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EXL

Senior Executive – AR specialty

Posted 3 Days Ago
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Hybrid
Chennai, Tamil Nadu, IND
Senior level
Hybrid
Chennai, Tamil Nadu, IND
Senior level
Perform high-volume outbound calls to US insurance companies, providers, and TPAs to follow up on pending or denied claims, resolve denials and payment discrepancies, document interactions, meet productivity and quality targets, ensure HIPAA/OIG compliance, and communicate status to management.
The summary above was generated by AI
  • Perform outbound calls to insurance companies, healthcare providers, and TPAs to follow up on pending or denied claims.
  • Handle accounts receivable (AR) activities in the Provider Side Vertical or Payer Collections process.
  • Review and analyze outstanding claims, identify issues, and take appropriate action to ensure timely payment.
  • Accurately document all call interactions and claim statuses in the system.
  • Resolve claim rejections, denials, and payment discrepancies by coordinating with insurance representatives and internal teams.
  • Maintain productivity and quality standards as per company and client requirements.
  • Provide clear communication and updates on claim progress to management.
  • Ensure compliance with HIPAA and organizational policies during all communications.
  • Exhibit flexibility and a proactive approach in handling multiple tasks and priorities
Responsibilities

The candidate should have experience in US Healthcare Calling process like AR Caller in Provider Side Vertical or AR Caller in Payer Collections. 

• Minimum 1-4 years of Experience in AR caller\collections or Patient calling. 

   The candidate should be well versed in calling US Healthcare providers, insurance companies/other Third Party Administrators. 

   The role is completely target oriented on the number of calls made on a daily basis. 

• Should have good communication with neutral accent preferred. Follow every aspect of SOP without fail 

• Complete received Audits with Quality 

• To achieve Quality and production target.

• Follow project related protocols and instructions.

• Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis. 

• Check with Manager /TL in case of clarifications 

• All emails from Manager should be answered promptly without fail 

• Ensure compliance of entire team for HIPAA, OIG. 

• Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.

Qualifications

  1–4 years of experience in US Healthcare AR Calling, Collections, or Patient Calling

  Proven experience in Provider-side AR or Payer Collections

  Hands-on experience calling US healthcare providers, insurance companies, and TPAs

  Strong verbal communication skills with a neutral accent preferred

  Experience working in a target-oriented, high-volume calling environment

  Good understanding of US healthcare revenue cycle processes

  Ability to maintain quality while meeting productivity benchmarks

  Strong attention to detail and documentation skills

  Familiarity with HIPAA, OIG, and compliance requirements

  Ability to work independently and collaboratively within a team

About Us
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.
About the TeamEXL 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.

EXL Chennai, Tamil Nadu, IND Office

Chennai, India

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