Associate III - BPM

3 - 5 Years
2 Openings
Chennai, Kochi, Trivandrum

Role Proficiency:

A Voice Associate Able to independently take customer support calls effectively and efficiently ;follow the SOPs to complete the process and endeavour to resolve the issue handle some escalated issues or escalate to a more knowledgeable person to resolve in alignment with SLAs and assists Lead I – BPM.rnA Data Associate should independently be able to effectively and efficiently process the transactions assigned in timely manner clarify complex transactions to others and ensure that quality of output and accuracy of information is maintained in alignment with SLAs and assists Lead I – BPM.

Outcomes:

Measures of Outcomes:

Outputs Expected:

Processing Data:

Handling calls Voice:

Production:

Issue Resolution:

Productivity:

Adherence:

Reporting:

Stakeholder Management:

Training :

Escalation:

Monitoring:

Manage knowledge:

Mentoring:

Communication:

Collaboration:

Skill Examples:

Knowledge Examples:

• Expertise with Windows Operating Systems MS Office tools
  • English comprehension – Reading writing and speaking

  • Domain knowledge based on process (healthcare banking investment F&A retail customer support etc)

  • Familiarity with work allocation and intake functions

  • Familiarity with quality control processes including pare to analysis and root cause analysis

  • Knowledge on security policies and tools

  • Good understanding of customer infrastructure ability to co-relate failures

  • Experience level – 3 to 7 years
  
  
  Additional Comments:

  Job Title: Provider Credentialing Associate Shift Timing: 5:30 PM - 2:30 AM IST (Night Shift) Work Model: 5 Days Working - Work from Office Experience: 5+ Years Domain: US Healthcare - Provider Credentialing Job Summary: We are seeking an experienced Associate to join our Provider Credentialing team within the US Healthcare domain. The ideal candidate will bring deep knowledge of the credentialing process, excellent communication skills, and the ability to thrive in a fast-paced, client-focused environment. Key Responsibilities: Manage end-to-end provider credentialing and re-credentialing processes. Review, verify, and validate provider information in compliance with regulatory and client-specific guidelines (CAQH, NPPES, DEA, etc.). Liaise with providers, insurance plans, and internal stakeholders to ensure timely credentialing. Maintain and update provider data in credentialing systems accurately. Track application status and proactively resolve delays or discrepancies. Ensure adherence to compliance standards (CMS, NCQA, URAC, HIPAA). Generate and review credentialing reports as required. Support audits and documentation for internal and external reviews. Contribute to continuous process improvement initiatives. Required Skills & Qualifications: Minimum 5 years of hands-on experience in US Healthcare domain preferably exp in Provider Credentialing. In-depth understanding of US healthcare regulations and payer requirements. Strong verbal and written communication skills; ability to interact professionally with providers and clients. Experience with credentialing software and databases (e.g., CAQH, PECOS). Attention to detail and strong analytical skills. Ability to work independently and manage multiple priorities. Preferred Attributes: Exposure to working with US based clients or stakeholders. Demonstrated problem-solving ability and a proactive mindset. High sense of accountability and alignment with UST values - Humility, Humanity, Integrity.

Us Healthcare,Credentialing software/Databases,Communication,Analytical