Processes healthcare claims and coding-related work while meeting quality, productivity, SLA, and turnaround targets. Interprets complex scenarios, resolves assigned tasks, supports audits, and maintains client satisfaction. Mentors and coaches team members, serves as a subject matter expert, coordinates work, and contributes to process improvement. The role also requires reporting, metric management, problem-solving, customer service, and collaboration across functions.
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.
Job title:
Job Description:
Education : Any graduates or post graduate (preferably science background)
Experience : 2.5+ 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 requirement 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
- Understands, knows, and interprets different complex scenarios and is able to resolve all assigned tasks
- Adhering to the SLA, and understanding Quality & Auditing parameters
- Meeting assigned productivity goals
- Understanding and adhering to quality standards
- Meeting TAT
- Mentor & coach new members of the team based on requirement
- To act as a subject matter expert
- Ability to look for alternative solutions for problems identified; Takes decisions based on logical reasoning and relevant information
- Assumes responsibility for work activities and coordinating efforts
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 work loads 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/concerns, 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:
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Processes healthcare claims and coding-related tasks while meeting quality, productivity, SLA, and turnaround targets. Interprets complex scenarios, resolves assigned work, and supports auditing and reporting. Serves as a subject matter expert, mentors new team members, coordinates activities, drives process improvements, and manages performance metrics. The role also requires strong communication, customer service, problem-solving, coaching, and analytical skills in a complex global environment.
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