Process Consultant

Sagility; Hyderabad; On-site; INR 360,000 - 520,000; Full time

Job summary

Sagility is hiring a Process Consultant in Hyderabad to contribute to team performance by implementing action plans that enhance client satisfaction. The role involves handling RCM-AP/AR (Voice) processes, maintaining SLA-based customer service, and mentoring new team members.

The candidate should have 1–2 years of RCM-AP/AR experience, excellent MS Excel skills, and strong English communication. Responsibilities include processing calls, maintaining records, and ensuring quality standards

Qualifications

• Any Graduate required.
• 1-2 years RCM-AP/AR(Voice) experience.
• Exceptional customer/ client interaction skills.
• Excellent MS Excel usage to compile, collate and summarize.
• Ability to manage client escalations and advocate for the client.
• Effective communication in English.
• Good analytical skills.

Responsibilities

• Processing claims/handling incoming calls/making outgoing calls and take appropriate actions as per the process guidelines.
• Understand the basic professional standards and established procedures, policies before taking action and making decisions.
• Maintain customer satisfaction ratings through TAT and quality standard basis client SLA’s.
• Input data into the company platform to keep each customer record updated.
• Responsible for multiple administrative and customer service layers that includes solving customer issues through review, investigation, adjustment or denials.
• Mentor & coach new members of the team based on requirement.

Skills

Client interaction

Escalation management

Client advocacy

MS Excel proficiency

English communication

Analytical skills

Typing & computer skills

Telephone etiquette

Education

Any Graduate

Tools

MS Excel

MS Office

Typing skills

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 associate is to contribute to the overall team performance and profitability by implementing action plans which in return will improve and maintain client satisfaction.

Job title:

Process Consultant

Job Description:

Education:

Any Graduate

Experience:

1-2 Years RCM-AP/AR(Voice) Experience

Mandatory Skills:

• 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

Preferred Skills:

• US health care (ERISA/HIPAA/State Mandates)
• Process SLA
• Awareness of ISO, ISMS
• Telephone etiquettes
• MS office
• Typing skills & computer skills
• Effective communication in English
• Good analytical skills
• Comprehending ability

Roles & Responsibilities:

• Possess basic knowledge of RCM-AP/AR(Voice)
• 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 process requirement well
• Processing claims/handling incoming calls/making outgoing calls and take appropriate actions as per the process guidelines.
• Understand the basic professional standards and established procedures, policies before taking action and making decisions.
• Maintain customer satisfaction ratings through TAT and quality standard basis client SLA’s
• Use company policies to determine if there can be an immediate resolution to a customer issue or if that issue requires managerial input
• Input data into the company platform to keep each customer record updated
• Responsible for multiple administrative and customer service layers that includes solving customer issues through review, investigation, adjustment (if necessary), remittance or denial of the claim by utilizing company policies and directing queries to the managerial team when necessary.
• Individuals should have commitment to customer satisfaction and an ability to make quick and accurate decisions.
• Mentor & coach new members of the team based on requirement

Location:

HyderabadIndia