Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Job Description:
Education:
Any Graduate
Experience:
2-3 Years RCM-AP/AR(Voice) Experience
Mandatory Skills:
Strong understanding of medical terminology and coding.
Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).
Excellent attention to detail and accuracy.
Excellent written and verbal communication skills.
Strong leadership and problem-solving skills.
Ability to work independently and as part of a team.
Preferred Skills:
US health care (ERISA/HIPAA/State Mandates)
Process SLA
Awareness of ISO, ISMS
Telephone etiquettes
MS office
Typing skills & computer skills
Effective communication in English
Roles & Responsibilities:
Possess basic knowledge of RCM-AP/AR(Voice)
Good reasoning and analytical skills
Able to communicate fluently in the language required for the function/location
Active listening skills
Passion to learn
Influencing skills
Ability to comprehend the process requirement well
Processing claims/handling incoming calls/making outgoing calls and take appropriate actions as per the process guidelines.
Understand the basic professional standards and established procedures, policies before taking action and making decisions.
Maintain customer satisfaction ratings through TAT and quality standard basis client SLA’s
Use company policies to determine if there can be an immediate resolution to a customer issue or if that issue requires managerial input
Input data into the company platform to keep each customer record updated
Responsible for multiple administrative and customer service layers that includes solving customer issues through review, investigation, adjustment (if necessary), remittance or denial of the claim by utilizing company policies and directing queries to the managerial team when necessary.
Individuals should have commitment to customer satisfaction and an ability to make quick and accurate decisions.
Mentor & coach new members of the team based on requirement
To act as a subject matter expert
Ability to look for alternative solutions for problems identified; Takes decisions based on logical reasoning and relevant information
Assumes responsibility for work activities and coordinating efforts
Location:
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.