Scheduled Drive For Specialist

4 days ago

Gurugram, India Alight Solutions Full time

Inviting Applications for Scheduled drive for Specialist - Healthcare Blended Process


Alight Solutions || Scheduled-Drive for Healthcare Blended Process || Exp - 5 - 8 yrs II 3rd & 9th July 2024 Gurugram.


Our story

At Alight, we believe a company's success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to Be Alight.

Our Values:

Champion People be empathetic and help create a place where everyone belongs.

Grow with purpose Be inspired by our higher calling of improving lives.

Be Alight act with integrity, be real and empower others.

Its why were so driven to connect passion with purpose. Our teams expertise in human insights and cloud technology gives companies and employees around the world the ability to power confident decisions, for life.

With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.

Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.

Learn more at careers.alight.com.


Job Description


Job Title : Health Pro Specialist (T3)

Location : Gurugram

Shift Timing :6.30 PM - 3.30 AM IST (US Shift timings)

5 Days work from office


In your role as a HRO Processing Assistant III/ Outsourcing Delivery Specialist; you will be working as a patient advocate, a market researcher, and to provide administrative support for Health Pro Specialist and Consultants. The job functions of this role will result in better health care experiences through reduced costs, specialized knowledge of the healthcare system, pricing transparency and higher quality medical care to improve overall satisfaction for individual health care consumers.



Key Responsibilities


  • Working effectively with Health Plan Partners and Providers.
  • Ensuring proper documentation and research notes in customer account.
  • Resolve customer needs or concerns related to:

Submitting claims and appeal to the health plan and providers.

Scheduling appointments.

Transferring medical records.

Coordinating the approval of medication changes

  • Fax, email, and mail documents to insurance companies and providers offices to assist with claim processing and coordinating services.
  • Making outbound calls to offices to confirm documents are received and processed.
  • Ensure completion of aligned work timely and with accuracy.
  • Able to practice logical reasoning and critical thinking.
  • Able to comprehend and deliver.
  • Shows flexibility to adapt to the changing needs of the business.
  • Participation in training sessions, presentations, and meetings
  • Contribution to the smooth operations and in day-to-day duties
  • Alignment to process as per business requirement.


Eligibility Criteria


  • Bachelors degree in B.Com, B.A, BBA (No Full time MBA/MCA/B Tech/BE/B Ed)
  • Minimum 4 years of work experience with customer services/ blended profiles preferably in Insurance /Healthcare Claims Process and Backend Operations.
  • Excellent verbal and written communication skills.
  • Problem solving. attention to detail and analytical skills.
  • Strong organizational and time management proficiencies.
  • Demonstrated ability to recognize the need to change priorities to meet the business needs. Experience with desktop/Windows navigation and keyboarding skills


Pls note, it is a scheduled drive and not Walk-In Interviews.


If interested, you can send you update resume at nidhi.negidixit@alight.com with following details -


Current CTC & Expected CTC :

Notice Period:

Location :

Willing to work in US shifts and wfo :


If your profile is shortlisted and meets the criteria , we'll be inviting you for scheduled drive on 3rd & 9th July 2024 as per interview slots available.



Benefits

We offer programs and plans for a healthy mind, body, wallet and life because its important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education, and training as well as a number of voluntary benefit options.

By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alights employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.

Our commitment to Diversity and Inclusion

Alight is committed to diversity, equity, and inclusion. We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.

At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future.

Diversity Policy Statement

Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state or local law. In addition, we take affirmative action to employ and advance in the employment of qualified minorities, women, disabled persons, disabled veterans, and other covered veterans.

Alight provides reasonable accommodations to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request a reasonable accommodation/modification by contacting his/her recruiter.

Authorization to work in the Employing Country

Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the Employing Country and with Alight.

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

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