Job Description

Role Purpose

The purpose of the role is to provide effective technical support to the process and actively resolve client issues directly or through timely escalation to meet process SLAs

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Qualifications

Fresher to 6 months of experience in US payer operations in Commercial/Medicare Claims and working on Adjustments

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Roles and Responsibilities

• Considerable verbal and written communication skills

• Required typing speed of min 30 wpm with 90% accuracy

• Good analytical and mathematical ability,

• Strong time management and problem solving skills

• Ability to quickly identify requested information and anticipate future needs

• Ability to overcome objections and persuade members to take action / change behavior

• Flexibility to customize approach to meet all personalities

• Compassionate conflict management skills

• Strong attention to quality and detail

• Ability to thrive in a constantly changing environment

• Ability to be reliable and punctual in work attendance

• Ability to adhere to a schedule

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Mandatory Skills

Good communication skills, mathematical ability, good analytical skills, typing speed of min 30 wpm with 90% accuracy

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Deliver NoPerformance Parameter Measure

		1
		Process
		No. of cases resolved per day, compliance to process and quality standards, meeting process level SLAs, Pulse score, Customer feedback

		2
		Self- Management
		Productivity, efficiency, absenteeism, Training Hours, No of technical training completed