Senior Executive - Operations

Reposted 9 Days Ago
Be an Early Applicant
Chennai, Tamil Nadu, IND
Hybrid
Senior level
Information Technology • Database • Consulting
The Role
Perform US healthcare AR calling to follow up on unpaid claims, probe insurers for status, prioritize aging inventory, post cash/write-offs, handle patient billing queries, ensure HIPAA compliance, meet productivity targets, and use LCD/NCD guidelines and portals for CPT/modifier issues.
Summary Generated by Built In

Sr. Executive- AR caller:

Qualifications: Science Graduates.

Experience: 3 to 5 years in US Healthcare AR Calling

Communication Skill:

Excellent oral and written communication skills

Working Hours:

40 hours per week as Full-time employee

Shift time: 5:30 PM IST - 2:30 AM IST

Weekends Off

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband

Must understand and adhere with telecommuter policy

Responsibilities
  1. Interact and probe the insurance representative to get the required status update and have the claim resolved
  2. Ensure Daily Productivity targets are met at the required quality level on the assigned inventory,
  3. Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket,
  4. Review claims that have not been paid by insurance companies,
  5. Check insurance information provided by patient if it is insufficient or unclear,
  6. Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance,
  7. Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information,
  8. Post cash and write off the contractual adjustments accordingly while working on the accounts,
  9. Meeting daily/weekly and monthly targets set for an individual
  10. Should have knowledge on MCR LCD/NCD Guidelines and should know how to utilize the portal for LCD/NCD Guidelines for any CPT or Modifier.
Qualifications
  • Qualifications: Science Graduation 
  • Experience: Should have 3 to 5 years in US Healthcare AR Calling
  • Should have knowledge on Surgery, ASC, Ortho, Neuro, and Pain Management.
  • Excellent oral and written communication skills
About Us
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.


EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers.
About the TeamEXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

Skills Required

  • Science graduate
  • 3 to 5 years experience in US Healthcare AR Calling
  • Knowledge of Surgery, ASC, Orthopedics, Neurosurgery, and Pain Management billing
  • Knowledge of MCR LCD/NCD guidelines and ability to use LCD/NCD portals for CPT/modifier research
  • Excellent oral and written communication skills
  • Familiarity with HIPAA and confidentiality requirements when calling insurers
  • High-speed broadband internet at home (telecommuting requirement)
  • Ability to work assigned shift (5:30 PM IST - 2:30 AM IST) and meet daily/weekly/monthly productivity targets
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The Company
HQ: New York, NY
30,246 Employees
Year Founded: 1999

What We Do

Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.

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