Location: Tampa, Florida, USA
Company: Cognizant
Job Position: Data Analyst
JOB DESCRIPTION:
Qualification:
Education & Experience
BE/BTech/MCA)
- For Medical Management Bachelor’s degree in Nursing or any health science related field.
- For NA High School Equiv.
Job Responsibility:
Efficiently Process predefined number of transactions as assigned with highest level of accuracy as agreed upon by the client.
- Provide highest level of customer satisfaction.
- Strive to understand and resolve issues/queries at the first instant.
- Maintain the business controls as per the requirement.
- Articulate/ communicate in a manner which is understood by clients / endusers.
- Connect & provide highest level of satisfaction to the customer.
- Generate clientspecified reports relating to operations.
- Respond to data requests and other inquiries from the client.
- Release WCUM determinations to claim stakeholders following clientestablished protocols.
- Identify the medical flags in the client system.
- Provide reports and other data requests specified by the client.
- Serve as first level contact for customer complaint resolution.
- Provide reports and other data requests specified by the client.
- Take ownership of delivery including any customer communication and handle queries / clarifications from the customer.
- Make and Answer calls to and from customers/end users based on agreed time frames.
- Transfer calls involving next level of service to the appropriate department as per the given guidelines.
- Ensure to meet all Statistical, Financial and TAT metrics while processing claims.
- 100% Process adherence to transaction processing timelines involving medical management processes.
- Adhere to audit compliance (Internal, Statutory Audit) of all Healthcare processes as laid out by Cognizant / the client of Cognizant.
- Ensure process guidelines are followed and met as documented.
- Set productivity /Quality benchmark.
- Adhere to shift handover processes.
- Raise process related issues / concerns on time with process and team leads.
- Record data relating to production statistics, enduser related notes, etc as appropriate.
- Stay updated with the process knowledge / changes refer to knowledge updates/ repositories to effectively process transactions.
- Adhere to security practices set by organization.
- Implement small process improvement projects.
- Provide updates and submit reports related to own area of work.
- Resolve process related queries and expedite on data requests.
- Respond to data requests.
- Maintain confidentiality of all information, policies, and procedures as required by the Health Insurance Portability and Accountability Act (HIPAA) protocols.
- Maintain acceptable levels of performance including but not limited to attendance, adherence to protocols, customer courtesy, and all other productivity and efficiency targets and objectives.
- Contribute new ideas and innovative approaches at work.
- Participate in project and organization initiatives led by the Delivery leadership.