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Exl Services - 30th June to 3rd July 2009 - Pune - Health Insurance Process (Back Office)

Exl Services

Date: 30th June to 3rd July 2009
Time: 11am to 4 pm
Venue:
EXL Servicescom ( I ) Pvt Ltd Tower No.1, Magarpatta City, Hadapsar Pune,Mahrashtra,INDIA 411028

We are looking for Graduates with more than six months experience in Health Insurance for one of our Health

Insurance Process (Back Office).

* Experience in Medical Billing / Adjudication process.
* Knowledge of Insurance principles.
* Medical Terminology
* Knowledge of CPT/ICD codes
* Experience of US Laws would be an added advantage

Please Walk - In with your Original Documents (10th, 12th & Graduation Marks sheets & 2 Passport size Photographs) at the below mentioned Address .

Spot offers shall be made to selected candidates

Desired Candidate Profile

Basic Function

Timely and accurate error correction and adjudication of Medical bills for workers compensation claims consistent with State Guidelines.

Process Description

* Claims Error Correction/Data Scrubbing
* Claims Adjudication

Essential Functions

* Analyze, validate and process transactions as per

Desktop procedures (L3 & L4).

* Analyze and research all discrepancies.
* Investigate and resolve outstanding items.
* Ensure that the assigned targets are met in accordance with SLA and Internal standards.
* Ensure that the quality of transaction is in compliance with predefined parameters as defined by Process Excellence.
* Ensure adherence to established attendance schedules.


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