Executive

Position Title, Responsibility Level

Executive

Function

Healthcare

Reports to

Team Manager

Permanent/ Temporary

Permanent

Span of Control

Individual Contributor

Location

Noida, India

Basic Function

• Work Type - Back office (Level 2)
• Case creation in Client tool/application, basis the data received
• Once the case is received, action to be taken as per Standard Operating Procedure
• Determine if case can be processed and/or to be routed to another queue
• If case creation needed- Identify the procedure and diagnosis codes in the fax, create case, add notes (standard templates to be followed) and task timely to correct team/nurse for further handling. High priority on compliance

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
• 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

• None

Organizational Relationships

Reports To : Team Manager Supervises : None

Skills

Technical Skills

• Working knowledge of MS office (Word and Excel) and Internet / Outlook

Process Specific Skills

• Strong comprehension skills
• US Healthcare knowledge is preferred but not mandatory

Soft skills (Desired)

• Written Communication – Good
• Verbal Communication - Average

Soft Skills (Minimum)

• None

Education Requirements

Diploma/Graduation with a minimum 15 years of education

Work Experience Requirements

0 to 1 year of experience

Annexure

• Acknowledgement (acknowledge that the information contained in this document is factual and complete)
• ___________________________________ ___________________________________________ ____________________________

Candidate Supervisor/Manager Date

• Understand PMS and client PMS systems: Familiarity with Property Management Systems (PMS) used in the industry.
• Handson experience in AR Calling: Ability to call payers for claims status and manage accounts receivable.
• Thorough understanding of AR process: Knowledge of the accounts receivable cycle and best practices.
• Graduate in stream or 12th Standard 1 - 2 Years