EXL tashkilotlarga operatsiyalarini takomillashtirish va yanada to‘g‘ri qarorlar qabul qilishda yordam beradigan, ma’lumotlar, tahlil va texnologiyalardan foydalanishga ixtisoslashgan biznes konsalting va xizmatlar kompaniyasidir. Uning faoliyati operatsiyalarni boshqarish, qarorlar tahlili va raqamli transformatsiyani qamrab oladi. Kompaniya sog‘liqni saqlash, sug‘urta, moliya va logistika sohalaridagi mijozlarni qo‘llab-quvvatlash tajribasiga ega. EXL ma’lumotlar fanini amaliy biznes tajribasi bilan birlashtirib, har bir tashkilotning maqsadlari, operatsion modeli va soha sharoitlariga mos yechimlar ishlab chiqadi.
Senior Operations Executive – Healthcare Claims Receivables (Hybrid, Chennai)
Manage healthcare claims receivables, denials, insurance follow-ups, cash posting, and contractual adjustments while supporting HIPAA-compliant recovery and SLA-based resolution.
Tavsif
- Review assigned receivables portfolios to identify unresolved claims
- Coordinate with insurers to resolve outstanding and denied claims
- Obtain additional information needed to resolve claims
- Resolve claims within established timelines and Service Level Agreements (SLAs)
- Conduct website checks and process non-callable denials
- Handle website-related claims using coding team responses
- Process non-callable, demographic, and eligibility denials
- Meet daily productivity and quality targets
- Prioritize aging claims to reduce delays and prevent revenue loss
- Review claims that insurance companies have not paid
- Investigate insufficient or unclear patient insurance information
- Escalate complex collection issues to management
- Address patient billing queries and update account information
- Post cash and write off contractual adjustments
- Achieve daily, weekly, and monthly individual targets
Talablar
- Graduation in any discipline
- 3–6 years of BPO experience
- Experience with US healthcare accounts receivable is preferred
- Strong written documentation and verbal communication skills
- Computer literacy
- Experience with healthcare accounts receivable processes
- Follow applicable guidelines and rules when contacting insurers to maintain confidentiality and HIPAA compliance