Executives

Work Type - Back office with outbound calls to providers office as needed
validate all fields in the application against uploaded faxes/documents to complete requisite for valid appealWhen Missing data/field is found, associate needs to call providers office and gather/provide information, professionally Essential FunctionsNavigate through multiple system / applications for data gatheringProficiency with computer skills (navigating multiple systems and keyboarding)Understand the goals and standards to ensure that quality and productivity standards are metAccurate and timely updating of the databaseMeet the agreed upon KPIs as per the operational definitions and targetsParticipate in the User Acceptance Testing as needed98% - 100% attendance during training/nesting period is requiredTying speed 25-30 words/minute with 90% accuracyMust be flexible to work hours with Monthly work schedules changes Primary Internal Interactions Actively participate in the team meetings, discussions and provide inputsCalibrate, Cooperate and support the team in pursuit of achieving and exceeding team goals Primary External Interactions Email CommunicationsVerbal Communication Organizational Relationships Reports To : Team Manager Supervises : Skills Technical Skills Working knowledge of MS office (Word, Excel and Power point) and Internet / Outlook Process Specific Skills Advanced knowledge and ability to navigate CVSH-AETNA systems Strong comprehension skills (Need screening during interview)US Healthcare knowledge is preferred but not mandatory Soft skills (Desired) Effective communication skills, both verbal and written, Aptitude Education Requirements Bachelor s degree with a minimum 15 years of education Work Experience Requirements Fresher s, resources right out of the college can be hired to 1 year experience