4100974-Lead Assistant Manager

Roles Responsibilities: Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery, Facility coding and APC payments systems knowledge with minimum 3 years of experience in surgery. Must possess good communication skill with neutral accent. Initiate telephone calls to provider office to communicate the outcome of the denial review. Must be spontaneous and have high energy level. Minimum work experience in voice process will be an added advantage Manage claims with timely follow up. Must be good with MS Office, especially Excel and PPT. Understand the client requirements and specifications of the project. Ensure that the deliverable to the client and adhere to the quality standards. Mandatory CPC or CCS certification. "Should not have Apprentice in credential Handling of inbound/outbound calls from providers and hospitals to inquire about member account queries related to (Precert, Eligibility, benefits, and claims). Raise request for pending/denied claims inquiry form providers. Create request for onshore to email/fax/post the documents or payments. The applicant will be responsible for handling an array of front facing duties. Some of these tasks including interaction with customers over the phone, via email or chat. Should be able to determine eligibility by comparing client's information against the requirements (particularly for claims). Should demonstrate the quality of attention to details, effective and clear communication, adaptability, empathy, patience and positive attitude. Ensure a secure and compliant work environment. Skill Requirements: Any Graduate (Except B.Tech, BCA or any technical qualification). Candidate should have minimum 5 year experience into international calling (inbound or outbound). US Healthcare knowledge with inbound calling will be preferred. The applicant should be result oriented and meet client's expectation and should have excellent interpersonal skills with a problem-solving ability and must maintain a high level of professionalism and present the organization in best light possible. Good knowledge of MS office (Especially MS-Excel). Understanding of US Healthcare industry. Must Have Skills Communication Tele calling Good Communication Client Contact Client Issue ResolutionEXL 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.