Executive-Back Office-Claims Administration at EXL Talent Acquisition Team

Noida, Uttar Pradesh, India -

Full Time

Start Date

Immediate

Expiry Date

18 May, 26

Salary

0.0

Posted On

17 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Administration, US Healthcare Domain Knowledge, HIPAA, Medical Coding, Medical Billing, Medical Terminologies, Analytical Skills, Critical Thinking, Independent Decision Making, Healthcare Information Systems, Workflow Management, Data Coordination, Problem Solving, Excel, Interpersonal Skills, Adaptability

Industry

Business Consulting and Services

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 Desirable Skills - Critical thinking and high independent decision making Strong analytical, Reasoning, and Problem solving skills Medium competency in excel skills Ability to comprehend and write in English for structured written communications. Emails/IMS to be sent to internal teamsAbility 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 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 in environment Ability to troubleshoot, identify user errors vs. system mapping errors (enrollment dates, method, system logic) Soft skills- Ability to work independently 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

Responsibilities

The role involves reviewing and analyzing discrepancies in claims by cross-verifying data from various sources and managing workflow and data coordination for implementation-related reports. This includes defining, communicating, and managing these processes as needed by management.