Senior Executive - Training & Quality

EXL Talent Acquisition Team; Chennai; On-site; INR 500,000 - 800,000; Full time

Job summary

ExlService Holdings, Inc. in Chennai, India, seeks an experienced audit professional to manage nurse and contract auditors, ensuring daily operations run smoothly while upholding productivity and quality standards.

The role includes conducting best-practice reviews, identifying improvement areas, and training reviewers across clinical auditing, quality control, and dispute resolution to enhance accuracy and efficiency.

Responsibilities

• Manage Nurse auditors and contract auditors to ensure smooth daily operations and uphold audit productivity and quality standards.
• Perform best-practice reviews and identify improvement areas; train reviewers across clinical auditor, QC and dispute roles.
• Verify patient information, insurance information, validate paid information and contracts to identify overpayments.

Job description

• Responsible for managing Nurse auditors and other contract auditors to ensure smooth operations of daily activities and ensuring that audit productivity and quality standards are met.
• Performbest practice reviewsand identify areas for improvement. Performs beyond one role among Clinical auditor, QC and dispute. Training and guiding reviewers for enhancement

• Verifying the patient information, other insurance information, Validating the paid information and contract to identify the overpayments.