EXL Talent Acquisition Team
Chennai or New York City
Senior Executive - Operations
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Apply to Senior Executive - Operations at EXL Talent Acquisition TeamJob details
- Location
- Chennai or New York City
- Work type
- Hybrid
- Posted
- yesterday
- Apply on
- fa-ewjt-saasfaprod1.fa.ocs.oraclecloud.com
About this role
- Review and analyze the assigned outstanding receivables portfolio to identify unresolved claims.
- Manage and resolve outstanding and denied claims by coordinating effectively with insurance companies.
- Follow up promptly to obtain additional information required for claim resolution.
- Ensure all claims are resolved within established timelines and adhere to defined Service Level Agreements (SLAs).
- Perform website checks and handle non-callable denials to optimize receivables recovery.
Responsibilities
Skills and abilities:
- Working on website related claims and action based on coding team responses.
- All non-callable denials, demographic and eligibility denials need to be worked
- Ensure Daily Productivity targets are met at the required quality level on the assigned inventory.
- Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket
- Review claims that have not been paid by insurance companies.
- Check insurance information provided by patient if it is insufficient or unclear.
Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance. - Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information.
- Post cash and write off the contractual adjustments accordingly while working on the accounts.
- Meeting daily/weekly and monthly targets set for an individual.
Qualifications
Qualifications: Graduation in any stream
Experience: BPO Experience: 3-6 years
US Healthcare AR experience
Communication Skill: Excellent written (documentation) and oral communication skill
About Company
EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.
Company
EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com.
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