Senior Analyst - AuthCreate
- R1 RCM
- 2 - 5 years
- Noida, Gurugram
- 3 months ago
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Job Description
Role Objective :
Authorization Creation is a process where we need to coordinate with the nurses for decrypting the medical records & reports.
Essential Duties and Responsibilities
- Interact with the US health insurance companies (Insurance Customer Care/Nurses/UM Team)
- Quality of Notation, Ability to read clinical documentation and data enter for payer requirements.
- 80%+ Calling will be involved (may vary site to site), should be open to Voice based work
- Would secure relevant information of Health Insurance of the patient.
- Work on Websites/Applicationsto perform the activity as per the SOP.
- Would be working in 6pm to 3 am & 9pm to 6am, Supporting US operations (in EST Zone)
- Should be Open to Learn & adapt as per the changing needs of the process.
- Will have to go thru ongoing Trainings (for performance / process needs)
- Should be flexible to be moved across the processes assigned by the Manager (Cater to ongoing process requirements)
- Will have to work as per the prescribed KPI`s / Targets assigned by the Process Manager.
- Maintain compliance with all company policies and procedures.
- Ensure - Non-Disclosure of any PHI.
- 24*7 Environment, Open for night shifts
- Good analytical skills and proficiency with MS Word, Excel and PowerPoint
Qualifications:
- Graduate in any discipline from a recognized educational institute.
- Good analytical skills and proficiency with MS Word, Excel and PowerPoint.
- Good communication Skills (both written & verbal)
- Excellent verbal and written communication skills effectively communicate with internal and external customers.
- Must have proven track record of performance in previous assignment.
- Maintaining a positive attitude and providing exemplary customer service
- Ability to work independently and to carry out assignments to complete within parameters of instructions / SOP.
Skill Set:
- Candidate should have knowledge of Medicare and Medicaid.
- Ability to interact positively with team members, peer group and seniors.
- Medical Coding and Medical transcription knowledge/experience are considered as relevant.
- Candidate should have good healthcare knowledge.
Job Classification
Industry: BPM / BPOFunctional Area / Department: Customer Success, Service & OperationsRole Category: OperationsRole: Operations - OtherEmployement Type: Full timeContact Details:
Company: R1 RCMLocation(s): Noida, Gurugram
Keyskills: customer service us healthcare excel powerpoint ar calling rcm inbound customer care training customer support claims processing voice process employee engagement recruitment denial management medical billing revenue cycle management
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R1 RCM
If anyone interested please ping me on watsapp Akanksha 9691664620 or call me. If I'll be not available to response your call please watsapp me. Thanks and regards Akanksha 9691664620 akanksha.t@maintec.in
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