Process Consultant

Overview

Process Consultant role at Sagility, supporting RCM-AP/AR (Voice) processes for US healthcare clients by handling claims, calls and client interactions.

What you'll do

• Process claims, handle incoming calls and make outgoing calls, taking appropriate actions as per process guidelines.
• Solve customer issues through review, investigation, adjustment (if necessary), remittance or denial of claims using company policies.
• Use company policies to determine whether an issue can be resolved immediately or requires managerial input.
• Maintain customer satisfaction ratings through TAT and quality standards based on client SLAs.
• Input data into the company platform to keep each customer record updated.
• Manage client escalations and client advocacy.
• Understand professional standards, established procedures and policies before taking action and making decisions.
• Mentor and coach new team members as required.

What you'll need

• Any graduate.
• 1-2 years of RCM-AP/AR (Voice) experience.
• Basic knowledge of RCM-AP/AR (Voice).
• 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.
• Good reasoning and analytical skills.
• Ability to communicate fluently in the language required for the function/location.
• Active listening skills.
• Passion to learn.
• Influencing skills.
• Ability to comprehend process requirements well.
• Commitment to customer satisfaction and ability to make quick and accurate decisions.

Nice to have

• US healthcare knowledge (ERISA/HIPAA/State Mandates).
• Process SLA awareness.
• Awareness of ISO and ISMS.
• Telephone etiquette.
• MS Office skills.
• Typing and computer skills.
• Effective communication in English.
• Good analytical skills.
• Comprehending ability.

Details

• Location: Bangalore, India.