Preferred candidate profile Graduate / Undergraduate are eligible to apply.Candidates with 1-4 years of work experience in International contact center Voice ProcessPerks and benefits Two way cab facility (within transport boundary)PF and Health Insurance Facility Interested Candidates kindly Share CV to harsha.kumari@sagilityhealth.com or nishidha.kumar@sagilityhealth.com.Contact HRHarsha Kumari8904358454.

Position SummaryThe fulfilment by an insurer of its obligation to receive, investigate and act on a claim filed by an insured. It involves multiple administrative and customer service layers that includes review, investigation, adjustment (if necessary), remittance or denial of the claim.Roles and ResponsibilitiesUnderstand the basic professional standards and established procedures, policies before taking action and making decisionsProcessing claims and handling calls, as per the process guidelines.Adhering to the service level and understanding Quality & Auditing parametersAssume responsibility for work and coordinating effortsMeeting assigned productivity goals.Adhere to attendance and punctuality normsAcquiring knowledge and skills of related areas of the processInterpersonal relationship at work with peers, supervisors and should not have any recorded instance of misconduct.Preferred candidate profile We are looking for immediate joiners Graduate / Undergraduate are eligible to apply.Candidates with min 1-2 years of work experience in International Voice Process is Mandatory.Perks and benefits Two way cab facility (within transport boundary)Five days working, Saturday and Sunday fixed offPF and Health Insurance Facility Interested Candidates kindly reach out to the below mentioned Talent Acquisition team members.Sai Kiran- 9944277809Sindhu- 9901048371Nishidha-9902111148Sandesh- 9108286923

Looking for experienced folks from Member or group enrollment process .Job Title: Assistant manager Enrollment & Claims Adjudication (US Healthcare)Experience: 6-10 years Qualification: Bachelors degree Shift: Night shift Transportation: Pick up and drop would be provided Job Summary:The Assistant manager - Enrollment and Claims Adjudication will oversee a team of healthcare professionals responsible for processing member enrollments and adjudicating claims in compliance with US healthcare regulations, client-specific guidelines, and quality standards. The role ensures efficient workflow, team performance, process improvement, and client satisfaction.Key Responsibilities:Team Management & Leadership:Lead, mentor, and manage a team handling enrollment and claims adjudication processes.Monitor team productivity, quality, and adherence to service level agreements (SLAs).Provide training, coaching, and development opportunities to team members.Conduct regular team meetings, performance reviews, and provide constructive feedback.Resolve escalations and complex issues promptly and professionally.Enrollment Management:Oversee new member enrollment, renewals, terminations, and updates in healthcare plans.Ensure data accuracy for member eligibility, coverage, and benefits.Collaborate with clients and internal teams to resolve enrollment discrepancies or queries.Claims Adjudication Oversight:Supervise the processing of healthcare claims ensuring accuracy and compliance with policies, provider contracts, and regulatory guidelines (HIPAA, CMS, etc.).Ensure proper review of claims for eligibility, benefits coverage, coding, and payments.Monitor claim denials and implement corrective action plans to reduce errors and rework.Process & Compliance:Ensure compliance with US healthcare regulations, privacy laws (HIPAA), and client-specific guidelines.Identify process improvement opportunities and work with quality teams to implement best practices.Prepare and analyze reports related to team performance, quality audits, and operational metrics.Liaise with clients and stakeholders for updates, process changes, or reporting needs.Required Skills and Qualifications:Bachelors degree or equivalent work experience in healthcare operations.Minimum 6-10 years of experience in US healthcare processes, with 1-2 years in a team leader in Enrollment and claims Strong knowledge of US healthcare insurance, including enrollment, eligibility, claims processing, and adjudication rules.Familiarity with CMS, Medicaid, Medicare, ACA, and HIPAA regulations.Proficient in claims platforms Excellent analytical, problem-solving, and decision-making skills.Strong communication and interpersonal skills.Ability to multitask and work under pressure.Interested folks can share your updated cv to : sunkari.srikanth@sagilityhealth.comor Whats app your cv to : 9949217482

Looking for experienced folks from Member or group enrollment process . Job Title: Team Leader Enrollment & Claims Adjudication (US Healthcare)Experience: 5-6 years Qualification: Bachelors degree Shift: Night shift Transportation: Pick up and drop would be provided Job Summary:The Team Leader - Enrollment and Claims Adjudication will oversee a team of healthcare professionals responsible for processing member enrollments and adjudicating claims in compliance with US healthcare regulations, client-specific guidelines, and quality standards. The role ensures efficient workflow, team performance, process improvement, and client satisfaction.Key Responsibilities:Team Management & Leadership:Lead, mentor, and manage a team handling enrollment and claims adjudication processes.Monitor team productivity, quality, and adherence to service level agreements (SLAs).Provide training, coaching, and development opportunities to team members.Conduct regular team meetings, performance reviews, and provide constructive feedback.Resolve escalations and complex issues promptly and professionally.Enrollment Management:Oversee new member enrollment, renewals, terminations, and updates in healthcare plans.Ensure data accuracy for member eligibility, coverage, and benefits.Collaborate with clients and internal teams to resolve enrollment discrepancies or queries.Claims Adjudication Oversight:Supervise the processing of healthcare claims ensuring accuracy and compliance with policies, provider contracts, and regulatory guidelines (HIPAA, CMS, etc.).Ensure proper review of claims for eligibility, benefits coverage, coding, and payments.Monitor claim denials and implement corrective action plans to reduce errors and rework.Process & Compliance:Ensure compliance with US healthcare regulations, privacy laws (HIPAA), and client-specific guidelines.Identify process improvement opportunities and work with quality teams to implement best practices.Prepare and analyze reports related to team performance, quality audits, and operational metrics.Liaise with clients and stakeholders for updates, process changes, or reporting needs.Required Skills and Qualifications:Bachelors degree or equivalent work experience in healthcare operations.Minimum 5-6 years of experience in US healthcare processes, with 1-2 years in a team leadership role.SME’S and Quality analysts are eligible to apply Strong knowledge of US healthcare insurance, including enrollment, eligibility, claims processing, and adjudication rules.Familiarity with CMS, Medicaid, Medicare, ACA, and HIPAA regulations.Proficient in claims platforms Excellent analytical, problem-solving, and decision-making skills.Strong communication and interpersonal skills.Ability to multitask and work under pressure.Interested folks can share your updated cv to : sunkari.srikanth@sagilityhealth.comor Whats app your cv to : 9949217482

Greetings from Sagility . Sagility has huge openings for BDS/ MDS graduates in US healthcare organizationJob Description: Interpret all types of Medical recordsCPT & ICD 9 & 10 CodingInterpret medical necessity in contrast to clinical policies / guidelinesInterpret medical data and provide accurate clinical reviewIdentify Cost Savings within Medical Claims Itemized bill review (IBR) for Institutional claims Qualification & Skills: BDS/ MDS Graduation with InternshipInterested Candidates can share the CV's to Yuva Indira. K @ 7200012804/ Share their CV's through mail yuvaindira.k@sagilityhealth.com.

Urgent Hiring for International Voice Process.Company: Sagility India Ltd. Location:Hi-tech City, HyderabadOpen Positions: 250Work mode: Work from office. Job Description:We are hiring for the position of Trainee Process Consultant for our International Voice Process in the US Healthcare sector. As a Trainee Process Consultant, you will be responsible for processing claims, handling customer inquiries, and ensuring customer satisfaction through timely and accurate resolutions.Key Responsibilities:- Process claims according to established guidelines and procedures.- Maintain customer satisfaction ratings by adhering to client SLAs.- Utilize company policies to resolve customer issues efficiently.- Input and update customer records in the company platform.- Ensure quick and accurate decision-making to resolve customer queries.Eligibility Criteria:- Freshers only (Graduates: BCom, BSC, BBA, BPharma (Only Non Tech Graduates - 2022, 2023 & 2024 passouts)- BE/B.Tech's, Postgraduates, Diploma holders are not eligible for this position.Shifts: Candidate should be flexible with any given shifts.Working Days: Five days working (Saturday & Sunday fixed week offs)Transportation: Two Way Cab providedNote: Candidates are required to bring their original ID proof and updated resume for the interview.Walkin for Interview Mon to Fri - 10:00 AM to 3:00 PM Venue:Sagility India Pvt Ltd.Purva Summit - 3rd FloorSurvey No. 8, Hitech cityPhase II White field roadLandmark: Opp Tech Mahindra, KondapurHyderabad-500084Interview Rounds:1. HR round2. Online test3. VnA Round4. Operations Manager Round Contact Details: (Available time : Mon to Fri 10:30 AM to 6:30 PM)9148680209shivasagar.kulkarni@sagilityhealth.comshaikmahaboob.javeed@sagilityhealth.comjammula.saiphani@sagilityhealth.comyash.joshi@sagilityhealth.comDon't miss this opportunity to kickstart your career in the dynamic field of US Healthcare. Join us at Sagility and grow with us!

Desired Skills Education Any Graduates - 10+2+3 (No Diploma graduates)Must be into hard core transport operationsAny Transport Software and Mobile Application knowledge. (Preferred Routematic)Knowledge on OTA, OTD, KPI, CPH, CPD, MIS Reporting, Vendor Management, soft skillsUnderstanding on budget conceptsEnsuring employee Safety and Security, Incident Management, Profitability, Automation implementation Track for seat utilization, Track CPH and CPD, Optimum utilization of routes, Escorts & Cab on daily basis, New initiatives on Cost savings Conduct Monthly meeting with Account Manager, Meet Vendor Management Team on Quarterly basis, Driver & Escort - Drive on Behavior & Discipline, ESG & CSR Address all employees' concern on timely manner and non-repetition of them.Action taken to be communicated back to Transport users on concerns received through' Floor walk, VOE, Routematic feedback, etc. Preferred candidate profile Shifts Rotational shiftsMust have decent communication in English. Should be well versed in English and Tamil. Share your resume to: Rakshitha.shetty@sagilityhealth.com (9513413248)

Greetings from Sagility!We are hiring for a Team Leader Operations - RCM - Order Entry , Charge entry and Cash posting for our Indore location. Candidates with experience in End to End RCM , Preferably work in the US Healthcare industry are encouraged to apply .Should have Good exposure in RCM , AR , Order entry , charge entry , cash posting from Us healthcare industry . Job Title: Team Leader Operations Location: Indore and Hyderabad locations Reports To: Manager Operations Experience: 5+ years Qualification: Any Graduate (10+2+3)Shifts: Night shifts including Graveyard Shift. The Team Leader Operations - Order Entry is responsible for managing the daily operations of the order entry team, ensuring that all orders are processed accurately and in a timely manner. The role involves overseeing the entry of customer orders, verifying necessary details, ensuring compliance with US healthcare regulations, and handling team performance and coaching. The Team Leader will work closely with cross-functional teams to ensure that all processes are followed, delivering high levels of customer satisfaction. This position will also require flexibility to work night shifts, including graveyard shifts.Key Responsibilities:Order Entry Management: Supervise and ensure the accurate entry of all customer orders into the system, ensuring that all necessary information, including patient eligibility, insurance verification, and order details, is accurate and complete.Payment Posting: Oversee the payment posting process, ensuring that all payments from insurance companies, patients, and other entities are accurately recorded and aligned with corresponding accounts.Team Leadership & Coaching: Lead, mentor, and motivate a team of order entry specialists, providing guidance, coaching, and training to improve team performance and ensure timely order processing.Reporting & Performance Monitoring: Track key performance metrics such as order volume, error rates, turnaround time, and team performance. Prepare regular reports for senior management and provide data-driven recommendations for process improvements.Collaboration: Work closely with billing, sales, customer service, and delivery teams to ensure smooth and coordinated operations throughout the order processing cycle.Training & Development: Support the development of team members by facilitating ongoing training to keep them updated on industry trends, regulations, and technologies in order entry, payment posting, and general operations.Shift Requirements: This position requires night shifts, including graveyard shifts. Flexibility to work during non-standard hours is required to ensure 24/7 coverage and efficient order processing.Qualifications:Bachelors degree with 4+ years of experience in RCM operations, ideally in the US Healthcare industry.1 years of experience in a SME or Quality role in RCM , overseeing operations and team performance.Should have good communication skills and team management skills Preferable experience in order entry, charge entry, and payment posting systems.Strong leadership, communication, and interpersonal skills with the ability to lead and motivate a team.Experience with client management and delivering customer satisfaction.Ability to handle high-pressure situations, ensure timely order processing, and meet deadlines.Flexibility to work non-standard hours, including graveyard shifts.Interested candidates can please share their updated resume at: Email: sunkari.srikanth@sagilityhealth.com WhatsApp: 8309217838

Desired Skills Education Any Graduates - 10+2+3 (No Diploma graduates)Must be into hard core transport operationsAny Transport Software and Mobile Application knowledge. (Preferred Routematic)Knowledge on OTA, OTD, KPI, CPH, CPD, MIS Reporting, Vendor Management, soft skillsUnderstanding on budget conceptsEnsuring employee Safety and Security, Incident Management, Profitability, Automation implementation Track for seat utilization, Track CPH and CPD, Optimum utilization of routes, Escorts & Cab on daily basis, New initiatives on Cost savings Conduct Monthly meeting with Account Manager, Meet Vendor Management Team on Quarterly basis, Driver & Escort - Drive on Behavior & Discipline, ESG & CSR Address all employees' concern on timely manner and non-repetition of them.Action taken to be communicated back to Transport users on concerns received through' Floor walk, VOE, Routematic feedback, etc. Preferred candidate profile Shifts Rotational shiftsMust have decent communication in English. Should be well versed in English and Tamil.

Position SummaryThe fulfilment by an insurer of its obligation to receive, investigate and act on a claim filed by an insured. It involves multiple administrative and customer service layers that includes review, investigation, adjustment (if necessary), remittance or denial of the claim.Roles and ResponsibilitiesUnderstand the basic professional standards and established procedures, policies before taking action and making decisionsProcessing claims and handling calls, as per the process guidelines.Adhering to the service level and understanding Quality & Auditing parametersAssume responsibility for work and coordinating effortsMeeting assigned productivity goals.Adhere to attendance and punctuality normsAcquiring knowledge and skills of related areas of the processInterpersonal relationship at work with peers, supervisors and should not have any recorded instance of misconduct.Preferred candidate profile We are looking for immediate joiners Graduate / Undergraduate are eligible to apply.Candidates with min 1-2 years of work experience in International Voice Process is Mandatory.Perks and benefits Two way cab facility (within transport boundary)Five days working, Saturday and Sunday fixed offPF and Health Insurance Facility Interested Candidates kindly reach out to the below mentioned Talent Acquisition team members.Sai Kiran- 9944277809Sindhu- 9901048371Nishidha-9902111148Sandesh- 9108286923

Dear Aspirants, Greeting from Sagility!!.. Huge hiring for Process Trainers.. Job description:Schedule appropriate training sessions for new and existing employees Stay updated with the best training methods and modulesPlan and implement an effective training curriculumPrepare hard copy training materials such as presentations, video moduleShould train freshers and existing employees in a batch-wise manner Collaborate with management to identify training needs for all employees Review training needs monthly Schedule and perform pre- and-post-training assessments and monitor progressJob Requirements:Must have experience in training multiple and large batchesShould have a clear understanding of the Trainer role and must have Proven Coaching abilitiesShould have strong exposure on TNA/TNIExperience in creating and developing training content such as modules and process SOPsMandatory Skills:Ideal candidature should have over all 4+ years of experience.Mandatory experience as process trainer on paper should be from the background of international Voice.Desired profile:Excellent communication, presentation, and interpersonal skills.Proven ability to build and maintain strong and effective customer and internal relationshipsWell versed in Soft Skills and training methodologiesKnowledge of US cultureSolid knowledge of the latest corporate training techniquesClient Management skillsGood with MS Office (Excel, Word & Power point)Excellent time management and organizational skillsMust demonstrate the ability to work independently & prioritize multiple objectives in a rapidly changing environment Qualifications and Education and Mandatory Requirements:Bachelor's degree is must.Should have good experience on classroom training and prior experience in handling batches of fresher and existing folksExcellent facilitation, coaching (both in the virtual and F2F environment)Should have good exposure on MS Excel, word and PowerPointShould have excellent English communication skills and facility skillsShould be flexible to work in the shifts. Two Way Cab. Looking for Immediate joiners. Interested candidates can share their profile to below mentioned mail ID.seema.madhavi@sagilityhealth.com Thanks & Regards,TA TeamSagility

Looking for AGM business excellence for Sagility health Hyderabad Preferably from US Healthcare industry in RCM Should have Good exposure to Revenue cycle management.Job tittle : AGM Process excellence Reporting to : GM Process excellence Location : Hyderabad Working Hours/ Days : 5 Days Shift : 4 PM 1 Midnight Team Size : Individual contributor (IC) Desired skills and qualification : Must possess a Graduate degree. Certified Six Sigma Black Belt from reputed institutes/companies like ASQ, ISI, GE, Genpact or similar: with minimum 6 years of experience in the role of Quality at various levels. PMP or Prince2 or similar Project Management certification would be desirableISO 9001, COPC certifications / experience would be desirable Desired Experience : Around 10 to 15 years, with approx. 8+ years of BPO experiencePrior experience in US healthcare BPO (Provider) is necessaryExperience/Exposure with the latest automation tools would be an added advantageObjective and responsibility : Strategic Thinking : Process Re-engineering Stakeholder Management : Client relationships Margin Optimization : Continuous Improvement The responsibilities include, but not limited to, the following: Facilitate cross-functional teams to identify and implement process improvements that enhance productivity, reduce waste, and improve quality across the business unit.Develop and monitor key performance indicators (KPIs) to track the effectiveness of improvement initiatives and identify areas for further enhancement.Facilitate Kaizen, Lean, or Six Sigma workshops to drive a culture of continuous improvement and empower employees to contribute to efficiency efforts.Collaborate with department heads and management to align improvement projects with strategic goals Design and implement standard operating procedures (SOPs) and best practices to ensure consistency and sustainability of improvement efforts.Analyse complex data sets to identify trends, root causes of inefficiencies, and opportunities for cost reduction.Interested folks can please share your updated resume on : sunkari.srikanth@sagilityhealth.comor share your update Cv whats app to : 8309217838

Greetings from Sagility !Urgent hiring for Team leader contact center for Sagility Health, Bangalore location.Looking for at least 1 year of experience on papers as a team leader from Internation contact center, preferrable who supported for US , UK or Australian market.Job Title: Team Lead - US Voice ProcessLevel/Salary Range: OM1 Reporting to: Assistant Manager Location: Bangalore Working Hours/Days: 9 Hours / 5 Rotational Days a Week Shift: Rotational Night Shifts Company URL: www.sagilityhealth.comJob Description:As a Team Leader in our US Voice Contact Center, you will oversee a team of 20-30 customer service representatives, ensuring they provide outstanding service to US-based customers. You will be responsible for guiding your team to meet and exceed performance targets, managing daily operations, and maintaining high standards of customer satisfaction. Excellent English communication skills are essential for this role.Preferable looking for experience in US health insurance voice process .Should have good experience in all contact center metrics like AHT , MPS , CSAT and tools .Key Responsibilities:Team Management:Lead, mentor, and motivate a team of 20-30 customer service representatives.Conduct regular team meetings, one-on-ones, and performance reviews.Address team concerns and provide feedback for continuous improvement.Performance Monitoring:Monitor and analyze team performance metrics.Set and track performance targets and KPIs.Implement strategies to achieve and exceed performance goals.Quality Assurance:Ensure adherence to quality standards and protocols.Conduct regular quality checks and audits of calls.Provide coaching and training to enhance service quality.Operational Management:Manage daily operations to ensure efficient workflow and resource allocation.Handle escalated customer issues and complaints.Collaborate with other departments to resolve complex issues.Reporting:Prepare and present regular performance reports to senior management.Analyze trends and identify areas for improvement.Recommend and implement process improvements.Training and Development:Identify training needs and coordinate training sessions.Foster a culture of continuous learning and development within the team.Compliance:Ensure compliance with company policies, procedures, and regulatory requirements.Maintain up-to-date knowledge of industry trends and best practices.Qualifications:Bachelors degree is required.Experience:Minimum 5 years of experience in a International contact center environment.Proven experience in a supervisory or team leader role, preferably in an international voice contact center supporting US customers.At least 1 year of experience as a Team leader on papers Should have good experience in all contact center metrics like AHT , MPS , CSAT and tools .Skills:Excellent leadership and people management skills.Strong analytical and problem-solving abilities.Exceptional English communication and interpersonal skills.Ability to work in a fast-paced and dynamic environment.Proficiency in using contact center software and CRM systems.Other Requirements:Flexibility to work in rotational night shifts, including weekends.Strong understanding of customer service principles and practices.Ability to handle high-pressure situations calmly and effectively.Interested folks can please share your updated resume to : Sunkari.srikanth@sagilityhealth.comOr Whats app your resume on : 9949217482

Job Title: Team Lead - OperationsLevel: OM1Reporting to: Assistant MangerLocation: BangaloreWorking Hours/ Days: 9 Hours / 5 Rational Days a WeekShift: Rotational Night shiftsCompany URL: www.sagilityhealth.comKey Responsibilities: Team Management:Lead, mentor, and motivate a team of customer service representatives.Conduct regular team meetings, one-on-ones, and performance reviews.Address team concerns and provide feedback for continuous improvement. Performance Monitoring:Monitor and analyze team performance metrics (e.g., call handling time, customer satisfaction scores, adherence to scripts).Set and track performance targets and KPIs.Implement strategies to achieve and exceed performance goals. Quality Assurance:Ensure adherence to quality standards and protocols.Conduct regular quality checks and audits of calls.Provide coaching and training to enhance service quality.Operational Management:Manage daily operations to ensure efficient workflow and resource allocation.Handle escalated customer issues and complaints.Collaborate with other departments to resolve complex issues. Reporting:Prepare and present regular performance reports to senior management.Analyze trends and identify areas for improvement.Recommend and implement process improvements. Training and Development:Identify training needs and coordinate training sessions.Foster a culture of continuous learning and development within the team.Compliance:Ensure compliance with company policies, procedures, and regulatory requirements.Maintain up-to-date knowledge of industry trends and best practices.Qualifications: Education:Bachelors degree. Experience:Minimum 5 years of experience in a contact center environment.Proven experience in a supervisory or team leader role, preferably in an international voice contact center.Skills:Excellent leadership and people management skills.Strong analytical and problem-solving abilities.Exceptional communication and interpersonal skills.Ability to work in a fast-paced and dynamic environment.Proficiency in using contact center software and CRM systems. Other Requirements:Flexibility to work in different shifts, including nights and weekends.Strong understanding of customer service principles and practices.Ability to handle high-pressure situations calmly and effectively.Eligible candidates please share the resume on preetham.hr@sagility.com