Senior Executive

3 weeks ago


Chennai, Tamil Nadu, India EXL Service Full time

OverviewCandidates should have minimum 3 years of experience and must have knowledge in claims adjudication process and its processing methods Qualifications Graduation is Mandatory Claims adjudication experience is Mandatory Prefer candidates with experience in Post adjudication overpayment projects Not mandatory Experience Claims Adjudication experience Minimum 3 years Overpayment experience Optional Communication Strong written documentation and oral communication skillsWorking Hours 40 hours per week as Full time employee Shift time 08 00 AM TO 05 00 PM IST It might be changed based on project requirements 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 3 years of experience in claims processing or claims adjudication Should have a strong US healthcare knowledge Should know the payment determination Which means candidates should calculate the allowable without system support Should identify the gaps for realizing higher revenue for data mining program Should have a good communication with neutral accent preferred Follow every aspect of SOP without fail Ensure assigned inventory should be completed with quality within TAT Follow project related protocols and instructions Production quality and other reports should update on timely manner as required Must ensure availability for meeting calls as required Should be able to work independently with minimal guidance Ensure candidates should follow compliance protocols without fail



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