Executives

EXL


Date: 3 weeks ago
City: Chennai, Tamil Nadu
Contract type: Full time
Job Description_ Contingency _Data Mining

Job Name

Executive - Datamining

Position Title

Executive

Band

A1

Reporting To

Assistant Manager

Location/Site:

EXL India

Overview

Candidates should have minimum 1+ years of experience and should have basic knowledge in claims adjudication process and its processing methods.

Qualifications

  • Graduation is Mandatory
  • Claims adjudication experience is Mandatory
  • Prefer candidates with experience in Post adjudication/overpayment projects (Not mandatory)

Experience

  • Claims Adjudication experience: Minimum 1 year
  • Overpayment experience (Optional)

Communication

  • Strong written (documentation) and oral communication skills

Working Hours

  • 40 hours per week as Full-time employee
  • Shift time: 08:00 AM TO 05:00 PM IST (It might be changed based on project requirements)
  • Weekends: Off

Telecommuter/Internet Requirements, If Applicable

  • High Speed internet connection at home, must be broadband
  • Must understand and adhere with telecommuter policy

Skills And Abilities

  • 1+ years of experience in claims processing or claims adjudication.
  • Should have knowledge in US healthcare.
  • Preferably candidates have knowledge in payment determination. Which means candidates should calculate the allowable without system support (Not mandatory).
  • Prefer candidates with experience in overpayment projects.
  • Should have a good communication with neutral accent preferred.
  • Ensure assigned inventory should be completed with quality within TAT.
  • Production, quality and other reports should update on timely manner as required.
  • Must ensure availability for meeting/calls as required.
  • Ability to work independently and as a team.
  • Ensure candidates should follow compliance protocols without fail.

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