Hc Insurance Operations Senior Rep

4 weeks ago

Coimbatore, India timesjobs Full time
Hc Insurance & Operations Senior Rep
Date: May 27, 2024
Location: Coimbatore, TN, IN
Company: NTT DATA Services
Position's Overview
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our companys growth, market presence, and our ability to help our clients stay a step ahead of the competition. 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, Inc. currently seeks an "HC & Insurance Operations Senior Rep" to join our team in Coimbatore/Chennai.
Client's Business Problem to Solve
For more than 30 years, our Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients that bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity, and strengthen cash flow to help our customers stay competitive and improve member satisfaction.
Position's General Duties and Tasks
In these roles you will be responsible for:

Performing actions based on the EOB, Insurance websites to collect outstanding Accounts Receivables.
Identify the outstanding claims with payers through the reports from clients and check website and imaging application with regard to outstanding claims and document the details in the client software for claims resolution.
Analyzing medical insurance claims for quality assurance
Resolving moderately routine questions following pre-established guidelines
Ensuring accurate and timely completion of transactions to meet or exceed client SLA
Performing routine research on customer inquiries.
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team
Identify the outstanding claims with payers through the reports from clients
Check EOB and Insurance websites with regard to outstanding claims
Coordinate with the team leader in following the processes

Requirements

Ability to work regularly scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST.
University degree or equivalent that required 3 years of formal studies.
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.

Preferences

Ability to communicate (oral/written) effectively to exchange information with our client.

Note: The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends based on business requirements.
All new hires will be required to successfully complete our Orientation/Process training classes and demonstrate proficiency of the material.
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