EXL | Senior Executive - Operations

Responsibilities

• Review and analyze the assigned outstanding receivables portfolio to identify unresolved claims.
• Manage and resolve outstanding and denied claims by coordinating effectively with insurance companies.
• Ensure all claims are resolved within established timelines and adhere to defined Service Level Agreements (SLAs).
• Perform website checks and handle non-callable denials to optimize receivables recovery.
• Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket Review claims that have not been paid by insurance companies.
• Check insurance information provided by patient if it is insufficient or unclear.
• Post cash and write off the contractual adjustments accordingly while working on the accounts.
• Follow up promptly to obtain additional information required for claim resolution.
• Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance.
• Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information.
• Meeting daily/weekly and monthly targets set for an individual.

Qualifications

• Experience: BPO Experience: 3-6 years US Healthcare AR experience Communication Skill: Excellent written (documentation) and oral communication skill.

EXL

EXL (ExlService Holdings, Inc.) is a data analytics and digital operations company founded in 1999 and listed on NASDAQ as EXLS. It works with large insurers, banks, healthcare payers and retailers worldwide, combining data, AI and deep industry knowledge to run and transform business operations. Its Indian arm, EXL Service.com (India) Private Limited, was incorporated in 1999, and India is where the bulk of its global delivery work happens.

For finance professionals, EXL hires across finance and accounting operations (record to report, procure to pay, order to cash), financial planning and analysis, financial reporting, audit support, and risk and compliance, alongside its large analytics practice. CA, CMA, ACCA and MBA (Finance) profiles suit these roles across its Noida, Gurugram, Pune, Bengaluru, Chennai and Kochi centres.

• Industry: Data analytics, AI and digital operations (BPM)
• Headquarters: New York, USA (Indian operations headquartered in Noida)
• In India: Delivery centres in Noida, Gurugram, Pune, Bengaluru, Chennai, Hyderabad and Kochi