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Tej Kumar

Tej Kumar

Healthcare specialist

Talent
Bengaluru, Bengaluru UrbanMember since June 2, 2023
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About

Entering patient information into system with 100% accuracy

 Monitor and provide support to workfows and provide expert knowledge

 Client communication (inbound + chat CRM, Jira ticketing tools

Experience

Communicate via emails & phone calls with customers on timely maner

 Running monthly billing usage, respond to customer billing question and concerns.

 Enrollment of new clients submission.

 US sales updating all information into CRM/Sales force software application.

 Research complex Benefits issues and formulates resolutions/recommendation by analyzing fact patterns and applying plan provisions and best practice.

 Connecting with other teams and raise support ticket for all issues, analyze root cause and assist in efcient resolution of all production processes

 Monitor all alerts & escalate all issue for all procedures & system related issue

 Build & maintain client relationships track and record metrics throughout the process

 Validate healthcare enrollment plans send it to next level of clearing

 Experience in dealing with customer resolving quires on time

 Collect the required documents from medical department on time and resolving issue needed on time. Completing application on timely manner

 Generate / clearing healthcare enrollments on time, Good knowledge of hospital billing

 Managing invoices/documents with company rules & regulation in timely manner.

 Handle Escalation and Red Flags emails receive f rom Client and work with

Vendor on Employee’s Benefits.

 Provider day to day client and third-party administrator contact for participant processing inquires.

 Proactively identify training needs and provider necessary coaching as required to colleagues.

 Maintain and share the resolution status report with Team Manager and

Clients on daily basis.

 Work on test failure analysis area and identify root cause and fix the issue

Education

Communicate via emails & phone calls with customers on timely maner

 Running monthly billing usage, respond to customer billing question and concerns.

 Enrollment of new clients submission.

 US sales updating all information into CRM/Sales force software application.

 Research complex Benefits issues and formulates resolutions/recommendation by analyzing fact patterns and applying plan provisions and best practice.

 Connecting with other teams and raise support ticket for all issues, analyze root cause and assist in efcient resolution of all production processes

 Monitor all alerts & escalate all issue for all procedures & system related issue

 Build & maintain client relationships track and record metrics throughout the process

 Validate healthcare enrollment plans send it to next level of clearing

 Experience in dealing with customer resolving quires on time

 Collect the required documents from medical department on time and resolving issue needed on time. Completing application on timely manner

 Generate / clearing healthcare enrollments on time, Good knowledge of hospital billing

 Managing invoices/documents with company rules & regulation in timely manner.

 Handle Escalation and Red Flags emails receive f rom Client and work with

Vendor on Employee’s Benefits.

 Provider day to day client and third-party administrator contact for participant processing inquires.

 Proactively identify training needs and provider necessary coaching as required to colleagues.

 Maintain and share the resolution status report with Team Manager and

Clients on daily basis.

 Work on test failure analysis area and identify root cause and fix the issue

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