Strategy Consultant - Healthcare EXL Health

5.0 - 9.0 years

0 Lacs

noida, uttar pradesh

On-site

About the Role: We are looking for an experienced and forward-thinking Strategic Consultant to lead healthcare-focused growth, transformation, and account strategy initiatives. Your responsibilities will include executing complex business transformations, identifying growth opportunities, and supporting strategic M&A decisions within the healthcare sector. The ideal candidate will have strong analytical abilities, a growth-oriented mindset, and a passion for driving impactful changes in healthcare. Key Responsibilities: Strategic Analysis & Insights Development: Conduct in-depth analysis of clients" existing processes and market positioning to uncover growth and transformation opportunities....

Posted 1 month ago

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Medical Claims Auditor ABC Hospital

2.0 - 6.0 years

0 Lacs

bihar

On-site

As a Medical Claims Auditor at ABC Hospital in Palasi, you will play a crucial role in auditing medical claims to ensure accuracy and compliance with insurance policies and regulations. Your responsibilities will include reviewing and verifying claim information, analyzing claims for discrepancies, and making necessary corrections. Your strong analytical skills will be essential in handling claims effectively and ensuring proper documentation. To excel in this role, you should possess Claims Auditing and Claims Handling skills, along with experience in Insurance and Auditing practices. Attention to detail is key in this position, and your organizational and time-management skills will be cru...

Posted 2 months ago

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Hiring For Manager & Sr. Manager- Medical Audit Virtuoso Staffing Solutions

6.0 - 11.0 years

10 - 12 Lacs

New Delhi, Gurugram, Delhi / NCR

Work from Office

Roles and Responsibilities Conduct medical audits for high-value claims, including inpatient and outpatient services. Review NCCI guidelines to ensure accurate coding and compliance with US healthcare regulations. Analyze CPT codes to identify discrepancies and optimize claim processing. Collaborate with internal stakeholders to resolve issues related to claims adjudication. Develop expertise in dollar value claims handling, focusing on accuracy and efficiency. Desired Candidate Profile 6-11 years of experience in Medical Audit or Claims Auditing/Audition role. Strong understanding of CPT, ICD-10-CM/PCS, HCPCS Level II codes; knowledge of anesthesia codes (G0152) preferred. Experience workin...

Posted 3 months ago

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