Clinical Healthcare BPO Consultant
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Job Description
*For Pooling Purposes*
• Provide consultancy services to the insurance and healthcare vertical to set up the clinical/bill review/insurance practice.
• Establish and maintain communication with clients and/or team members; understand their needs, resolve issues, and meet their expectations.
• Participate in RFPs, client proposals, client meetings & sales calls as directed by the supervisor.
• Produce solid and effective strategies based on accurate and meaningful data reports and analysis and/or keen observations that would impact business outcomes.
• Identify the training needs that will equip the staff with fundamental skills and knowledge for the clinical/bill review/insurance programs.
• Have a thorough understanding of the various system tools and operational procedures utilized within the program and provide guidance/recommendations to the operations team on improving service delivery/outcomes.
• Collaborate with stakeholders on a regular basis for creating strategies.
• Conduct all defined and required process compliance and adherence to all team members, partners, and third-party providers for clinical insurance program and provide recommendations to improve the framework/rectify the identified gaps.
Requirements
Function: Consulting
Experience Level: Director