Executives

4 weeks ago


India Cochin Kochi Ernakulam EXL IT service management Full time

Job Description

Job Description

Position Title, Responsibility Level

Associate

Function

Healthcare

Reports to

Assistant Manager

Permanent/ Temporary

Permanent

Span of Control

Individual Contributor

Location

Kochi, India

Basic Function

- Work Type - Back office with outbound calls to providers office as needed
- validate all fields in the application against uploaded faxes/documents to complete requisite for valid appeal
- When Missing data/field is found, associate needs to call provider's office and gather/provide information, professionally

Essential Functions

- Navigate through multiple system / applications for data gathering
- Proficiency with computer skills (navigating multiple systems and keyboarding)
- Understand the goals and standards to ensure that quality and productivity standards are met
- Accurate and timely updating of the database
- Meet the agreed upon KPIs as per the operational definitions and targets
- Participate in the User Acceptance Testing as needed
- 98% - 100% attendance during training/nesting period is required
- Tying speed - 25-30 words/minute with 90% accuracy
- Must be flexible to work hours with Monthly work schedules changes

Primary Internal Interactions

- Actively participate in the team meetings, discussions and provide inputs
- Calibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals

Primary External Interactions

- Email Communications
- Verbal Communication

Organizational Relationships

Reports To : Team Manager Supervises :

Skills

Technical Skills

- Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook

Process Specific Skills

- Advanced knowledge and ability to navigate CVSH-AETNA systems.
- Strong comprehension skills (Need screening during interview)
- US Healthcare knowledge is preferred but not mandatory

Soft skills (Desired)

- Effective communication skills, both verbal and written, Aptitude &Analytical Anility

Soft Skills (Minimum)

- None

Education Requirements

Bachelor's degree with a minimum 15 years of education

Work Experience Requirements

Fresher's, resources right out of the college can be hired to 1 year experience

Annexure:

Acknowledgement(acknowledge that the information contained in this document is factual and complete)

___________________________________ ___________________________________________ ____________________________

Candidate Supervisor/Manager Date


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