4100974-Lead Assistant Manager

ExlService Holdings, Inc.; Dadri; On-site; INR 450,000 - 650,000; Full time

Job summary

EXL Talent Acquisition Team in India is seeking a healthcare coder with strong CPT/ ICD 10-CM coding, modifiers, anatomy and physiology, and minimum 3 years' surgery experience.

The role involves communicating denial review outcomes to providers by telephone, handling inbound/outbound calls, raising requests for pending/denied claims, and ensuring accurate data handling with MS Office skills and CPC/CCS certification.

Qualifications

• Graduate degree required (non-technical fields preferred).
• Minimum 5 years of international calling experience.
• US Healthcare knowledge preferred.
• CPC or CCS certification mandatory.
• Excellent communication and professional presentation.

Responsibilities

• Communicate denial review outcomes to providers by phone.
• Handle inbound/outbound calls with professional neutral accent.
• Raise requests for pending/denied claims and coordinate onshore document delivery.
• Ensure accurate data handling and adherence to quality standards.
• Engage with clients and maintain compliant, secure call center operations.

Skills

Communication

Outbound Calling

Inbound Calling

Client Interaction

MS Office

MS Excel

US Healthcare knowledge

Voice process

Neutral accent

Education

Graduate degree

CPC or CCS certification

Tools

MS Office

MS Excel

Job description

Roles Responsibilities:

Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery, Facility coding and APC payments systems knowledge with minimum 3 years of experience in surgery. Must possess good communication skill with neutral accent. Initiate telephone calls to provider office to communicate the outcome of the denial review. Must be spontaneous and have high energy level. Minimum work experience in voice process will be an added advantage Manage claims with timely follow up. Must be good with MS Office, especially Excel and PPT. Understand the client requirements and specifications of the project. Ensure that the deliverable to the client and adhere to the quality standards. Mandatory CPC or CCS certification. "Should not have Apprentice in credential Handling of inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims). Raise request for pending/denied claims inquiry form providers. Create request for onshore to email/fax/post the documents or payments. The applicant will be responsible for handling an array of front facing duties. Some of these tasks including interaction with customers over the phone, via email or chat. Should be able to determine eligibility by comparing client’s information against the requirements (particularly for claims). Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude. Ensure a secure and compliant work environment.

Skill Requirements:

Any Graduate (Except B.Tech, BCA or any technical qualification). Candidate should have minimum 5 year experience into international calling (inbound or outbound). US Healthcare knowledge with inbound calling will be preferred. The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible. Good knowledge of MS office (Especially MS-Excel). Understanding of US Healthcare industry.

Must Have Skills

Communication Calling Providers Good Communication Client Contact Client Issue Resolution