Senior Executive EXL/SE/1001084

1 month ago


chennai, India exl Full time

Job Description

Overview:

Deliver Daily targets for payment posting transactions. (ERA & Manual EOB Posting)

Qualifications:

Graduation in any stream (Preferred science and math background)

Experience:

BPO Experience – 2-5 years 

US Healthcare Payment posting experience preferred.

Communication Skill: 

Strong written (documentation) and oral communication skills

Working Hours:

40 hours per week as Full-time employee

Shift time: Day/Mid Shift

Weekends Off

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband.

Must understand and adhere with telecommuter policy.

Skills and abilities: Ensure Daily Productivity targets are met at the required quality level on the assigned inventory Perform accurate payment posting. Process all ERA & Manual EOB’s and reconcile daily/monthly reports for review. Process payments in Practice Management System (PMS) as per instructions provided by the client. Review and update the patient insurance information in the Practice Management System (PMS) Good understanding of downloading the files from the FTP / document management system. Strong in reviewing EOB'S and trained in posting both Manual and ERA ( Remits) Should have knowledge to identify denial codes (RARC & CARC) with denial reason & Correspondence. Should have knowledge in patients’ payment posting, Offset and Refund, “Small Balance Write Off.” Should have knowledge in Recoupment and Over Payment/Under Payments, Sequestration and Interest payment/Penalty payments. Should have knowledge in Cross Over (Piggy Bag), Capitation Agreement Payments Knowledge about Patient’s Responsibility (Copay, Coinsurance & Deductible) Knowledge about the Participating and Non-Participating Provider. Good understanding on HSA and HRA payments, “Worker’s Comp” and “No Fault” User to be proactive in escalating to his supervisor on any new scenarios/ challenges identified in the process. Tracking and drafting clarifications clean and clear Have hands on experience with basic excels, strong analytical skills. Flexible as per project and client requirements and good team player Readiness for extending shift during month end processing. Resources should be from Chennai only (physical location should be Chennai). Willing to work from the office as and when required. Initial 1 month or 2 work from Chennai office mandatory. Require resources for Band A1 and A2. Experience criteria- 3-5 years, need productive resource for the next 3 years. Hands on experience in NextGen PMS, should be aware of end of end payment posting, managing, and tallying from deposit log. Should have hand-on understanding of posting $0 remits and denials in the NextGen PMS.Should have hands-on experience working correspondence and postings. Understands all the denials scenarios and interpretation of denial codes in the correspondence/$0 remits.

Acknowledgement (acknowledge that the information contained in this document is factual and complete)

Created by: 

Designation: Date: MM/DD/YYYY

Criteria and Clause:

Resource should be from Chennai only (physical location should be Chennai). Willing to work from office as and when required. Initial 1 month or 2 work from Chennai office mandatory. Experience criteria- 3-5 years, need productive resource for the next 3 years. Hands on experience in NextGen PMS, should be aware of end of end payment posting, managing and tallying from deposit log. Should have hand-on understanding of posting $0 remits and denials in the NextGen PMS.Should have hands-on experience working correspondence and postings.Understands all the denials scenarios and interpretation of denial codes in the correspondence/$0 remits.

  • Chennai, India exl Full time

    Job Description Overview: Deliver Daily targets for payment posting transactions. (ERA & Manual EOB Posting) Qualifications: Graduation in any stream (Preferred science and math background) Experience: BPO Experience – 2-5 years  US Healthcare Payment posting experience preferred. Communication Skill:  Strong written (documentation)...


  • Chennai, India exl Full time

    Job DescriptionAbout EXL Health Payments Analytics: At EXL Health Payments Analytics Center of Excellence, we would like to involve passionate individuals with growth/startup mindset to experiment, fail fast, learn and contribute to our 5 fold growth story of M to M Our Typical day : We are considered Special investigation Unit by 5 of top 10 US health...


  • chennai, India exl Full time

    Job Description About EXL Health Payments Analytics: At EXL Health Payments Analytics Center of Excellence, we would like to involve passionate individuals with growth/startup mindset to experiment, fail fast, learn and contribute to our 5 fold growth story of M to M Our Typical day : We are considered Special investigation Unit by 5 of top 10 US...


  • chennai, India exl Full time

    Job Description Overview: The SENIOR EXECUTIVE CODING AUDITOR performs reviews, analyzes, and codes documentation from medical records that determines payments. This position performs highly technical and specialized functions, and the primary function of this position is to perform a thorough review of patient encounters to assess for...


  • Chennai, India exl Full time

    Job Description Overview: The SENIOR EXECUTIVE CODING AUDITOR performs reviews, analyzes, and codes documentation from medical records that determines payments. This position performs highly technical and specialized functions, and the primary function of this position is to perform a thorough review of patient encounters to assess for completeness...


  • Chennai, India exl Full time

    Job Description Overview: The SENIOR EXECUTIVE CODING AUDITOR performs reviews, analyzes, and codes documentation from medical records that determines payments. This position performs highly technical and specialized functions, and the primary function of this position is to perform a thorough review of patient encounters to assess for completeness...


  • Chennai, India exl Full time

    Job DescriptionProgrammer Analyst, Senior Executive – A2FunctionGPPVenkataramanan VEmploymentTypePermanentSpan of ControlTBDLocationW - SCIO - Center 52 (Tower 2) ChennaiBasic Functions2-4+ Years of experience in the enterprise application development & supportExperience in Data Modeling & Data Integration, Reporting, Data Governance & SecuritySource code...


  • Chennai, India exl Full time

    Job Description Business Analyst, Senior Executive Function GPP Reports to Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location Chennai Basic Functions Conducts meetings to understand business requirements for the proposed solution. Communicating with internal and external stakeholders as...


  • Chennai, India exl Full time

    Job Description Business Analyst, Senior Executive Function GPP Reports to Venkataramanan V Employment Type Permanent Span of Control TBD Location Chennai Basic Functions Conducts meetings to understand business requirements for the proposed solution. Communicating with internal and external stakeholders as...


  • chennai, India exl Full time

    Job Description Business Analyst, Senior Executive Function GPP Reports to Venkataramanan V Employment Type Permanent Span of Control TBD Location Chennai Basic Functions Conducts meetings to understand business requirements for the proposed solution. Communicating with internal...


  • chennai, India exl Full time

    Job Description Business Analyst, Senior Executive Function GPP Reports to Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location Chennai Basic Functions Conducts meetings to understand business requirements for the proposed solution. Communicating with internal...


  • Chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience in Data Modeling & Data...


  • Chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Venkataramanan V Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience in Data Modeling & Data...


  • chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Natarajan N Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience...


  • chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Venkataramanan V Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support ...


  • chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support ...


  • Chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Natarajan N Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience in Data Modeling & Data...


  • chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Venkataramanan V Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support ...


  • chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Prabhu Rangaswamy Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support ...


  • Chennai, India exl Full time

    Job Description Programmer Analyst, Senior Executive – A2 Function GPP Venkataramanan V Employment Type Permanent Span of Control TBD Location W - SCIO - Center 52 (Tower 2) Chennai Basic Functions 2-4+ Years of experience in the enterprise application development & support Experience in Data Modeling & Data...