Associate II - BPM

UST

Thiruvananthapuram, Kerala
Permanent
Full-time

25 days ago

Job Description:Role Proficiency:A Voice Associate should under very minimal guidance be able to take customer support calls effectively and efficiently following the SOPs to complete the process and endeavour to resolve the issue or escalate to a more knowledgeable person to resolve in alignment with SLAs.rnA Data Associate should under very minimal guidance effectively and efficiently process the transactions assigned in a timely manner and ensure that quality of output and accuracy of information is maintained in alignment with SLAsOutcomes:Acts under very minimal guidance to achieve the following:

Service Level Agreement (SLAs) specified by the client in terms of quality productivity and schedule should be managed to ensure 100% adherence.
Data: Analyze information enter and verify data following the SOP to ensure completion of the task.
Voice: Customer calls responses and any updates or edits to workflow based on after call work should be performed as per directions.
Be aware of any clients processor product updates and ensure 100% compliance towards the same.
Proficient in the process and assist other team members who are new to the process to ensure quick readiness of the team.
Able to handle and manage higher complexity tasks.
Able to analyze processes and come up with ideas to automate them to increase operational efficiency.

Measures of Outcomes: * 100% Adherence to quality standards

Adherence to turnaround time for response and resolution
Completion of all mandatory training requirements
100% adherence to process and standards
100% adherence to SLAs where applicable
Number of issues fixed and tasks completed
Number of non-compliance issues with respect to SOP
Production readiness of new joiners within agreed timelines by providing guidance
Zero/No Client Escalations

Outputs Expected: Processing Data: * Processing transactions assigned as per SOPsHandling calls Voice: * Handle customer support callsresolve issues and complete after-call work
Production: * Take calls (voice) or process complex transactions (data)Quality: * Perform quality control for transactions processed by associates if requiredReporting: * Create reportsprepare spreadsheets of daily transactions
data entry in software/tool * Report status of tasks assignedcomplying with project related reporting standards and process
Productivity: * Completion of tasks with zero errors.

Take steps to improve performance based on coaching
Monitors progress of requests for support and ensures users and other interested parties are kept informed.

Issue Resolution: * Identifiesanalyses and solves the incidents/transactions. * Address any problems with the supervisor /QA to ensure maximum productivity and efficiency.Training: * Attends one on one need-based domain/project/technical trainings as needed.

On time completion of all mandatory training requirements of the organization and customer.
Provide on floor training and one to one mentorship of new joiners.

Escalation: * Escalate problems to appropriate individuals and support team based on established guidelines and procedures.Manage knowledge: * Consume project related documentsshare point
libraries and client universities
Communication: * Share status update to the respective stakeholders and within the teamCollaboration: * Collaborate with different towers of delivery for quick resolution (within SLA); document learnings for self-reference.

Collaborate with other team members for timely resolution of errors
Assist new team members to understand the customer environment.

Process Adherence: * Thorough understanding of organization and customer defined process; consult with mentor when in doubt. Adherence to defined processes.organization’ s policies and business conduct.Skill Examples: * Customer Focus: Focus on providing prompt and efficient service to customers goes out of the way to ensure that individual customer needs are met.

Attention to detail to ensure SOPs are followed and mistakes are not knowingly made
Team Work: Respect others and work well within the team.
Communication: Speak clearly and write in a clear and concise manner. Uses appropriate style and language for communication (Data)
Communication: Speaks in an accent neutral manner or with the accent required for the process with good vocabulary and grammar skills. Writes clearly (Voice)
Typing Speed with 15WPM and 80% accuracy
Make rule-based decisions and judgments based on guidance from Lead
Analytical ability to understand the larger picture of customer issues.
Ability to follow SOP documents and escalate the s with in the SLA defined.
Willingness and ability to learn new skills domain knowledge etc.
Sr. Process Associate Quality Auditor SME
Frontline resource - Voice/Backoffice Quality Auditors SME

Knowledge Examples: * Familiar with Windows Operating Systems MS Word MS Excel.

English comprehension – Reading writing and speaking
Domain knowledge based on process (healthcare banking investment F&A retail customer support etc)
Fair understanding of customer infrastructure ability to co-relate failures.
Familiarity with work allocation and intake functions
Experience level – 2 to 5 years

Additional Comments:Risk Adjustment HCC Coder - OverReader Job Summary Responsibilities include, but are not limited to, the following. Review of Charts completed by RA Coders. Able to articulate and discuss issues raised on codes being corrected. Assign appropriate ICD-10-CM codes, mapping to risk adjustment models for Medicare Advantage and ACA Commercial Projects. Assign Flag events and CDI for documentation discrepancies. Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. Comply with HIPAA laws and regulations Maintain quality (=>97%) and production standards as an OR Remain current on diagnosis and coding guidelines and risk adjustment reimbursement reporting requirements. Qualification: With at least 1 year experience as a QA/OR in RA HCC coding experience With at least 3 years medical coding experience (RA) Must be College graduate with at least 5 years of BPO experience Active coding certification under AAPC or AHIMA, Certified Risk Adjustment Coding Certification (CRC) preferred Able to code using ICD-10 CM physical codebook or coding software Strong clinical knowledge related to chronic illness diagnosis, treatment and management Computer proficiency (MS Office and internet)Skills:Bpo,Bpo Operations,ClaimsAbout Company:UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world’s best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients’ organizations. With over 30,000 employees in 30 countries, UST builds for boundless impact—touching billions of lives in the process.

UST

Apply Now