Hybrid Area Manager – Claims Management, Medical Billing and Claims Processing

at EXL

• Job title: Area Manager – Claims Management, Medical Billing and Claims Processing
• Job type: Full Time
• Experience level: Senior, Lead
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Chennai, India

About the role

• Area Manager responsible for healthcare claims operations and service delivery excellence. Ensuring client engagement and overseeing audit lifecycle in the healthcare sector.

Responsibilities

• Serve as the key liaison between POD Leader and Operations/Program Leaders to ensure alignment on client engagement, requirements, and escalation management.
• Align POD-level goals with program objectives and the broader business strategy.
• Partner with Program and POD Leaders for strategic planning, including forecasting performance, capacity planning, and staffing to meet revenue goals.
• Collaborate across functions to ensure effective service delivery throughout the audit lifecycle—from data management and selections to recovery.
• Review exceptions, analyze anomalies, and provide insights with appropriate narrative and resolution actions.
• Maintain dual accountability with Program Leaders for client-facing communications and engagement.
• Ensure timely and appropriate client communication alongside Program Leaders.
• Drive technology initiatives to enhance operational efficiencies and work closely with Program Leaders on solutioning.
• Conduct continuous 360-degree reviews of service delivery and identify improvement areas.
• Present performance metrics, revenue trends, and risk assessments to senior management.

Requirements

• Bachelor’s degree in any or related field; MBA or relevant advanced degree preferred.
• Minimum of 10 years’ experience in US Healthcare and Payment Services LOB preferred.
• 5+ years of experience in operations management, preferably in audit lifecycle or service delivery domains.
• Proven experience in strategic planning, client engagement, and cross-functional team leadership.
• Strong analytical skills with proficiency in metrics tracking, reporting, and business intelligence tools.
• Excellent communication skills with client-facing experience.
• Ability to manage multiple stakeholders and complex escalations effectively.
• Experience with compliance standards (HIPAA, CMS) and quality assurance.
• Familiarity with digital transformation initiatives and technology-driven process improvements.

Benefits

• Competitive salary
• Opportunities for professional development
• 401(k) retirement plan