Hiring Freshers for Healthcare Industry (Tech Enabled BPM)
Criteria and Salary Details:
International Voice Process
Weekly 5days Working
Sat and Sun Fixed Off
Training will be provided
Only Freshers are eligible
UG/Grad can apply for this role
Salary: 21,400 (In-hand) takehome and 23,000 ctc
Perks:
Night Shift Allowance and Incentives are given (Based on shifts and performance)
Interested candidates can apply
To schedule your interview
Contact: Mona - HR
Whatsapp: (phone hidden) / (phone hidden)
About Company
Company is a tech-enabled BPM services provider, a thought partner providing a broad spectrum of transformational services, to enable our clients provide efficient and hi-quality care across the healthcare system.
Company combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. We optimize the entire
member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.
Leading industry analyst firms have consistently cited our service excellence, breadth of offerings, and
ability to execute. The most recent being recognized as a leader for Healthcare Payer Operations in
2022 as a part The Healthcare Payer Operations PEAK Matrix
Job Details
Description Details
Job Title Process Consultant
Reporting to Team Leader
Location - Bangalore
Working Hours - Days 8hrs / 5 days
Shift - 16 : 30 to 01 : 30
Team Size - 26
Process Description of Member Appeals Work:
1. Customers submit their appeal or complaint pertaining to authorizations, claims, perks,
eligibility. These disputes come to Complaint and Appeal Analyst
2. The complaint and appeal analyst reviews the members dispute and data key elements. The
analyst needs to comprehend the dispute, decide if the original claim was processed correctly
using specific policies/state mandates/member benefits /authorizations/members eligibility
3. If any additional information is needed to carry out the review, an outbound Call to be made
to Member/Provider Preferred
4. If original claim decision was incorrect corresponding claims must be sent for
reprocessing/rework
5. If the claim decision was correct, then analyst updates relevant systems with decision and
responds to the member in writing within the specified Turn Around Time
Interested candidates can apply
To schedule your interview
Contact: Mona - HR
Whatsapp: (phone hidden) / (phone hidden)
📌 Hiring Freshers For Healthcare Process | Intl Voice | Weekend Off (Bengaluru)
🏢 SWASTIK STEPSTONE CAREERS
📍 Bengaluru
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