Executive-Customer Care Medical Voice
EXL South Africa · Cape Town, Western Cape
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- The intake agent will receive and review the fax images and start data entry in the system.
- Validate and verify the provider and member using all compliance metrics.
- Create the precert case and route the case to the appropriate bucket for initial or final review.
- Attach the fax for existing precert cases needing additional information.
- Intake agent needs to determine whether case should be cancelled or build
- Investigate previous case history to determine case outcome
- Fax back providers
- Research certain drugs
- Data capture from system to template.
Responsibilities
- Navigate through multiple systems / applications for data gathering
- Proficiency with computer skills navigating multiple systems and keyboarding
- Understand the goals and standards to ensure that quality and productivity standards are met
- Accurate and timely updating of the database
- Meet the agreed upon KPIs as per the operational definitions and targets
- Participate in the User Acceptance Testing as needed
- 98% - 100% attendance during training/nesting period is required
- Tying speed – 25-30 words/minute with 90% accuracy
- Must be flexible to work hours with Monthly work schedules changes
Qualifications
- Education Level - High School Graduate NSC