Senior Executive

Job Description – Claims Analyst ; ;Job Name:Claims Analyst ;Position Title: ;Senior Executive - Claims ; ;Band:A2 ;Domain:Healthcare ; ; ;Reporting to:Assistant Manager ;Location/Site:EXL India, Chennai ; ;Job Description:Reviewing medical records and producing an accurate summary, ;Ability to analyze, Look at each medical record to check for missing documentationsPriorities workloads to ensure expedited cases are processed within defined timelinesEnsures that medical records are up to compliance.Qualifications: ;Any ;Graduate/ PostgraduateWorking Hours: ;40 hours /week, Full Time EmployeeWork Model: Training from office for 2 - months and hybrid there afterTelecommuter/Internet requirements, if applicable: ;High Speed internet connection and Power back upSkills and abilities:3-7 years of Experience.Good communication, flexibility, reliabilityKnowledge in Microsoft outlook/excel/word/PPT.Strong Analytical skills with the ability to investigate and resolve issuesFamiliarity with HIPAA, Medicare, Medicaid and other payer specific regulations. ;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.