Senior Executive

6 days ago

Chennai Tamil Nadu, India EXL Service Full time

- Repricing Analyst - QualityJob Name Repricing Analyst - QualityPosition Title Senior Executive - qualityBand A2Domain HealthcareReporting to Assistant ManagerLocation Site EXL India ChennaiOverview The main objective of this position is to quality audit validate calculate and accurately report any overpaid amounts in the system As a quality auditor for Repricing Analyst you will be auditing and 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 Any Graduate PostgraduateWorking Hours 40 hours week Full Time EmployeeTelecommuter Internet requirements if applicable High Speed internet connection and Power back up preferred Skills and abilities 3-6 years of Experience Auditing experience is an advantage 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 Quality audit Verifying health insurance member information Analyzing paid claim details Identifying new paid amounts Calculating overpaid amounts accurately Maintaining comprehensive financial transaction records Responsibilities Understand Quality criteria 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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