Payment Operations Specialist-2
Location
Secunderabad | India
Job description
Key Responsibilities
- Manually identify next work item from work queue according to prioritization model (e.g., apply correct filters, manage multiple work queue sources)
- Follow research and resolution steps for the case with 100% precision and accuracy according to the established Standard Operating Procedure.
- Document all actions taken for research and resolution in the appropriate location.
- Send templated response to customer as follow-up and to close out the case
- Assess Standard Operating Procedure for opportunities to automate and simplify.
- Maintain awareness of and ensure adherence to Zelis Payments standards regarding privacy.
- Follows established HIPAA, Compliance & Security policies.
Technical Skills/ Knowledge - Pay attention to detail and follow the process as documented.
- Computer proficiency and technical aptitude with the ability to utilize Zelis' proprietary client system and MS Office applications with the ability to use intermediate Excel functions such as VLOOKUP.
- Understands information and data formats required to be able to successfully process claim Payments.
- Works on assignments that are minimally complex in nature in which judgment and initiative are required to make recommendations or resolve problems.
- Knowledge of ACH CCD+ payments and ERA reassociation.
- Has basic proficiency in processing manual payments.
- Understands protocols in place to contact and obtain information required.
- Understand various connectivity solutions (FTP/Secure FTP, VPN).
- Thorough knowledge of company and departmental policies and procedures.
Independence/ Accountability - Requires daily supervision to ensure Assignment metrics are met.
- Ability to follow detailed instructions on assignments.
- Regularly reviews goals and objectives with supervisor.
- Must have professional manner and respect the confidentiality of administrative matters and files.
- Ability to manage and prioritize multiple tasks.
- Ability to work under pressure and meet deadlines.
- Should work towards identifying opportunities for automation.
Communication Skills - Must work well with others.
- Communicates accurately, honestly, and effectively, both in oral and written form, practices active listening.
- Clearly conveys information and ideas through a variety of media to individuals and groups in a manner that engages the audience and helps them understand the information.
Qualifications PROFESSIONAL EXPERIENCE: - Preferred Qualifications: Graduate Degree or Equivalent
- Proficiency with computer and applicable software packages, including Microsoft Office products - Outlook, Word, Excel, etc.
- Experience with Jira, Service-Now, Sales Force Service Cloud or similar work tracking system highly preferred.
As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
Commitment to Diversity, Equity, Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [HIDDEN TEXT]
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.
Job tags
Salary
