Process Consultant

About Sagility

Job Description

Mandatory Skills

• Exceptional customer/ client interaction skills,
• Ability to manage client escalations,
• Experienced in managing client advocacy,
• Excellent in usage of MS Excel to compile, collate and summarize

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
• Good analytical skills
• Comprehending ability

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

Requirements

• Exceptional customer/ client interaction skills,
• Ability to manage client escalations,
• Experienced in managing client advocacy,
• Excellent in usage of MS Excel to compile, collate and summarize
• 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
• Good analytical skills
• Comprehending ability