Healthcare Manager



Not disclosed

Work from Office

Full Time

Min. 5 years

Job Details

Job Description

Lead Assistant Manager

Roles Responsibilities:


  • Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledge.
  • Must possess good communication skill with neutral accent.
  • Initiate telephone calls to provider office to communicate the outcome of the denial review.
  • Willing to work in Eastern shift.
  • 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.

Job role

Work location



Healthcare / Doctor / Hospital Staff

Role / Category

Nurse / Patient Care / Hospital Staff

Employment type

Full Time


Day Shift

Job requirements


Min. 5 years

About company



Job posted by EXL SERVICES

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