Executive-Back Office-Claims Administration

EXL Service View all jobs

  • Noida, Uttar Pradesh
  • Permanent
  • Full-time
  • 3 days ago
Job Category: OperationsJob Description:Organizational RelationshipsReports To: Assistant Manager/Lead Assistant ManagerSkillsDesirable Skills • Critical thinking and high independent decision making
  • Strong analytical, Reasoning, and Problem solving skills
  • Ability to comprehend and write in English for structured written communications. Emails/IMS to be sent to internal teams
  • Strong interpersonal and communication skills - both verbal and written
Technical Skills • Good computer navigation skills
  • Typing speed of 25 Words per Minute with 90% Accuracy
  • Proficiency in healthcare information systems
  • Ability to navigate through multiple applications
Process Specific Skills • Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA)
  • Deep understanding of medical coding, billing, and medical terminologies
  • Ability to produce high quality in production environment.
Soft skills • Ability to understand and question established process guidelines for possible process improvements
  • Attention for detail, and Strong analytical skills for processing medical documentation
  • Possess keen sense of acquiring knowledge
  • Adaptable and flexible to work in night shifts
Education Requirements and Work Experience:
  • Bachelor's degree in relevant field such as Biology, Biochemistry, Biotechnology, BPT, MPT, BDS or degree in medical field
  • Computer literacy
  • Candidates with relevant business experience will be preferred
Responsibilities:Essential Functions
  • 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
Qualifications:Medical Graduate

EXL Service

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