Senior Executive

EXL

1 - 6 years

2 - 3 Lacs

noida

Posted:23 hours ago| Platform:

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Skills Required

analytical skills claims medical coding billing hipaa workflow biochemistry us healthcare ims auditing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources
Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
Deep understanding of medical coding, billing, and medical terminologies
Attention for detail, and Strong analytical skills for processing medical documentation
Critical thinking and high independent decision making capability
Proficiency in healthcare information systems
Ability to navigate through multiple applications
Operates with urgency in a real time service environment
Meets individual goals while assisting team to meet team goals
Defines, communicates and manages workflow and data coordination to support various implementation related reports (i.e., reporting, inventory, capacity reporting, and ad-hoc reports as needed by management)
May perform other duties as assigned

Performance parameters

Productivity
Quality
Turn Around Time of work assigned
Attendance & Schedule Adherence

Primary Internal Interactions:

SME/AM/LAM/Manager for the purpose of reporting performance, escalation handling, clarifying concerns, and seeking support
AM/LAM for the purpose of settling issues left unresolved by the SME and monthly evaluation of performance
SME for the purpose of handling process related issues queries and escalated transactions
QCA for the purpose of associate performance feedback and audit in order to update the training curriculum
Mentors for the purpose of seeking clarifications and answering queries real time

Organizational Relationships Reports To: Assistant Manager/Lead Assistant Manager Skills Desirable Skills

Critical thinking and high independent decision making
Ability to comprehend and write in English for structured written communications. Emails/IMS to be sent to internal teams
Ability to respond to all inquiries within a timely manner
Strong interpersonal and communication skills both verbal and written
Adaptability/Ability to interpret variable input details
Strong analytical, Reasoning, and Problem solving skills
Medium competency in excel skills

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