3838848-Senior Executive

EXL; Chennai District; On-site; INR 420,000 - 660,000; Full time

Job summary

EXL India, Chennai is seeking a Repricing Analyst to verify health insurance member information, analyze paid claim details and calculate overpaid amounts accurately.

The role requires 3-7 years of experience, strong analytical skills, and proficiency with Microsoft Office; you will maintain financial records and ensure compliance with healthcare regulations, contributing to data integrity and client satisfaction.

Qualifications

• 3-7 years of experience in a related domain.
• Strong analytical skills and ability to investigate and resolve issues.
• Good communication, flexibility and reliability.
• Familiarity with HIPAA, Medicare, Medicaid and other payer regulations.

Responsibilities

• Verifying health insurance member information.
• Analyzing paid claim details.
• Identifying new paid amounts.
• Calculating overpaid amounts accurately.
• Maintaining comprehensive financial transaction records.

Skills

Analytical skills

Communication

Flexibility

Reliability

HIPAA knowledge

Education

Any Graduate/ Postgraduate

Tools

Microsoft Outlook

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Job Description – Repricing Analyst

Job Name: Repricing Analyst

Position Title: Senior Executive Band: A2 Domain : Healthcare

Reporting to: Assistant Manager

Location/Site: EXL India, Chennai

Overview

The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and integrity of our client's financial records.

Qualifications

Any Graduate/ Postgraduate

• Working Hours: 40 hours /week, Full Time Employee
• Telecommuter/Internet requirements, if applicable: High Speed internet connection and Power back up (preferred)
• Skills and abilities: 3-7 years of Experience.
• Good communication, flexibility, reliability
• Knowledge in Microsoft outlook/excel/word/PPT.
• Strong Analytical skills with the ability to investigate and resolve issues
• Familiarity with HIPAA, Medicare, Medicaid and other payer specific regulations.

Job Description

• Verifying health insurance member information
• Analyzing paid claim details
• Identifying new paid amounts
• Calculating overpaid amounts accurately
• Maintaining comprehensive financial transaction records

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.