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Operations Processing Senior Rep

3 months ago


Coimbatore, Tamil Nadu, India NTT DATA Full time

Job Description

Position's Responsibilities

  • Carry out tasks based on the EOB and Insurance portals to recover outstanding Accounts Receivables.
  • Identify outstanding claims with payers by examining client reports and checking websites and imaging applications for outstanding claims, documenting details in client software for resolution.
  • Analyze medical insurance claims to ensure quality assurance.
  • Resolve routine queries following established guidelines.
  • Ensure accurate and timely transaction completion to meet client SLA requirements.
  • Conduct basic research on customer inquiries.
  • Develop a comprehensive understanding of the healthcare insurance industry, products, services, and team processes.
  • Identify outstanding claims with payers using client reports.
  • Review EOB and Insurance websites for outstanding claims.
  • Collaborate with the team leader to adhere to processes.

Requirements for this role:

  • Available for shifts from Monday to Friday, 7:30 AM to 5:30 PM IST.
  • University degree or equivalent with at least 3 years of formal studies.
  • 1+ year(s) of experience using Windows PC applications, including keyboard use, screen navigation, and learning new software tools.

Preferences:

  • Effective communication skills (oral/written) to interact with clients.
  • *** Shift timings may be adjusted based on client needs. Overtime and weekend work may be required as per business demands.
  • *** All new hires must complete our Orientation/Process training classes successfully and demonstrate proficiency in the content.