WorkboxIn

Executive

EXL · Pune, Maharashtra · Full-time

associate is responsible for timely and accurate medical payment .The process includes, checking compensability, invoice review and the validation of the details in other systems and determine/decide on the accuracy of the amount billed and/or the need for denial of the claim based on result of research. Associate would also need to liaise with claims handlers on need basis. Essential Functions • Ensure that the process transactions are processed as per Desktop procedures • 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 • Managing calendars and e-mails Performance parameters • Productivity • Quality / Accuracy • Attendance • Schedule Adherence Graduation (any stream) or diploma with a minimum of 15 years of education.