Employee will be involved in processing medical bills received from providers based out of US. Transaction processing requires special knowledge of healthcare terminologies and/or reasoning mindset.
Productivity
Accuracy
Attendance
Schedule Adherence
Primary Internal InteractionsTeam:
Assistant Manager / Lead Assistant Manager - Operations for reporting performance, clarifying concerns, and seeking feedback and support
Manager for settling issues left unresolved by the Lead Assistant Manager / Assistant Manager
Team members for seeking co-operation and clarification on process related matters and providing assistance and support when required
SME/ Process Trainer for training as and when required
Primary External Interactions
Supervisors at client end for seeking clarifications and answering queries
SMEs / Trainers at client end for training
Organizational RelationshipsReports To : Assistant Manager/Lead Assistant ManagerSkillsTechnical Skills
Good computer navigation skills, keyboarding skills
Proficient in MS Office
Understanding of P&C insurance, Claims Handling would be an advantage
Process Specific Skills
Sound knowledge of medical terminologies
Good decision making skills
Effectively balances quality, customer service and productivity standards
Excellent problem solving & analytical skills
Soft skills (Desired)
Self-discipline
Result orientation
Adaptability
Goal oriented
Soft Skills (Minimum)
Good written communication skills
Listening and comprehension skills
Questioning and Reasoning Skills
Customer Service focus and escalation handling skills
Ability to multitask, prioritize and manage daily work activities
Education Requirements
Graduate from a reputable university
Work Experience Requirements
Recon /Appeal:12-60 months of work experience, preferably in P&C Insurance with Medbill Adjudication & Reconsideration Appeal background for US geography in a BPO/outsourcing environment with good oral and written communication