Role : Medical Audit Associate
Company : Feuji. Inc
Mode of Hire : Permanent Position (2-3 years)
Location : Vadodara, Gujarat
About Feuji
Since its inception in 2014, Feuji, Inc. has come a long way. Within a few years, Feuji grew from a small team to more than 400 dedicated employees. Today, with its global network and industry-leading expertise in technology solutions and emerging digital business processes, Feuji provides a unique value proposition for its customers.
In the last few years, Feuji has actively supported multiple projects in India, Costa Rica, and the USA in the areas of healthcare, education, skill development, and ecological preservation. What's next for Feuji We are looking forward to continuing our work in the areas of digital transformation and sustainable community development by consistently delivering lasting positive impact.
Job Description
- Job Role (Brief description of the overall purpose of this role):
- Being a part of very complex yet important process, the associate is responsible to review the medical records (CPL - Conditional Payment Letter) and perform necessary action as per the process. Taking the lien resolution to the further level. He/she will ensure that the correct information captured in CPL (Approved/Denial), transcribed accurately, and point out the process anomaly and perform quality check.
- Responsibilities / KRAs ( list down primary responsibilities for this role):
- Review medical document (CPL) available in LPM as per the audit protocol, Code set and capture Approved/Denial charges in CPL of the claimant.
- Need to achieve 100% accuracy by following SOP and audit protocol.
- The candidate is expected to be well-organized and creating positive work environment.
- Adhering to company policies/ARCHER principles and hence taking good care of Archer culture.
List the other roles (designations) with whom this job incumbent must interact to deliver on day-to-day responsibilities:
- Medical Audit Team
- Team Lead
- Assistant Manager - Operations
- Manager - Operations
- Training or Quality Team Members
- Role Holder - Skills Criteria:
Technical Skills Required
- Typing speed of 30 WPM
- Basic knowledge of MS office applications like MS Excel, MS word and MS PowerPoint
- Research and Analytic Skill
Behavioral Skills Required
- Communication Skill - Email writing
- Flexible enough to work cross- functional.
- Learning capability.
Experience
- 1 - 2 Years of experience into MNC or US/ EU based BPO / KPO.
Training
- Describe various technical training which are critical to perform this role effectively, eg: Excel, Project Management etc.
- Excel, Call & Email Etiquettes, PowerPoint
- Training - Describe the various soft skills training required to perform this role effectively, eg: Communication Skills etc.
- Basic understanding of US culture,
- Basic understanding of organizational culture and behavior.
- Education and Qualifications - Mention minimum education qualification required.
- Graduate
- Career Path (Kindly list one or two options for an individual who becomes a specialist in this role to progress in this organization.
- If he/she is performing good in the current role, may grow to Associate Operations - II or Sr. Associate Operations.
Additional Notes
- An individual should be self-motivated and flexible.
