Senior Executive - Claims Audit
About the Role
Senior Executive- Claims Analyst is responsible for reviewing and analyzing medical records and claims to ensure accuracy, completeness, and compliance with regulatory standards. This role involves summarizing medical documentation, identifying missing information, and prioritizing workloads to ensure timely and accurate claim processing.
Full Job Posting
Qualifications
- Qualifications: Any Graduate/ Postgraduate
- Working Hours: 40 hours /week, Full Time Employee
- Work Model: Training from office for 2 - months and hybrid there after
- Telecommuter/Internet requirements, if applicable: High Speed internet connection and Power back up
- Skills and abilities:
- 3-5 years of Experience. Good communication, flexibility, reliability Knowledge in Microsoft outlook/excel/word/PPT. Strong Analytical skills with the ability to investigate and resolve issues Familiarity with HIPAA, Medicare, Medicaid and other payer specific regulations.
- Any Graduate/ Postgraduate
- 3-5 years of Experience.
- Good communication, flexibility, reliability
- Knowledge in Microsoft outlook/excel/word/PPT.
- Strong Analytical skills with the ability to investigate and resolve issues
- Familiarity with HIPAA, Medicare, Medicaid and other payer specific regulations.
Responsibilities
- Responsibilities:
- Complete the necessary training and meet the expectations outlined for the position.
- Follow all standard operating procedures (SOP) diligently. Complete audits promptly and ensure high quality. Strive to meet both quality and production targets. Adhere to project protocols and instructions. Report any issues or trends promptly. Maintain the logs (such as productivity, clarification, and others as applicable) updated. Seek clarification from the manager or team leader when needed. Promptly respond to all emails from the manager. Ensure compliance with all relevant regulations and policies.
- Follow all standard operating procedures (SOP) diligently.
- Complete audits promptly and ensure high quality.
- Strive to meet both quality and production targets.
- Adhere to project protocols and instructions.
- Report any issues or trends promptly.
- Maintain the logs (such as productivity, clarification, and others as applicable) updated.
- Seek clarification from the manager or team leader when needed.
- Promptly respond to all emails from the manager.
- Ensure compliance with all relevant regulations and policies.
About EXL
EXL is a global data and AI company that provides analytics, digital operations, and industry-specific services to enterprises in insurance, healthcare, banking, retail, media, and energy.
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