Medical Credentialing Analyst
Posted 2025-04-22Key Purpose of Role:
As an analyst the successful candidate will be responsible for their respective KPI performance in a US health care process
?? To be passionate about Customer Satisfaction and contribute to Customer Satisfaction
?? To make every call a warm experience for our customers while complying with policies & procedures
?? To help the development of an excellent working climate within the function
?? To be a team-player and assist colleagues in their contribution to achieving the Business goals
?? To actively support all multi-skilling initiatives within the process
?? Display a high level of integrity in all dealings with internal/external customers
Key Competencies
?? Sound analytical skills to ensure eye for detail with Logical & customer centric issue resolution skills
?? Ability to analyze, interpret and draw inferences from research findings
?? Ability to use independent judgment to manage and impart confidential information.
?? Ability to make administrative/procedural decisions and judgments
?? Responds to inquiries from providers and or PO's, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise
?? Contributor to Performance Management Targets by maintaining the set Average Handling Time and adhering fully to scheduled Breaks/Rosters
?? Demonstrated success in handling large volumes of work
?? Ability to organize, prioritize, and accomplish tasks within established timeframes
?? Demonstrated proficiency utilizing reference materials
?? Working experience in MS office tools
Eligibility Criteria
?? Any Graduate (Arts/science/commerce/business) , high school graduate
?? Typing speed to be > 25 Words/Minute with an Accuracy of 90% or more
?? Effective verbal and written communication skills, including ability to remain calm in potentially stressful situations with medical professionals
?? Minimum 2yrs of direct customer service experience in call center
?? Previous experience in a healthcare or health insurance setting
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