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: Any Graduate/ 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:

• Strong leadership skills to mentor the staff
• 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.
• Capability of identifying opportunities for process improvements and contributing to higher level business strategies
• Ability to handle changing priorities, business needs and market conditions.

Job Description:

• Oversee day to day operations to ensure efficiency and effectiveness in all business functions, including staffing and inventory management.
• Lead, train and mentor staff members, ensuring high levels of engagements and productivity.
• Monitor and ensure excellent client service is always provided, addressing escalated client issues and resolving them in a timely manner.
• Maintaining comprehensive financial transaction records including daily over payments.
• Excellent multitasking and time management
• Analyzing the weekly and monthly reports, helping team on the clarifications.

Responsibilities:

• Adhere to project protocols and instructions.
• Report any issues or trends promptly.
• Promptly respond to all emails from the manager (Internal / External).
• Maintaining the weekly, monthly production, Quality as well as Inventory reports.
• Maintain the logs (such as productivity, clarification, and others as applicable) updated.
• Monitor and report on Key performance metrics, including feedback and staff performance.
• Provide insights to senior management and suggest improvement areas based on data analysis.
• Ensure service delivery of all programs with SLAs and Ops metrics
• Ensure compliance with all relevant regulations and policies.