Current jobs related to Process Executive - Pune, Maharashtra - Cognizant

  • Business Process Outsourcing Executive

    3 days ago

    Pune, Maharashtra, India Pradeep Tech Services Full time

    Business Process Outsourcing ExecutiveAt Pradeep Tech Services, we are seeking a highly skilled Business Process Outsourcing Executive to join our team. As a BPO Executive, you will be responsible for handling customer inquiries, resolving issues, and providing exceptional customer service.Key Responsibilities:Handle customer calls and emails in a...

  • Business Process Outsourcing Executive

    6 hours ago

    Pune, Maharashtra, India Pradeep Tech Services Full time

    BPO executives at Pradeep Tech Services play a pivotal role in ensuring customer satisfaction by handling customer inquiries and resolving issues effectively.A successful BPO executive must possess excellent communication skills, a willingness to learn, and the ability to work efficiently in a team environment.Key responsibilities include:Providing top-notch...

  • Senior Business Process Executive

    3 weeks ago

    Pune, Maharashtra, India IBN Technologies Limited Full time

    Job Title: Senior Business Process ExecutiveAbout the Role:We are seeking a highly skilled Senior Business Process Executive to join our team at IBN Technologies Limited. As a key member of our finance department, you will be responsible for performing accounting and bookkeeping tasks for our US clients.Key Responsibilities:Performing accounting and...

  • Business Process Outsourcing Executive

    1 day ago

    Pune, Maharashtra, India Pradeep Tech Services Full time

    The Pradeep Tech Services team is seeking a talented Business Process Outsourcing Executive to handle customer interactions and provide solutions to their queries.ResponsibilitiesHandle customer calls and respond to their inquiries.Discuss matters with supervisors to resolve issues.Provide resolutions to customers and offer additional professional...

  • Lead - Data Platform

    1 month ago

    Pune, Maharashtra, India Leading executive search firm Full time

    Job Description :- Responsible for steering the investments made in our data and analytics platforms and underlying infrastructure to enable new or enhance existing capabilities with strong collaboration with data product management, data architecture, governance and engineering teams to achieve our shared goals and the desire to drive our emerging data...

  • Backend Process Executive

    7 days ago

    Pune, Maharashtra, India Pradeep Tech Services Full time

    Job Title: Backend Process Executive - Insurance DomainWe are seeking a highly skilled and experienced Backend Process Executive for our Insurance domain to join our team at Pradeep Tech Services. The ideal candidate will have a strong background in KPO/BPO, with a minimum of 1 year of experience in the Insurance industry.The successful candidate will be...

  • Business Process Outsourcing Executive

    1 week ago

    Pune, Maharashtra, India Pradeep Tech Services Full time

    At Pradeep Tech Services, we are seeking a highly skilled Business Process Outsourcing Executive to join our team. The successful candidate will be responsible for handling calls from customers, providing solutions to their queries, and ensuring their satisfaction.Key Responsibilities:Handle customer calls and provide effective solutions to their...

  • Data Platform Lead

    3 weeks ago

    Pune, Maharashtra, India Leading executive search firm Full time

    Job Title: Lead - Data PlatformJob Summary:We are seeking a highly skilled and experienced Lead - Data Platform to join our team. The successful candidate will be responsible for steering the investments made in our data and analytics platforms and underlying infrastructure to enable new or enhance existing capabilities.Key Responsibilities:Develop a roadmap...

  • Senior Manager

    2 weeks ago

    Pune, Maharashtra, India Tata Motors Full time

    Job SummaryThe Senior Manager - Technical Services Process Execution will be responsible for the execution of projects in the allocated area, ensuring timely completion of all projects. This role will oversee all services for the allocated area pertaining to the Technical Services departmental deliverables.Key ResponsibilitiesFacility execution and process...

  • Insurance Domain Back End Process Executive

    5 hours ago

    Pune, Maharashtra, India Pradeep Tech Services Full time

    Job Title: Non Voice Process ExecutiveJob Type: Contractual BasisJob Description: We are seeking a highly skilled Non Voice Process Executive to join our team at Pradeep Tech Services. As a Non Voice Process Executive, you will be responsible for managing backend insurance processes, ensuring timely and accurate execution of tasks.Requirements:Graduate with...

  • Sales Executive

    5 hours ago

    Pune, Maharashtra, India Neilsoft Full time

    Job Title: Sales Executive - Process Industry SolutionsJob Summary:We are seeking a highly motivated Sales Executive to join our team at Neilsoft. The successful candidate will be responsible for generating online enquiries and downloads on our Visio P&ID website, finding qualified leads in the assigned region, and developing a prospect pipeline through...

  • Senior Process Executive

    2 weeks ago

    Pune, Maharashtra, India ConverseHR Business Solution Full time

    We are seeking a highly skilled Business Process Manager to join our team at ConverseHR Business Solution. The ideal candidate will have a strong background in process improvement and be able to identify new business opportunities, write weekly progress reports, and maintain relationships with external stakeholders and staff.Key Responsibilities:Develop and...

  • Insurance Domain Non Voice Process Executive

    5 days ago

    Pune, Maharashtra, India Pradeep Tech Services Full time

    Job Title: Insurance Domain Non Voice Process ExecutiveJob Type: Contractual basisThe successful candidate will be responsible for executing non-voice processes in the insurance domain. This role requires excellent communication skills, both written and verbal, as well as basic knowledge of insurance principles.Requirements:Graduate degree with a minimum of...

  • Process Engineer

    3 weeks ago

    Pune, Maharashtra, India thyssenkrupp Full time

    Job Title: Process EngineerWe are seeking a highly skilled Process Engineer to join our team at thyssenkrupp. As a Process Engineer, you will be responsible for designing and optimizing process equipment and systems for our ethanol production facilities.Key Responsibilities:Design and size process equipment, including distillation columns, heat exchangers,...

  • Backend Process Executive

    1 week ago

    Pune, Maharashtra, India Pradeep Tech Services Full time

    Hiring for a skilled Backend Process Executive to manage insurance domain related tasks.Job Location: Flexible, with occasional office visits.Job Type: Contractual basis, with opportunities for extension based on performance.Experience: 0-2 years, with a focus on strong written and verbal communication skills.Requirements:Graduate degree with a minimum of 1...

  • Senior Process Manager

    3 weeks ago

    Pune, Maharashtra, India ConverseHR Business Solution Full time

    Senior Process ExecutiveWe are seeking a highly organized and dependable Process Executive to contribute to the success of ConverseHR Business Solution. The ideal candidate will be responsible for identifying new business opportunities, maintaining relationships with external stakeholders and staff, and ensuring all processes are carried out in accordance...

  • Process Developer

    5 days ago

    Pune, Maharashtra, India Genpact Full time

    We are seeking a highly skilled Process Developer to join our team at Genpact. As a Process Developer, you will be responsible for processing vendor invoices accurately and responding to queries in a timely manner.ResponsibilitiesReview and process invoices, providing resolutions and releasing invoices for payment.Understand and demonstrate basic accounts...

  • Business Process Analyst

    3 weeks ago

    Pune, Maharashtra, India Jobs for Humanity Full time

    About the Role:This role requires a combination of technical expertise, business acumen, and strong interpersonal skills. You will be responsible for driving data-driven decision-making, optimizing processes, and collaborating with various stakeholders to support the organization's workforce management and financial forecasting efforts.Key...

  • Business Process Associate

    3 weeks ago

    Pune, Maharashtra, India IBN Technologies Limited Full time

    Job Title: Jr. Business Process ExecutiveAbout the Role:We are seeking a highly skilled Jr. Business Process Executive to join our team at IBN Technologies Limited. As a key member of our finance team, you will be responsible for performing accounting and bookkeeping tasks for our US clients.Key Responsibilities:Performing accounting and bookkeeping tasks...

  • Technical Services Process Specialist

    5 days ago

    Pune, Maharashtra, India Tata Motors Full time

    Job Summary:As a Technical Services Process Specialist at Tata Motors, you will be responsible for the execution of projects in allocated areas to ensure timely completion. Your duties will include facility readiness, process proving, and adherence to safety standards.Key Responsibilities:Facility execution and process provingDesign approval meetings with...

Process Executive

3 months ago

Pune, Maharashtra, India Cognizant Full time

Not Applicable

Qualification:

Graduate (exclusion:

BE/BTech/MCA)
  • For Medical Management Bachelor's degree in Nursing or any health science related field.
  • For NA High School Equiv.

Responsibility:

Business / Customer:

Data Processes:

:

  • • Provide highest level of customer satisfaction.
  • • Strive to understand and resolve issues/queries at the first instance.
  • • Maintain the business controls as per the requirement.

For NA, Medical Management and Benefit Coding:

:

  • • Respond to data requests and generate clientspecified reports in a timely manner.
  • • Articulate/ communicate in a manner which is understood by clients / endusers.

Claims, RCM and Member Services:

  • • Efficiently Process predefined number of claims / enrollment as assigned with highest level of accuracy as agreed upon by the client.

For RCM:

  • • Escalating the issues recieved in different batches.
  • • Supporting the team to achieve the SLA and TAT associated with Correspondence, Payments, PIA, and Write off.
  • • Delivering the quality metrics as defined by Customers.

Voice Processes:

:

For Claims, RCM and Member Services:

  • • Make and Answer calls to and from customers/end users based on agreed time frames.
  • • Transfer calls involving next level of service to the appropriate department as per the given guidelines.

Project / Process:

  • • Develop a complete understanding of the Procedures.
  • • Complete transactions for data preparation, submissions, etc as defined in SOP's.
  • • 100% Process adherence to transaction processing timelines.
  • • Adhere to audit compliance ( SAS 70, SOX, Statutory Audit) of all processes as laid out in process documentation.
  • • Ensure process guidelines are followed and met as documented.
  • • Set productivity /Quality benchmark.
  • • Adhere to shift handover processes.
  • • Raise process related issues / concerns on time with process and team leads.
  • • Ensure to meet all Statistical, Financial and TAT metrics.
  • • Stay updated with the process knowledge / changes refer to knowledge updates/ repositories to effectively process transactions.
  • • Adhere to security practices set by organization.
  • • Provide updates and submit reports related to own area of work.
  • • Complete transaction / calls volumes in queue within specified Turn Around Time.
  • • Respond to data requests.
  • • Perform administrative duties which includes maintaining accurate records of information regarding received claims/treatment requests.
  • • Record data relating to production statistics, enduser related notes, etc as appropriate.
  • • Maintain confidentiality of all information, policies, and procedures as required by the Health Insurance Portability and Accountability Act (HIPAA) protocols.
  • • Raise process related issues/concerns to team leads/manager.
  • • Adhere to federal, state, URAC, clientspecified, and established best practices regarding utilization management.
  • • Adhere to program quality standards and maintain acceptable levels of performance, including but not limited to attendance, adherence to protocols, customer courtesy, and all other productivity and efficiency targets and objectives.
  • • Continuous contribution to process excellence/improvement.
  • • Participate in project and organization initiatives led by the Delivery leadership.

For Medical Management:

  • • Receive, login and file a variety of reports, client charts, client interactions and other documents as needed in the account.
  • • Efficiently prepare and/or assign a predefined number of cases/transactions with highest accuracy.
  • • Prescreen a claim/treatment request for completeness and determine if this is appropriate for further processing.
  • • Sort, upload and assign the claim/treatment request to a case administrator, nurse reviewer or physician reviewer.
  • • Follow up on all pending claims appropriately and initiate the next steps.

For Claims:

  • • Input enrollment/change data in a timely manner to coincide with transmittal to vendors and district payroll.
  • • Process claims documents with zero critical errors.
  • • Manage benefits documentation by assembling benefit packets, filing benefits paperwork.
  • • Read and analyze the Benefit Grid/Source document, understand the benefits and code the same in the application.
  • • Works on Blue Exchange, Benefit Narratives and related line of businesses.

For RCM:

  • • Follow up on all pending claims appropriately and initiate the next steps.
  • • Complete transactions for claims submissions, rejections, Payment posting as defined in SOP's.
  • • Complete coding transactions with the required ICD, CPT and other requirements.
  • • Respond to data requests.
  • • Process claims, charges and coding with zero critical errors.

For Provider Services:

  • • Review and analysis of the provider application for completeness and accuracy.
  • • Perform verification of data through approved sources listed by the client.
  • • Collect all pertinent information from the provider, provider's malpractice insurer, National Practitioner Data Bank (NPDB) and other sources as listed by the client.
  • • Receive and process new and renewal credential applications for a variety of credentials, certificates, Permits and waivers.
  • • Make outreaches to providers to collect missing/outdated information.
  • • Manage Inventory and work on files that require multiple follow ups with the provider.

For Member Services:

  • • Process enrollment documents with zero critical errors.
  • • Complete enrollment or disenrollment / query calls transactions in queue within specified Turn Around Time.

For NA:

  • • Develops, coordinates, and executes project plans.

People / Team:

  • • Contribute to and participate proactively in knowledge sharing sessions.
  • • Completes all mandatory assessment/ certifications as applicable.
  • • Align individual goals with team objectives (work cohesively with the team).
  • • Participate and contribute to organizational activities.
  • • Record own attendance and time sheet related data.
  • • Builds and maintains a cohesive cross organization/company project team ethos and fosters productive working relationships, optimally assigning tasks to team members.

For NA:

  • • Contribute towards updating knowledge assets, user manual, online help document.
  • • Contribute to teams Learning and knowledge development programs.

Must Have Skills

  • UiPath
  • Customer Service-Healthcare