Senior Associate - Pharma Operations – Prior Authorization (Bengaluru)

Senior Associate - Pharma Operations – Prior Authorization (Bengaluru)

15 Oct
|
Sagility
|
Bengaluru

15 Oct

Sagility

Bengaluru

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

The role of an associate is to contribute to the overall team performance and profitability by implementing action plans which in return will improve and maintain client satisfaction.Job title:

Senior Associate - Pharma Operations – Prior Authorization:

Education: Any Graduate

Experience: 2-3 Years US Healthcare Pharma - Non Voice Experience

Roles & Responsibilities:

- Possess basic knowledge of US Healthcare Pharma - Non Voice
- Good reasoning and analytical skills
- Able to communicate fluently in the language required for the function/location

- Active listening skills

- Passion to learn

- Influencing skills
- Ability to comprehend the employee requirement well




- Adhere to attendance and punctuality norms
- Acquiring knowledge & skills of related areas of the process
- Processing claims/developing projects/handling calls, as per the process guidelines
- Understands, knows, and interprets different complex scenarios and is able to resolve all assigned tasks
- Adhering to the SLA, and understanding Quality & Auditing parameters

- Meeting assigned productivity goals
- Understanding and adhering to quality standards

- Meeting TAT
- Mentor & coach current members of the team based on requirement
- To act as a subject matter expert
- Ability to look for alternative solutions for problems identified; Takes decisions based on logical reasoning and relevant information
- Assumes responsibility for work activities and coordinating efforts

Skills

- US health care (ERISA/HIPAA/State Mandates)

- Process SLA
- Awareness of ISO, ISMS

- Telephone etiquettes

- MS office
- Typing skills & computer skills

- Effective communication in English

Location:

BangaloreIndia

📌 Senior Associate - Pharma Operations – Prior Authorization (Bengaluru)
🏢 Sagility
📍 Bengaluru

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