Operations Executive

3 months ago


Gurugram Haryana, India Plunes Technologies Private Limited Full time

**JOB OVERVIEW**

**JOB RESPONSIBILITIES**
- Provide informative support, addressing inquiries, concerns, and providing assistance with healthcare-related matters to clients and healthcare providers.
- Liaise with insurance companies to verify patient coverage, pre-authorizations, and claims processing.
- Assist patients in understanding insurance policies, coverage details, and financial responsibilities.
- Advocate for patients in resolving insurance-related issues.
- Establish and maintain service level agreements (SLAs) to ensure timely response and resolution of patient queries and concerns.
- Implement and monitor processes to meet or exceed defined TAT standards.
- Track MIS for developments with respect to ongoing processes in insurance claims of patients.

**QUALIFICATIONS**
- Bachelor’s degree in Healthcare Administration, Business, or a related field.
- Previous experience in customer service, preferably in healthcare or insurance sector.
- Strong communication and interpersonal skills.
- Knowledge of healthcare insurance processes and regulations.
- Detail-oriented with the ability to manage and prioritize tasks effectively.

**Job Types**: Full-time, Permanent

**Salary**: From ₹25,000.00 per month

**Benefits**:

- Cell phone reimbursement
- Provident Fund

Schedule:

- Day shift

**Experience**:

- Customer support: 1 year (preferred)
- Healthcare management: 1 year (preferred)

**Location**:

- Gurugram, Haryana (required)

Work Location: In person


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