BPO HC & Insurance Operations Associate Job at NTT DATA (Chennai)

Bpo hc & insurance operations senior associate

The Senior Associate in BPO HC & Insurance Operations will play a crucial role i...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

1-3 years of experience in processing claims adjudication and adjustment process
Experience of Facets is an added advantage
Experience in professional (HCFA), institutional (UB) claims (optional)
Both under graduates and post graduates can apply
Good communication (Demonstrate strong reading comprehension and writing skills)
Able to work independently, strong analytic skills

Job Responsibility

Process Adjudication claims and resolve for payment and Denials
Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
Organizing and completing tasks according to assigned priorities
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines

Hc & insurance operations associate

At NTT DATA, we know that with the right people on board, anything is possible. ...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

0 -1 Year of experience in any Healthcare BPO
University degree or equivalent that required 3+ years of formal studies
Candidates with good typing skills with 25 WPM or completed typewriting lower preferred or good to have
1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools
Ability to work scheduled shifts from Monday-Friday 06:00 PM to 04:00 AM and to be flexible to accommodate business requirements
Ability to communicate (oral/written) effectively in English to exchange information with our client

Job Responsibility

Read and understand the process documents provided by the customer
Analyze the insurance claims and process as per standard operating procedures
To understand and calculate (COB - Coordination of Benefit) the patients responsibility and perform insurance calculations
Familiarize, navigate multiple client applications and capture the necessary information to process insurance claims

HC & Insurance Operations Associate

The BPO Health Care and Insurance Operations Associate role at NTT DATA involves...

Location

India , Coimbatore

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

University degree or equivalent that required formal studies of the English language and basic Math
1-2 Year of experience where you had to apply business rules to varying fact situations and make appropriate decisions
1-2 Year of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
1-2 Year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
1-2 Year of experience that required prioritizing your workload to meet deadlines
Monday-Friday 6PM/4AM IST
overtime and weekend work based on business requirements

Job Responsibility

Review and process insurance claims
Validate Member, Provider and other Claims information
Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure
Coordination of Claim Benefits based on the Policy & Procedure
Maintain productivity goals, quality standards and aging timeframes
Scrutinizing Medical Claim Documents and settlements
Organizing and completing tasks per assigned priorities
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines

Fulltime

Hc & Insurance Operations Associate

The Healthcare & Insurance Operations Associate role involves processing claims,...

Location

India , Coimbatore

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

1-3 years of experience in processing claims adjudication and adjustment process
Experience of Facets is an added advantage
Experience in professional (HCFA), institutional (UB) claims (optional)
Both under graduates and post graduates can apply
Good communication (Demonstrate strong reading comprehension and writing skills)
Able to work independently, strong analytic skills

Job Responsibility

Process Adjudication claims and resolve for payment and Denials
Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
Organizing and completing tasks according to assigned priorities
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines

Fulltime

Hc & Insurance Operations Associate

HC & Insurance Operations Associate job in Coimbatore, IN-TN, India | Other jobs...

Location

India , Coimbatore

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

1-3 years of experience in processing claims adjudication and adjustment process
Experience of Facets is an added advantage
Experience in professional (HCFA), institutional (UB) claims (optional)
Both under graduates and post graduates can apply
Good communication (Demonstrate strong reading comprehension and writing skills)
Able to work independently, strong analytic skills

Job Responsibility

Process Adjudication claims and resolve for payment and Denials
Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
Organizing and completing tasks according to assigned priorities
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines

Fulltime

Bilingual Client Services Specialist

ServiceMaster Green is a values-driven, growing, locally owned ServiceMaster fra...

Location

United States , Urbandale

Salary:

18.00 - 20.00 USD / Hour

ServiceMaster by Prince

Expiration Date

Until further notice

Requirements

Previous customer Service experience, problem solving and communication
Computer skills (esp. Microsoft Office products)
Experience using Salesforce a plus
Clean criminal background
Valid Iowa driver's license with clean driving record
Legal adult authorized to work in the U.S.
Clean criminal record
Bilingual (English/Spanish) a plus

Job Responsibility

Work a variety of tasks, learning new things as every day is different
Completes administrative tasks as assigned
Inspect buildings for quality control of janitorial services
Create work orders and follow ups
Communicating regularly with clients to ensure we are meeting their needs
Drive to assigned properties and various locations as directed by management

What we offer

401(k)
401(k) matching
Competitive salary
Dental insurance
Health insurance
Paid time off

Fulltime

Associate Lecturer in Engineering

The Engineering Department is a dynamic and growing area of our technical educat...

Location

United Kingdom , Portsmouth

Salary:

29801.28 - 43644.02 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

HNC or equivalent qualification in a relevant area or Relevant work experience
Experience of using a range of strategies to ensure students engage and partake in their lessons
Teaching Qualification in a relevant subject or willing to work towards (QTS/QTLS)
Ability to meet targets within set timescales
Ability to work well in teams but also to work independently, with the minimum of supervision
Computer literate

Job Responsibility

To teach on a range of programmes, providing high-quality learning opportunities that meet the needs of individual students/apprentices and groups in line with the College’s strategic priorities and objectives
To provide flexible assessment opportunities and closely plan, monitor, track and record student/apprentice retention, achievement, and success
To contribute to the development and delivery of high-quality, relevant curriculum and programmes
Actively contributing to the development of new programmes within the curriculum area
Producing annual schemes of work and/or training plans for all subjects/programmes to be taught

What we offer

Annual Leave: up to 42 days total and closure for winter shutdown period
Pension: Generous Local Government pension
Learning & Development: Programmes by The Community Adult Education Department
Staff Development: Access to the College staff development programmes and CPD
Onsite Discounts: City of Portsmouth College Hair Salon & 50% off at the City of Portsmouth College Sports Centre
Online Discounts: Unidays, Student Beans, and Totum with a City of Portsmouth College email address
Parking: Free car parking across all campus sites (apart from Arundel)
Blue Light Card: providing several discounts for clothing, electrical goods, food and days out

Team Member

As an Instore Team Member, you’ll be at the heart of our store, making delicious...

Location

United Kingdom , Workington

Salary:

10.85 - 13.00 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Positive, can-do attitude and a passion for great customer service
No previous experience required - full training and induction provided
Able to work quickly and efficiently, especially during busy periods
Good communication skills and a team player
Attention to detail and pride in your work
Willingness to learn and take on new challenges
Right to work relevant to store location

Job Responsibility

Prepare pizzas and side items to Domino’s high standards
Serve customers face-to-face and by phone, taking orders and payments
Maintain food hygiene and safety standards at all times
Support with cleaning, restocking and general store duties
Contribute to local marketing activities (e.g. leaflet drops, events)
Work flexibly across shifts, including evenings and weekends

What we offer

Competitive hourly pay (with opportunities for progression)
28 days paid holiday per year (includes BH, pro rata for part time)
Flexible working hours to suit your lifestyle
Staff discount on our delicious food
Company pension scheme (where eligible)
Family Leave policies in place
Paid training and clear career progression pathway with linked pay increases
Supportive, inclusive, and fun team environment
Employee recognition opportunities

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BPO HC & Insurance Operations Associate

Job Description

Job Responsibility

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