Senior Coding Specialist
5 days ago
Company Overview
About EXL
EXL is a leading business process management and data analytics company.
Job Description
We are seeking a highly skilled Senior Coding Specialist to join our US Healthcare team.
Responsibilities
- Must have strong experience in CPT/ICD 10-CM Coding, Modifiers, Anatomy and Physiology, and E&M knowledge.
- Initiate telephone calls to provider offices to communicate the outcome of the denial review.
- Will work in Eastern shifts and manage claims with timely follow-ups.
- Must be good with MS Office, especially Excel and PPT.
- Understand client requirements and specifications of the project.
- Ensure that deliverables meet quality standards.
- Mandatory CPC or CCS certification. Should not have an Apprentice credential.
- Handling inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims).
- Raise requests for pending/denied claims inquiry forms from providers.
- Create requests for onshore emails/faxes/posts for documents or payments.
- The applicant will be responsible for handling front-facing duties, including interacting with customers over the phone, via email, or chat.
- Should determine eligibility by comparing client information against requirements (particularly for claims).
- Demonstrate quality attention to details, effective communication, adaptability, empathy, patience, and positive attitude.
- Ensure a secure and compliant work environment.
Skill Requirements
- Any Graduate (Except B.Tech, BCA, or any technical qualification).
- Candidate should have minimum 5-year experience into international calling (inbound or outbound).
- US Healthcare knowledge with inbound calling is preferred.
- The applicant should be result-oriented and meet client expectations, have excellent interpersonal skills, problem-solving ability, and maintain a high level of professionalism.
- Good knowledge of MS Office (especially MS-Excel).
Benefits
- Competitive salary: $60,000 - $80,000 per annum.
- Ongoing training and development opportunities.
- A dynamic and supportive work environment.
Others
Please note that we offer a competitive salary range of $60,000 - $80,000 per annum based on your location and experience.
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