CSR Job Vacancy in Cotiviti India Pune, Maharashtra – Latest Jobs in Pune, Maharashtra

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Company Name : Cotiviti India
Location : Pune, Maharashtra
Position : CSR

Job Description : JOB RESPONSIBILITIES
Assess authorization request forms for member eligibility and provider participation in eviCore network.
Analyze benefits to ensure coverage of the requested procedure.
Approve the procedure or refer to RN’s & send complex scenarios back to client for advice.
Process Auth requests within TAT benchmark of receipt so as to make the prior authorization process efficient and avoid redundancies such as calls from facilities to check status of their request.
Ensuring to meet Quality standards (Meeting client set benchmarks).
Record transactions for production reporting.
ATTRIBUTES AND BEHAVIORS
Develops and maintains positive working relationships with others.
Shares ideas and information.
Assists colleagues unprompted.
Takes pride in the achievement of team objectives.
Has credibility with peers and senior managers.
Self-motivated – driven to achieve results.
Works with a sense of urgency.
High customer service ethic – is passionate about meeting customer expectations and improving service levels.
Keeps pace with change – acquires knowledge/skills as the business evolves.
Handles confidential information with sensitivity.
RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS
Any University degree.
Minimum 1 year experience in a BPO industry.
Good English writing and communication skills.
Basic knowledge of healthcare required.
Age Criteria- 21 Yrs minimum and 35 Yrs maximum.
SKILLS & COMPETENCIES
Demonstrates knowledge in MS Office and should have a background in Health Insurance.
Typing speed 20 words per minute with 95% accuracy.
Good verbal and written communication skills.
Excel proficiency.
Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads.
Ability to work well independently and maintain focus on a topic for prolonged periods of time.
Proficiency of MS Office (Word, Excel) required.
Comfort in working with team members that are remote and located in the US, India or other geographies.
Ability to work within a matrix organization.
Must be detail-oriented and flexible to work in a fast-paced, dynamic environment.
JOB DEMANDS
Ability to work seated on a dual monitor computer for long periods of time.
Candidate should be ready to work in different shifts, mainly night shift.
KEY CONSTITUENTS
No direct reports.
Works with all Cotiviti business teams.

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