Senior Executive EXL / SE / 1462744

Job Description

Roles Responsibilities :

• Handling of inbound 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 :

Understanding of US Healthcare industry.