The ideal candidate must be PHRN with 1 to 2 years' work experience either as SME or Quality Analyst supporting Medical Bill Review in an Insurance Process and has strong background in CPT Codes, HCPCS, Coding Authority and reviewing Operative Report.
- Monitor transactions as per targets and guidelines
- Provide coaching and feedback to consultants following audits
- Prepare quality presentations and reports as per requirement
- Collecting and analyzing trends and patterns
- Review and analyze quality results to identify development areas
- Propose action plans based on findings for improvement and assist implementation in collaboration with Operations.
- Assisting Ops-AM in identifying training needs for the agents and process level issues that can help improve performance
- Assist the process AM’s in identifying the training needs for the agents
- Conduct/participate in calibration exercises on regular basis
- Handle incoming calls for process as and when required
- Participating in team huddles and providing brief on Quality performance in the process
- Brief new agents joining the process and explain how the quality functions operate in the process.
- Coordinate all process improvement initiatives
The ideal candidate must be PHRN with 1 to 2 years' work experience either as SME or Quality Analyst supporting Medical Bill Review in an Insurance Process and has strong background in CPT Codes, HCPCS, Coding Authority and reviewing Operative Report.
EXL (Nasdaq: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit www.exlservice.com.EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com.
