Responsibilities :

- **

- Handle calls in a clinical operations support workplace, resolving member and provide queries efficiently.**:

- Provide guidance on appropriate levels of care (primary care, urgent care, emergency services, telemedicine) based on caller needs and defined protocols. :

- Assess caller situations and identify potential urgent or emergency cases, ensuring timely escalation to clinical teams when required. :

- Deliver professional, calm, and empathetic customer support during all interactions, especially in high-stress or sensitive situations. :

- Support a blended process (voice and non-voice) by managing calls, documenting cases, and responding to queries across multiple channels. :

- Accurately document call details, medical concerns, and resolutions using appropriate systems and tools. :

- Utilize foundational medical terminology to understand, capture, and communicate patient/member concerns effectively. :

- Follow standardized scripts and workflows to guide callers, including directing them to telemedicine services or emergency care when necessary. :

- Handle after-hours interactions by taking detailed messages and coordinating follow-ups with clinical teams within defined timelines. :

- Coordinate with nurses, clinicians,



and internal teams to ensure seamless case resolution and continuity of care. :

- Maintain data accuracy and perform administrative tasks such as updating records, managing case logs, and supporting clinical operations processes. :

- Ensure adherence to compliance requirements, confidentiality standards, and healthcare regulations while handling sensitive information. :

- Continuously improve enhanced knowledge of healthcare processes, clinical workflows, and customer service practices to improve support delivery.

Diversity, Equity and Inclusion Program/Affirmative Action Plan : We have transformed our company into an inclusive environment where individuals are valued for their talents and empowered to reach their fullest potential. At PrismHR, we strive to continually lead with our values and beliefs that enable our employees to develop their potential, bring their full self to work, and engage in a world of inclusion.

The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in the operations of the Company and prohibits unlawful discrimination by any employee of the Company, including supervisors and co-workers.

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📌 Administrative Associate (Noida)
🏢 PrismHR
📍 Noida