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 — ұйымдарға операцияларын жетілдіруге және тиімдірек шешімдер қабылдауға көмектесу үшін деректерді, талдауды және технологияларды пайдаланатын бизнес-консалтинг және қызмет көрсету компаниясы. Оның жұмысы операцияларды басқаруды, шешімдер аналитикасын және цифрлық трансформацияны қамтиды. Компания денсаулық сақтау, сақтандыру, қаржы және логистика салаларындағы клиенттерге қолдау көрсету тәжірибесіне ие. EXL деректер ғылымын практикалық бизнес сараптамасымен ұштастырып, әр ұйымның мақсаттарына, операциялық моделіне және салалық ерекшеліктеріне бейімделген шешімдер әзірлейді.
Senior Executive, Claims Audit
Review healthcare records and claims at EXL for accuracy, documentation, and regulatory compliance. Support timely audits and quality assurance.
Сипаттама
- 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.
Талаптар
- 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.
Артықшылықтар
- A high-speed internet connection and power backup are required for telecommuting.
- Hybrid work model after two months of office training.
Ұқсас жұмыс орындары
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