Lead Assistant Manager EXL/LAM/1058635
3 months ago
Job Description
Roles Responsibilities:
Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge. Must possess good communication skill with neutral accent. Initiate telephone calls to provider office to communicate the outcome of the denial review. Willing to work in Eastern shift. Must be spontaneous and have high energy level. Minimum work experience in voice process will be an added advantage Manage claims with timely follow up. Must be good with MS Office, especially Excel and PPT. Understand the client requirements and specifications of the project. Ensure that the deliverable to the client and adhere to the quality standards. Mandatory CPC or CCS certification. "Should not have Apprentice in credential Handling of inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims). Raise request for pending/denied claims inquiry form providers. Create request for onshore to email/fax/post the documents or payments. The applicant will be responsible for handling an array of front facing duties. Some of these tasks including interaction with customers over the phone, via email or chat. Should be able to determine eligibility by comparing client’s information against the requirements (particularly for claims). Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude. Ensure a secure and compliant work environment.
Skill Requirements:
Understanding of US Healthcare industry.
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