Job Description Repricing Analyst
Job Name:
Repricing Analyst
Position Title
Assistant Manager
Band
B1
Domain
Healthcare
Reporting To
Lead Assistant Manager
Location/Site:
EXL India, Chennai
Overview: The main objective of this position is to validate, calculate, and accurately report any overpaid amounts in the system. As a Repricing Analyst, you will be analyzing claims to determine the precise overpaid amount and recording the outcomes in the client/internal system. Your contribution to these tasks will help us maintain the accuracy and integrity of our client's financial records.
Qualifications: AnyGraduate/ Postgraduate
Working Hours: 40 hours /week, Full Time Employee
Telecommuter/Internet requirements, if applicable: High Speed internet connection and Power back up (preferred)
Skills And Abilities
- 5-9 years of experience.
- Good communication, flexibility, reliability
- Knowledge in Microsoft outlook/excel/word/PPT.
- Strong Analytical skills with the ability to investigate and resolve issues
- Familiarity with HIPAA, Medicare, Medicaid and other payer specific regulations.
Job Description
- Verifying health insurance member information
- Analyzing paid claim details
- Identifying new paid amounts
- Calculating overpaid amounts accurately
- Maintaining comprehensive financial transaction records including daily over payments.
- Excellent multitasking and time management
Responsibilities
- Complete the necessary training and meet the expectations outlined for the position.
- Follow all standard operating procedures (SOP) diligently.
- Complete audits promptly and ensure high quality.
- Strive to meet both quality and production targets.
- Adhere to project protocols and instructions.
- Report any issues or trends promptly.
- Seek clarification from the manager or team leader when needed.
- Promptly respond to all emails from the manager.
- Maintain weekly and monthly production and Quality reports.
- Maintain the logs (such as productivity, clarification, and others as applicable) updated.
- Ensure service delivery of all programs with SLAs and Ops metrics
- Ensure compliance with all relevant regulations and policies.
