Job Description: Communication Skill:
Strong written (documentation) and oral communication skills

Working Hours:
Full-time role (40 hours/week).
Weekends: Off (may vary based on business needs).

Telecommuter/Internet requirements, if applicable:
High Speed internet connection at home must be broadband.

Must understand and adhere with telecommuter policy.

Responsibilities: Skills and abilities:
- Should have a good understanding of the US healthcare system and management.
- Should have thorough understanding of healthcare payer analytics specifically the business model for datamining operations.
- Should have thorough understanding contract audits, duplicates, reimbursement policies
- Will be responsible to audit claims on Medicare or Commercial business based various data mining concept.




- The position is purely metrics and target driven in the perspective of claim audits to initiate overpayment that exist in deployed data mining concepts.
- The position will be strictly evaluated based on the accuracy over claim audits and overpayments identification
- Should possess a solid interpersonal skill set to be able to work well with other people/teams, including in teams or groups, formally and informally.
- Should be able to work independently with mínimal guidance.
- Should be purely data and metrics driven person and discuss with Manager on a regular basis on the program/individual.

Qualifications: Experience:
Claims Adjudication experience: Minimum 6 years
Overpayment experience.

Qualification:
Graduation is mandatory.

📌 Assistant Manager (Hyderabad)
🏢 EXL Service
📍 Hyderabad