors degree preferred, or any equivalent combination of education and experience.
- Ability to perform at a high level of productivity and quality.
- Capacity to maintain a high level of accuracy.
- Excellent written and oral communication skills required to represent Infinx Clients.
- Computer skills including Microsoft Office Suite. 7.
Skills to work independently and be resourceful with the ability to multitask.
Experience4+ years experience in Pre Auth process.
Job Responsibilities
- Should possess a complete knowledge and understanding of Pre Auth process, software and Quality guidelines of the clients program assigned.
- Random Transactional Monitoring Ensuring systematic Quality check of previous days production i.e. Analysis of account, calling analysis, correct follow up, required action taken and updated software, updated productivity report.
- Identifying errors critical to process such as wrong analysis results in incorrect follow up, Incorrect or incomplete information captured on call, Incorrect or incomplete action taken,
incomplete production report.
- Ensure the Quality score for the process and Payment Posting callers of the team more than 98% or should meet as per the client expectations.
- Ensure the team must be aware of criticality of Fatal and non-fatal parameters/errors.
- Ensuring the error must be communicated to associate and process owners. Associate provided constructive feedback about the error committed and corrected.
- Ensuring that Corrective Action Policy is adhered to and Improvements seen on individuals being audited.
- Ensure that every week team will be briefed about the major errors committed towards process. Team must be coached about the correct follow ups related to those errors.
- Weekly/Monthly Quality performance report to be mailed to internal client on time. Reports generated must be error free.
- Maintaining the Quality Metrics i.e. Process quality score, Individual quality score, number of errors, Corrective Action policy, Categorization of associates, documentation of Fatal errors, Improvement plans, Process Knowledge Test etc.
- Responsible for random transaction audits and performance of current hires during OJT/Nesting period.
Interested candidates send your resume to
[email protected]
📌 Pre-Auth - TL/QA Immediate joiners Hyderabad
🏢 Infinx
📍 Hyderabad