Job Description:
1. Good communication,
2. Ready to work in Rotational shift.
3. Good Knowledge about US Health Csre process.
4. Revenue cycle management.
Roles & Responsibilities :
> Review provider claims that have not been paid by insurance companies
> Follow up with insurance companies to understand status of claims. Follow up is done through insurance company/ TPA website or through outbound calls
> Based on information received from the insurance company/ TPA, make necessary corrections to the claim and re-file the corrected claim to the insurance company/ TPA
> In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transfer the outstanding balance to the patient.
> In case the claim has already been paid by the insurance company, request insurance company/ TPA to send EOB (Explanation of Benefits) through fax/ mail.
Salary:INR 2,00,000 – 3,00,000 P.A.
Industry:KPO / Research / Analytics
Functional Area:ITES , BPO , KPO , LPO , Customer Service , Operations
Role Category:Voice
Role:Associate/Senior Associate -(NonTechnical)
Keyskills
AR Callers, medical billing, Medical coding, US health Care, Revenue cycle management, RCM
Company Profile:
EXL Services.com ( I ) Pvt. Ltd.
EXL (Nasdaq:EXLS) is a leading business process solutions company that helps companies drive business impact and adapt faster to the changing global marketplace. EXL provides operations management, embedded analytics and technology platforms to organizations in the banking and financial services, healthcare, insurance, utilities, transportation and logistics, and travel industries. With more than 21,000 people around the world, we work with our clients as strategic partners to execute operations, identify opportunities to gain a competitive edge, and create new channels for growth and savings. Headquartered in New York and operational since 1999, EXL is present in the U.S., U.K., Singapore, Romania, the Philippines, India, Germany, Czech Republic and Bulgaria. For more information, visit www.exlservice.com.
