3838848-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/ Postgraduate Working Hours:  40 hours /week, Full Time Employee Telecommuter/Internet requirements, if applicable:  High Speed internet connection and Power back up (preferred) Skills and abilities: 3-7 years of Experience. Good communication, flexibility, reliability Knowledge in Microsoft outlook/excel/word/PPT. Strong Analytical skills with the ability to investigate and resolve issues Familiarity with HIPAA, Medicare, Medicaid and other payer specific regulations.

Job Description: Verifying health insurance member information Analyzing paid claim details Identifying new paid amounts Calculating overpaid amounts accurately Maintaining comprehensive financial transaction records Responsibilities: 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.