Urgent openings for below mention profiles for our clients based in Pune Location. We have some urgent opening for Team Leader Profile.
1) Candidate should be an On Paper Team lead and have experience in Attrition Calculation, Capacity Calculation, People Management(Must)
2) Candidates should have Good Communication (Must)
3) Candidates should have experience in Claims Healthcare (Must).
4) Check with the candidates if they are able to speak on Attrition calculation and Capacity Calculation and able to explain Roles and Responsibility of Team Lead (Must).
1) Manage a team of ~25 Direct reports (PE/SPE/SME) and be accountable for Delivery, customer & people management.
2) Acts as the customer point of contact/liaison regarding operational issues, including provider meetings, claims issues, projects and ad hoc operational sessions. Implements policy changes as needed to insure continuing client focused operational responses.
3) Responsible for internal and customer initiated audits and regulatory reviews. Interfaces with customers on issues of operational functions, research and analysis of client/provider issues.
4) Tracks progress, follows up on audit results and ensures changes/recommendations are initiated.
5) Responsible for meeting established contractual operational standards, departmental standards, goals and deadlines.
6) Reviews and analyzes reports, records and directives and confers with Team Manager to obtain data required for planning. Establishes procedures for maintaining high standards of operations, product and specific-focus on quality.
7) Responsible for planning and analyzing claims check runs on a weekly or as needed basis.
8) Responsible training examiners on latest claims regulations and reimbursement schemes.
9) Assist in analyzing encounter data submission errors.
Note:- Interested Candidates can call or Share Your CV's at below mentioned details:-
Instant Recruitment Services
Regards, Manish Yadav