Chennai, IND
3 days ago
HC & INSURANCE OPERATIONS ANALYST
Position General Duties: Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client’s main application according to its policies and procedures defined. Role Responsibilities: • In-depth knowledge and experience in the US healthcare (Non Voice) – Provider Data Validation and Provider Data management. • Candidate should have 5 years and above experience in US healthcare and into provider enrollment and credentialling. • Ability to train the team on new process and process updates. • Calibrate with QA’s to ensure process knowledge and variance are managed and under control. • Ability to create Process SOP, Process Map and identifying the outlier within process. • Review Discrepancy report and comments, identify gaps and share with TL. • Identify NVA and provide suggestion for automation opportunities. • Identify refresher/re-trainable topics, conduct assessments, and certify staff to move to different levels of production. • Drive team from the front in case of leadership unavailability. • Need to co-ordinate with quality team to identify the root cause and provide appropriate solution to overcome errors. • Oversee data integrity of provider records and practitioner records that are loaded in the system. • Provide research to correct errors in Provider and Practitioner data output within the provider information system. • Maintain quality and production standards as outlined by government regulations and department policies & procedures. • Completion of volumes in queue within specified Turn Around Time. • Ability to meet their required production and Quality target. • Setting productivity /Quality benchmark • Handles internal and external inquiries concerning provider forms, demographics, location details and practitioner records. Required Skills: • 3 to 5 years of experience in US healthcare working with Provider Data Enrollment and Management. • Ability to work in a 24/5 environment; shifts can be rotational. • University degree or equivalent that required 3+ years of formal studies. • Ability to work in a team environment. • Good logical thinking ability. • Good English Comprehension/written skills should have exposure to MS Office. • Good Communication Skills – Both Verbal and Written • Ability to interact with clients preferred. **Required schedule availability for this position is 24/5 and the shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.
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