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Job Opening details:-
Company Name :- Firstsource Healthcare
Position Name :-
Company Location :- Bengaluru, Karnataka
Job Category : General jobs
Full Job Description :-
Excellent knowledge on client specifics and experience in all types of Claims
Perform quality review of claims based on the documentation provided by client to ensure claim output meets all customer specifications
Collects all findings during the audits and perform effective root cause analysis along with examiners & ops supervisors
Generate multiple level of analysis from the audit findings and identify opportunities to improve overall process
Circulate quality dashboards at agreed periodic intervals to all relevant stake holders
Conduct 1-0-1 coaching / feedback on specific error scenarios
Provide suggestions to Trainer and Ops on the slow performers who needs additional coaching / re-training on specific areas
Tracks all feedback from client and provide constructive information to agents during daily quality team huddle
Participates in client knowledge calibration exercise
Understanding Client P&Ps and auditing documents / claims based on instruction guidelines.
Record audit findings and prepare audit reports and circulate quality dashboard
Organize ILP review meeting and quality briefings to update associates on any quality issues
Analyze internal/client feedback and respond with details
Handling Feedback sessions efficiently.
Periodic knowledge calibration with client or SME.
Floor troubleshooting and if required get queries clarified with client.
Liaison with other functions and ensure smooth working relations.
Graduation in any discipline
Willingness to work in day/night shift
4+ years of experience in Claims process with 2 years of experience in auditing domain.
Primary Location: India-Karnataka-Bengaluru
Work Locations: Bengaluru – Brigade Tech Garden
Organization: HPHS – Offshore Operations – India
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