Position Title Responsibility Level Executive Senior Executive Function Operations Reports to - Assistant Manager Lead Assistant Manager Permanent Temporary Permanent Span of Control - None Location C - 42 Noida Basic Function This position is responsible for reviewing analyzing and interpreting medical Information to assess and determine appropriate next action steps which may lead to denial or payment of claims Work is performed under general supervision according to established guidelines This individual promotes capabilities from a customer perspective aligning needs with the target offering by creating a customer self-service enabled platform for core customers Essential Functions Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources Familiar with US Healthcare domain knowledge and understanding of healthcare regulations HIPAA Deep understanding of medical coding billing and medical terminologies Attention for detail and Strong analytical skills for processing medical documentation Critical thinking and high independent decision making capability Proficiency in healthcare information systems Ability to navigate through multiple applications Operates with urgency in a real time service environment Meets individual goals while assisting team to meet team goals Defines communicates and manages workflow and data coordination to support various implementation related reports i e reporting inventory capacity reporting and ad-hoc reports as needed by management May perform other duties as assigned Performance parameters Productivity Quality Turn Around Time of work assigned Attendance Schedule Adherence Primary Internal Interactions SME AM LAM Manager for the purpose of reporting performance escalation handling clarifying concerns and seeking support AM LAM for the purpose of settling issues left unresolved by the SME and monthly evaluation of performance SME for the purpose of handling process related issues queries and escalated transactions QCA for the purpose of associate performance feedback and audit in order to update the training curriculum Mentors for the purpose of seeking clarifications and answering queries real time Organizational Relationships Reports To Assistant Manager Lead Assistant Manager Skills Desirable Skills Critical thinking and high independent decision making Robust analytical Reasoning and Problem solving skills Ability to comprehend and write in English for structured written communications Emails IMS to be sent to internal teams Strong interpersonal and communication skills - both verbal and written Technical Skills Positive computer navigation skills Typing speed of 25 Words per Minute with 90 Accuracy Proficiency in healthcare information systems Ability to navigate through multiple applications Process Specific Skills Familiar with US Healthcare domain knowledge and understanding of healthcare regulations HIPAA Deep understanding of medical coding billing and medical terminologies Ability to produce high quality in production environment Soft skills Ability to understand and question established process guidelines for possible process improvements Attention for detail and Strong analytical skills for processing medical documentation Possess keen sense of acquiring knowledge Adaptable and flexible to work in night shifts Education Requirements and Work Experience Bachelor s degree in relevant field such as Biology Biochemistry Biotechnology etc Computer literacy Candidates with relevant business experience will be preferred Annexure Acknowledgement acknowledge that the information contained in this document is factual and complete Candidate Supervisor Date

📌 Executives (Uttar Pradesh)
🏢 EXL Service
📍 Uttar Pradesh