Senior Finance Executive, Balance Sheet Reconciliations
EXLReconcile balance sheet accounts and resolve ledger discrepancies for EXL’s finance team in India. Maintain accurate financial records that support reporting and compliance.
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EXL एक व्यावसायिक परामर्श और सेवाएँ प्रदान करने वाली कंपनी है, जो संगठनों को डेटा, विश्लेषण और प्रौद्योगिकी का उपयोग करके संचालन में सुधार करने और बेहतर निर्णय लेने में सहायता करती है। इसके कार्यों में संचालन प्रबंधन, निर्णय विश्लेषण और डिजिटल रूपांतरण शामिल हैं। कंपनी को स्वास्थ्य सेवा, बीमा, वित्त और लॉजिस्टिक्स के क्षेत्रों में ग्राहकों का सहयोग करने का अनुभव है। EXL डेटा विज्ञान को व्यावहारिक व्यावसायिक विशेषज्ञता के साथ जोड़कर ऐसे समाधान विकसित करती है, जो प्रत्येक संगठन के लक्ष्यों, संचालन मॉडल और उद्योग-परिस्थिति के अनुरूप होते हैं।
Senior Executive, Claims Audit
Review healthcare records and claims at EXL for accuracy, documentation, and regulatory compliance. Support timely audits and quality assurance.
विवरण
- Review medical records and claims data for accuracy, completeness, and regulatory compliance.
- Verify clinical documentation supporting claim submissions and medical necessity.
- Investigate and address inconsistencies, errors, and missing documentation.
- Manage workloads to meet deadlines for expedited and high-priority cases.
- Work with healthcare providers, coders, and billing staff.
- Apply HIPAA, CMS, and other medical-record and claims-processing regulations.
- Prepare reports summarizing claim findings, trends, and process improvements.
- Contribute to internal audits and quality assurance work.
- Complete audits on schedule while meeting quality and production targets.
- Follow standard operating procedures, project protocols, and applicable regulations.
- Report issues and trends, maintain productivity and clarification logs, and respond to manager emails.
- Request guidance from managers or team leaders when needed.
आवश्यकताएँ
- Graduate or postgraduate degree.
- 3–5 years of experience.
- Good communication, flexibility, and reliability.
- Knowledge of Microsoft Outlook, Excel, Word, and PowerPoint.
- Strong analytical skills, including the ability to investigate and resolve issues.
- Familiarity with HIPAA, Medicare, Medicaid, and other payer-specific regulations.
- 40-hour workweek.
- Full-time employment.
लाभ
- A high-speed internet connection and power backup are required for telecommuting.
- Hybrid work model after two months of office training.
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