Senior Process Consultant

Education:
Any Graduate

Experience:
2-3 Years RCM-AP/AR(Voice) Experience

Mandatory Skills:

• Strong understanding of medical terminology and coding.

• Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).

• Excellent attention to detail and accuracy.

• Excellent written and verbal communication skills.

• Strong leadership and problem-solving skills.

• Ability to work independently and as part of a team.

Preferred Skills:

• US health care (ERISA/HIPAA/State Mandates)

• Process SLA

• Awareness of ISO, ISMS

• Telephone etiquettes

• MS office

• Typing skills & computer skills

• Effective communication in English

Roles & Responsibilities:

• Possess basic knowledge of RCM-AP/AR(Voice)

• Good reasoning and analytical skills

• Able to communicate fluently in the language required for the function/location

• Active listening skills

• Passion to learn

• Influencing skills

• Ability to comprehend the process requirement well

• Processing claims/handling incoming calls/making outgoing calls and take appropriate actions as per the process guidelines.

• Understand the basic professional standards and established procedures, policies before taking action and making decisions.

• Maintain customer satisfaction ratings through TAT and quality standard basis client SLA’s

• Use company policies to determine if there can be an immediate resolution to a customer issue or if that issue requires managerial input

• Input data into the company platform to keep each customer record updated

• Responsible for multiple administrative and customer service layers that includes solving customer issues through review, investigation, adjustment (if necessary), remittance or denial of the claim by utilizing company policies and directing queries to the managerial team when necessary.

• Individuals should have commitment to customer satisfaction and an ability to make quick and accurate decisions.

• Mentor & coach new members of the team based on requirement

• To act as a subject matter expert

• Ability to look for alternative solutions for problems identified; Takes decisions based on logical reasoning and relevant information

• Assumes responsibility for work activities and coordinating efforts