Senior Executive

15 hours ago

Chennai India EXL IT service management Full time

Job Description

Job Description - Repricing Analyst

Job Name:

Repricing Analyst

Position Title:

Senior Executive

Band:

A2

Domain:

Healthcare

Reporting to:

Assistant Manager

Location/Site:

EXL India, Chennai

Overview:The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and integrity of our client's financial records.

Qualifications:AnyGraduate/ Postgraduate

Working Hours:40 hours /week, Full Time Employee

Telecommuter/Internet requirements, if applicable:High Speed internet connection and Power back up (preferred)

Skills and abilities:

- 3-7 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.

Job Description:

- Verifying health insurance member information
- Analyzing paid claim details
- Identifying new paid amounts
- Calculating overpaid amounts accurately
- Maintaining comprehensive financial transaction records

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.

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