Senior Executive

Job Name:

Position Title

Band

Domain

Reporting To

Location/Site:

Overview:

Qualifications:

Working Hours:

Telecommuter/Internet requirements, if applicable:

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.
  

• Verifying health insurance member information
• Analyzing paid claim details
• Identifying new paid amounts
• Calculating overpaid amounts accurately
• Maintaining comprehensive financial transaction records
  

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.