Senior Executive

Job Description – Repricing Analyst ; ;Job Name:Repricing Analyst ;Position Title: ;Senior Executive ; ;Band:A2 ;Domain:Healthcare ; ; ;Reporting to:Assistant Manager ;Location/Site:EXL India, Chennai ; ;Overview: ; ; The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and integrity of our client's financial records.Qualifications: ;Any ;Graduate/ PostgraduateWorking Hours: ;40 hours /week, Full Time EmployeeTelecommuter/Internet requirements, if applicable: ;High Speed internet connection and Power back up (preferred)Skills and abilities:3-7 years of Experience.Good communication, flexibility, reliabilityKnowledge in Microsoft outlook/excel/word/PPT.Strong Analytical skills with the ability to investigate and resolve issuesFamiliarity with HIPAA, Medicare, Medicaid and other payer specific regulations.Job Description:Verifying health insurance member informationAnalyzing paid claim detailsIdentifying new paid amountsCalculating overpaid amounts accuratelyMaintaining comprehensive financial transaction recordsResponsibilities:Complete the necessary training and meet the expectations outlined for the position.Follow all standard operating procedures (SOP) diligently.Complete audits promptly and ensure high quality.Strive to meet both quality and production targets.Adhere to project protocols and instructions.Report any issues or trends promptly.Maintain the logs (such as productivity, clarification, and others as applicable) updated.Seek clarification from the manager or team leader when needed.Promptly respond to all emails from the manager.Ensure compliance with all relevant regulations and policies.