Senior Analyst

9 hours ago

Gurugram Noida, India R1 RCM Full time ₹ 5,00,000 - ₹ 12,00,000 per year

Role Objective :

Authorization Creation is a process where we need to coordinate with the nurses for decrypting the medical records & reports.

Essential Duties and Responsibilities

  • Interact with the US health insurance companies (Insurance Customer Care/Nurses/UM Team)
  • Quality of Notation, Ability to read clinical documentation and data enter for payer requirements.
  • 80%+ Calling will be involved (may vary site to site), should be open to Voice based work
  • Would secure relevant information of Health Insurance of the patient.
  • Work on Websites/Applicationsto perform the activity as per the SOP.
  • Would be working in 6pm to 3 am & 9pm to 6am, Supporting US operations (in EST Zone)
  • Should be Open to Learn & adapt as per the changing needs of the process.
  • Will have to go thru ongoing Trainings (for performance / process needs)
  • Should be flexible to be moved across the processes assigned by the Manager (Cater to ongoing process requirements)
  • Will have to work as per the prescribed KPI`s / Targets assigned by the Process Manager.
  • Maintain compliance with all company policies and procedures.
  • Ensure - Non-Disclosure of any PHI.
  • 24*7 Environment, Open for night shifts
  • Good analytical skills and proficiency with MS Word, Excel and PowerPoint

Qualifications:

  • Graduate in any discipline from a recognized educational institute.
  • Good analytical skills and proficiency with MS Word, Excel and PowerPoint.
  • Good communication Skills (both written & verbal)
  • Excellent verbal and written communication skills effectively communicate with internal and external customers.
  • Must have proven track record of performance in previous assignment.
  • Maintaining a positive attitude and providing exemplary customer service
  • Ability to work independently and to carry out assignments to complete within parameters of instructions / SOP.

Skill Set:

  • Candidate should have knowledge of Medicare and Medicaid.
  • Ability to interact positively with team members, peer group and seniors.
  • Medical Coding and Medical transcription knowledge/experience are considered as relevant.
  • Candidate should have good healthcare knowledge.

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