BACK OFFICE JOBS <> EXL SERVICES – PUNEJune 29th, 2009 Posted by VFreshers
Back Office Freshers Jobs in EXL Services Pune
About Company :
EXL is a leading provider of offshore business process outsourcing solutions to the Global 1000. EXL strives to build lasting relationships with our clients based on consistent high-quality service delivery, trust, and confidence.
Our global culture is driven by our sense of quality in everything we do, respect and integrity in all of our interactions, and urgency and accountability at all times. Our clients are convinced that a long-term relationship with EXL gives them the competitive edge.
We offer integrated outsourcing solutions and have successfully migrated to our operations centers more than 230 processes covering a broad array of products and services. We are one of the few companies managing complex transaction processing operations.
Experience:0 – 5 Years
- 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
Job Description :
- 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.
Company Name:EXL Services.com ( I ) Pvt. Ltd.
Address:EXL Servicescom ( I ) Pvt Ltd
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