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At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. NTT DATA Services currently seeks a “HC & Insurance Operations Senior Assoc.” to join our team in “CHENNAI”.
Job Responsibility
Process and review Provider Data Management and Provider Data Enrollment Resources to the Client main application
Train the team on new process and process updates
Calibrate with QA’s to ensure process knowledge and variance are managed
Create Process SOP, Process Map and identify outliers
Review Discrepancy report and comments, identify gaps and share with TL
Identify NVA and provide suggestion for automation opportunities
Lead teams to manage day to day inventory
Monitor QA scores of production resources and perform reviews
Floor support to operations and 1st point of escalation
Identify refresher/re-trainable topics, conduct assessments, and certify staff
Drive team in case of leadership unavailability
Coordinate with quality team to identify root cause and provide solutions
Ensure day-day transactions are processed per standard operating procedures
Follow work process flow to ensure pends completed and maintain quality and timeliness
Check Contract information in Payment Index
Read and understand provider contract
Handle paid claims and recouped claims
Handle claims rejections
Work in claims denial management
End to End provider billing process knowledge
Working knowledge in EDI rejection claims
Handle patient and provider demographic changes
Requirements
3+ years of experience in US healthcare working with Provider Data Management
Ability to work regularly scheduled shifts from Monday-Friday 20:30pm to 5:30am IST
University degree or equivalent that required 3+ years of formal studies
Ability to work in a team environment
Good logical thinking ability
Good English Comprehension/written skills should have exposure to MS Office
Good Communication Skills – Both Verbal and Written
Ability to interact with clients preferred
Own Transport
Nice to have
Ability to interact with clients preferred
Knowledge in Amisys and Cenprov application preferred