Lead Assistant Manager
EXL
Date: 3 weeks ago
City: Remote, Remote
Contract type: Full time
Remote
Roles Responsibilities
- Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge.
- Must possess good communication skill with neutral accent.
- Initiate telephone calls to provider office to communicate the outcome of the denial review.
- Willing to work in Eastern shift.
- Must be spontaneous and have high energy level.
- Minimum work experience in voice process will be an added advantage
- Manage claims with timely follow up.
- Must be good with MS Office, especially Excel and PPT.
- Understand the client requirements and specifications of the project.
- Ensure that the deliverable to the client and adhere to the quality standards.
- Mandatory CPC or CCS certification. "Should not have Apprentice in credential
- Handling of inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims).
- Raise request for pending/denied claims inquiry form providers.
- Create request for onshore to email/fax/post the documents or payments.
- The applicant will be responsible for handling an array of front facing duties.
- Some of these tasks including interaction with customers over the phone, via email or chat.
- Should be able to determine eligibility by comparing client’s information against the requirements (particularly for claims).
- Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude.
- Ensure a secure and compliant work environment.
- Any Graduate (Except B.Tech, BCA or any technical qualification).
- Candidate should have minimum 5 year experience into international calling (inbound or outbound).
- US Healthcare knowledge with inbound calling will be preferred.
- The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible.
- Good knowledge of MS office (Especially MS-Excel).
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