Healthcare & Insurance Operations Associate Job at NTT DATA (Chennai)

Healthcare & Insurance Operations Associate

The Healthcare & Insurance Operations Associate role involves processing adjudic...

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

Healthcare & 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

Healthcare & Insurance Operations Associate

The Healthcare & Insurance Operations Associate role involves processing adjudic...

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

Fulltime

Healthcare and insurance operations associate

The Healthcare and Insurance Operations Associate is responsible for ensuring da...

Location

Philippines , Manila

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in a related field
Strong analytical skills
Strong domain knowledge in Healthcare and Insurance domain
Ability to analyze and process transactions based on rules
Strong problem-solving abilities
Attention to detail

Job Responsibility

Ensure data integrity and accuracy within the healthcare and insurance sectors
Process transactions
Resolve issues
Check for completeness and appropriateness of source data
Involved in fact finding, information search and data gathering
Verify and compile data
Identify and resolve routine and recurring problems

Healthcare and Insurance Operations Associate

The Healthcare and Insurance Operations Associate is responsible for ensuring da...

Location

Philippines , Manila

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Minimum of 2 years of experience in a related field
Strong analytical skills
Strong domain knowledge in Healthcare and Insurance domain
Ability to analyze and process transactions based on rules
Strong problem-solving abilities
Attention to detail

Job Responsibility

Checks for completeness and appropriateness of source data
Involved in fact finding, information search and data gathering
Verifies and compiles data
Identifies and resolves routine and recurring problems
Ensure data integrity and accuracy within the healthcare and insurance sectors
Process transactions and resolve issues

New

Hc & Insurance Operations Associate

Process Adjudication claims and resolve for payment and Denials. Knowledge in ha...

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

Fulltime

Hc & Insurance Operations Associate

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 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

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Healthcare & Insurance Operations Associate

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