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In-depth knowledge in Healthcare and BPaaS domain, Good understanding in Delivery Excellence Framework, Expertise in business and IT processes, platforms, operations, controls and dependencies Secondary Skills: Intermediate to Expert proficiency in conducting audits & assessments in BPaaS domain areas, Proficiency in building, monitoring and testing controls for BPaaS

• Provide facilitation to ensure noiseless delivery and enable best practices adoption & evangelization through appropriate processes and platforms
• Solution consultant for projects to adopt right tools and measure to ensure product & service quality in the appropriate service lines
• Ensure effective governance of projects and deliverables
• Proactive risk management and mitigation, build known risks database to identify and mitigate risks proactively and establish oversight to monitor quality, targets and spending on implementation plan
• Enabling and co-working with the accounts / projects in compliance of regulatory requirements, other certification requirements of the Organization and the Customers for BPaaS domain. Support closure of external/internal audit findings, RCA/CAPA/FMEA for escalations
• Establish Integrated Risk and Delivery Governance models, and oversight to monitor quality, targets, overrun and penalty
• Build process mapping for BPaaS describing the high level activities across Product Service Lines establish ETVX, role definition, gating criteria, SLAs, OLAs and RACI
• Design and ensure operational and compliance controls are implemented, tested and monitored
• Build core competency to carry out DEx BPaaS audits and assessments

Role & responsibilities

• Should handle US Healthcare Physician Billing / Ambulance Billing Accounts Receivable.
• To work closely with the team leader.
• Ensure that the deliverables to the client adhere to the quality standards.
• Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
• Calling the insurance carrier & Document the actions taken in claims billing summary notes.
• To review emails for any updates
• Identify issues and escalate the same to the immediate supervisor
• Update Production logs.
• Strict adherence to the company policies and procedures.

Preferred candidate profile

• Min of 1+ year experience in US Medical Billing
• Should have strong knowledge in Healthcare concept.
• Should have good Verbal and Written communication skills.
• Excellent Knowledge on Denial management.
• Excellent Knowledge on Physician Billing / Ambulance Billing.
• Spot offer for the selected candidates.
• Should be proficient in calling the insurance companies.
• Meet the productivity targets of clients within the stipulated time.
• Ensure accurate and timely follow up on pending claims wherein required

Perks and benefits

• 5 Days Working
• Free two way cabs available
• Health Insurance
• Medical Insurance

 Supervise customer service team, including coaching, training and daily assignments of

customer service agents; responsible for providing feedback of the agents to the agency

and for course corrections

 Liaise with customer service agency project manager, ensuring efficient communication

channels are put in place between Mobile App team and customer agency. 

 Develop policies and procedures. Prepare a playbook that customer service agents follow to

resolve customer inquiries, including workflows and SOPs. Policies and procedures must

balance satisfying customer needs and supporting the goals of the organization. This would

include constant review and revision as customer needs change and the business evolves.

 Ensure that customer service agents are equipped with an up-to-date repository of responses.

 Respond to customer queries, as needed.

 Responsible for configuring and managing HubSpot dashboard, with the goal to fulfill data &

analytics requirements from different stakeholders.

 Lead/Facilitate meetings with different stakeholders at regular intervals to ensure relevant data

is being effectively communicated to the various departments as needed. 

 Serve as point person for product team to provide future enhancements, bug fixes etc /

back communication from stakeholders. Be the voice of the customer advocating for

changes most requested/needed.

1. Act as a first line support for IT department
2. Answer internal and external customer calls and emails
3,create service desk tickets, assign technician and follow up closure
4.Monitirng service desk dashoard and sending alert for SLA violations
5. end to end front line coordination 
Skills - experience in interacting with US clients 
basic understandign of IT set up and computing issues
ITIl V3 certification would be an added advantage 
Please note that the shift timings will be 6pm to 3am and 8:30pm to 5:30am.
Home drop available
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