Senior Executive

EXL


Date: 1 day ago
City: Chennai, Tamil Nadu
Contract type: Full time
Job Description – Repricing Analyst

Job Name:

Repricing Analyst

Position Title

Senior Executive

Band

A2

Domain

Healthcare

Reporting To

Assistant Manager

Location/Site:

EXL India, Chennai

Overview: The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and integrity of our client's financial records.

Qualifications: AnyGraduate/ Postgraduate

Working Hours: 40 hours /week, Full Time Employee

Telecommuter/Internet requirements, if applicable: High Speed internet connection and Power back up (preferred)

Skills And Abilities

  • 3-7 years of exp.
  • 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.

Job Description

  • 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.
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