- 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
- Solid 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)
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.
Qualifications
Graduate in stream or 12th Standard 1 - 2 Years
📌 Executive (Noida)
🏢 EXL
📍 Noida
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