Executive-Coding

Sagility Limited; Bengaluru; On-site; INR 250,000 - 400,000; Full time

Job summary

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.

Sagility has more than 25,000 employees across 5 countries. Location: BLR, Surya Wave Building, India.

Qualifications

• Basic healthcare knowledge with strong reasoning and analytical skills.
• Fluent communication in the required local language.
• Active listening and clear communication.
• Willingness to learn new processes.
• Influencing skills for stakeholder alignment.
• Ability to understand employee requirements.
• Punctuality and attendance discipline.
• Willingness to acquire related process knowledge.
• Processing claims, developing projects and handling calls per guidelines.
• Adherence to SLA and quality/audit parameters.
• Meeting productivity targets.
• Understanding quality standards.
• Meeting turnaround times.
• HIPAA/ISO quality and security compliance.

Responsibilities

• Process claims, develop projects and handle calls per process guidelines.
• Adhere to SLA and maintain quality and auditing standards.
• Meet assigned productivity goals and MONITOR metrics.
• Maintain compliance with HIPAA/ISO security standards.
• Coordinate with teams to ensure timely task completion.

Skills

Interpersonal skills

Customer service

Problem solving

Communication

Analytical skills

Leadership

Coaching

Productivity

Budgeting

Cost analysis

CRM familiarity

Multitask

Conflict resolution

Education

Any graduates or post graduates (preferably science background)

Tools

Computers

Phone systems

CRM systems

Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. The role of an executive is to contribute to the overall team performance and profitability by implementing action plans which in return will improve and maintain client satisfaction.

Executive-Coding

Job Description

Job title: Executive-Coding

Education : Any graduates or post graduates (preferably science background)

Experience : 1.5+ years experience in HC domain & coding related field

Roles & Responsibilities

Possess basic knowledge of Healthcare Good reasoning and analytical skills Able to communicate fluently in the language required for the function/location Active listening skills Passion to learn Influencing skills Ability to comprehend the employee requirements well Adhere to attendance and punctuality norms Acquiring knowledge & skills of related areas of the process Processing claims/developing projects/handling calls, as per the process guidelines Adhering to the SLA, and understanding Quality & Auditing parameters Meeting assigned productivity goals Understanding and adhering to quality standards Meeting TAT Ensure adherence to external and internal quality and security standards (HIPPA /ISO)

Skills

• Exceptional interpersonal, customer service, problem-solving, verbal and written communication, and conflict resolution skills.
• Proficiency with the necessary technology, including computers, software applications, phone systems, etc.
• Ability to improve and/or transform teams processes across functions within the organization.
• Ability to drive individual, teams and department efficiency and productivity through effective and efficient metric management.
• Strong coaching and leadership skills, ability to develop and motivate employees towards improved performance.
• Ability to delegate and manage workloads and projects across functions within the organization.
• Ability to successfully drive continuous improvement efforts by leading various work streams related to call center metrics and monitoring tools.
• Capacity to operate in a complex, global environment with ease and fluidity, while driving and influencing results.
• Strong operational and financial acumen, executive presence, and the ability to lead multiple sites.
• Ability to problem solve, handle conflict, anticipate issues/concern, troubleshoot problems, and proactively institute creative solutions.
• Advanced customer focus and customer service skills.
• Ability to multitask and remain calm under pressure, especially during peak hours or intense situations.
• Ability to handle reporting, financial analysis (cost-effectiveness, cost-benefit etc.) & budgeting.
• Experience with Client relationship management is preferred.

Location: BLR, Surya Wave BuildingIndia

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

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