Senior Executive

Job Name:

Claims Analyst

Position Title

Senior Executive - Claims

Band

A2

Domain

Healthcare

Reporting To

Assistant Manager

Location/Site:

EXL India, ChennaiReviewing medical records and producing an accurate summary,Ability to analyze, Look at each medical record to check for missing documentationsPriorities workloads to ensure expedited cases are processed within defined timelinesEnsures that medical records are up to compliance.

Qualifications:

AnyGraduate/ Postgraduate

Working Hours:

40 hours /week, Full Time Employee

Work Model: Training from office for 2 - months and hybrid there after

Telecommuter/Internet requirements, if applicable:

High Speed internet connection and Power back up

Skills And Abilities

• 3-7 years of Experience.
• Good communication, flexibility, reliability
• Knowledge in Microsoft outlook/excel/word/PPT.
• Strong Analytical skills with the ability to investigate and resolve issues
• Familiarity with HIPAA, Medicare, Medicaid and other payer specific regulations.
  

Responsibilities

• Complete the necessary training and meet the expectations outlined for the position.
• Follow all standard operating procedures (SOP) diligently.
• Complete audits promptly and ensure high quality.
• Strive to meet both quality and production targets.
• Adhere to project protocols and instructions.
• Report any issues or trends promptly.
• Maintain the logs (such as productivity, clarification, and others as applicable) updated.
• Seek clarification from the manager or team leader when needed.
• Promptly respond to all emails from the manager.
• Ensure compliance with all relevant regulations and policies.