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 valuable 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