Executives

Position Title, Responsibility Level:

Function:

Operations

Reports to -

Permanent/ Temporary: Permanent

Span of Control –

None

Location:

C – 15, Noida

Basic Function

Essential Functions

• Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources
• Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
• Deep understanding of medical coding, billing, and medical terminologies
• Attention for detail, and Strong analytical skills for processing medical documentation
• Critical thinking and high independent decision making capability
• Proficiency in healthcare information systems
• Ability to navigate through multiple applications
• Operates with urgency in a real time service environment
• Meets individual goals while assisting team to meet team goals
• Defines, communicates and manages workflow and data coordination to support various implementation related reports (i.e., reporting, inventory, capacity reporting, and ad-hoc reports as needed by management)
• May perform other duties as assigned
  

Performance parameters

• Productivity
• Quality
• Turn Around Time of work assigned
• Attendance & Schedule Adherence
  

Primary Internal Interactions

• SME/AM/LAM/Manager for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking support
• AM/LAM for the purpose of settling issues left unresolved by the SME and monthly evaluation of performance
• SME for the purpose of handling process related issues; queries and escalated transactions
• QCA for the purpose of associate performance feedback and audit in order to update the training curriculum
• Mentors for the purpose of seeking clarifications and answering queries real time
  

Organizational Relationships

Reports To: Assistant Manager/Lead Assistant Manager

Skills

Desirable Skills

• Critical thinking and high independent decision making
• Strong analytical, Reasoning, and Problem solving skills
• Medium competency in excel skills
• Ability to comprehend and write in English for structured written communications. Emails/IMS to be sent to internal teams
• Ability to respond to all inquiries within a timely manner
• Strong interpersonal and communication skills – both verbal and written
• Adaptability/Ability to interpret variable input details
  

Technical Skills

• Good computer navigation skills
• Typing speed of 25 Words per Minute with 90% Accuracy
• Proficiency in healthcare information systems
• Ability to navigate through multiple applications
  

Process Specific Skills

• Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
• Deep understanding of medical coding, billing, and medical terminologies
• Ability to produce high quality in production in environment.
• Ability to troubleshoot, identify user errors vs. system mapping errors (enrollment dates, method, system logic)
  

Soft Skills

• Ability to work independently
• Ability to understand and question established process guidelines for possible process improvements
• Attention for detail, and Strong analytical skills for processing medical documentation
• Possess keen sense of acquiring knowledge
• Adaptable and flexible to work in night shifts
  

Education Requirements And Work Experience

• Bachelor’s degree in relevant field such as Biology, Biochemistry, Biotechnology etc
• Computer literacy
• Candidates with relevant business experience will be preferred
  

Annexure

Acknowledgement