Job Description

PROFESSIONAL:

• Recognize and respect cultural diversity.
• Adapt communication to an individual’s ability to understand. • Use medical terminology appropriately.
• Respond to communications received within a reasonable time frame.
• Project a professional manner and image.
• Adhere to ethical principles.
• Demonstrate initiative and responsibility.
• Work as a team member.
• Efficient Time Management.
• Prioritize and perform multiple tasks.
• Adapt to change, including new hours of operation and methodology.
• Attend functional team meetings and mandatory in-service education.
• Maintain proper observation and adherence to company policies and procedures.

JOB RESPONSIBILITIES:

• Responsible for effective and efficient verification of all patients’ benefits before their appointment.
• Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage.
• Research eligibility information online with various insurance carriers.
• Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
• Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
• Responsible for obtaining all referrals and authorizations for procedures and services, as required.
• Other duties as assigned by the Lead Asst. Managers/Managers.

• REQUIRED EDUCATION/EXPERIENCE: Graduate in any stream; customer service; must be computer literate; have multi-tasking skills, excellent organizational skills, verbal and written communication skills; team player.

YEARS OF EXPERIENCE:

• 2-5 Years for A2 Band

POSITION RELATIONSHIPS:

• Reports directly to the Assistant Manager

KNOWLEDGE, SKILLS, AND EXPERIENCE:

• Good organizational skills and the ability to multi-task
• Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.
• Establish and maintain effective working relationships with patients, insurance companies, and staff.
• Good written and oral communications.
• Knowledge and skills in working with computerized billing systems including practice management software and EMR.
• Must adhere to all HIPAA guidelines and regulations.
• Knowledge of medical insurance and authorization processes.
• Some medical terminology and experience working in a healthcare or insurance environment.

LEGAL and COMPLIANCE:

• Maintain patient and company confidentiality.
• Practice within the scope of education, training, and personal capabilities.
• Document company documents (hard copy and electronic) accurately.
• Use appropriate guidelines for releasing information.
• Maintain awareness of US federal and US state health care legislation and regulations, PHI, HIPAA

WORKING HOURS:

• 40 hours per week as Full-time employee
• Shift time: 08:00AM TO 05:00PM IST
• Weekends Off

TELECOMMUTER/INTERNET REQUIREMENT:

• High Speed internet connection at home, must be broadband with minimum of 100 MBPS Speed or above
• Must understand and adhere with telecommuter policy
• Must have power backup at to mitigate power outage

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.