Medical Credentialing Analyst

Key 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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