Healthcare Process Improvement Specialist

2 weeks ago


Hyderabad, Telangana, India beBeespecialist Full time ₹ 12,00,000 - ₹ 15,00,000

We are united in our mission to make a positive impact on healthcare.

Key Responsibilities:
  • Responds to Inbound Payer calls most professionally and takes the necessary information and provides the required insights to Payer representatives
  • Updates the necessary information in the patient account and fixes the same as and when it is required and deemed fit
  • Coordinates with the respective RCM departments to ensure issue is resolved/updated
  • Tracks the details/updates and cascades the same with RCM department
  • Reviews the trend and suggests process level changes in order to reduce the communication and bring efficiency
  • Escalates any issues which are reported by the payers with the respective Team and Manager in order to reduce the recurrences
Requirements:
  • Bachelor's degree (Graduation in any stream would suffice)
  • Minimum 5+ years of experience in Provider RCM out of which at least 2 years as a Subject Matter Expert on resolving Claims independently through inbound/outbound payer Calls


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