Associate-Back Office-Customer Service EXL

0.0 years

0 Lacs

india

On-site

Handle complex healthcare cases such as claims rework, provider appeals, and documentation analysis with minimal supervision. Retrieve supporting documents from various systems, create appropriate case files, and ensure accurate attachment and classification. Analyze each case to determine resolution or escalation to Subject Matter Experts (SMEs). Implement SME guidance to complete case processing effectively and accurately. Generate customer communication letters and ensure timely dispatch as per process requirements. Conduct root cause analysis for rework and escalations; recommend corrective and preventive actions.

Posted 1 month ago

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Auditor Clinical Validation Cigma Medical Coding Academy

2.0 - 6.0 years

0 Lacs

tamil nadu

On-site

As a Medical Coder at our company, your role will involve the following responsibilities: - Perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical background to ensure appropriateness for reimbursement - Respond to provider appeals - Respond to client logics and record reviews - Monitor acceptance rates for assigned clients and assist management in proactively detecting negative deviations - Report your work performance on a timely basis to the team lead - Work diligently to meet and exceed productivity and quality benchmarks - Take charge of ongoing learning and development and participate in relevant training and development activitie...

Posted 2 months ago

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