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HC Insurance Operations Senior Assoc

3 months ago

Chennai, Tamil Nadu, India timesjobs Full time
## HC & Insurance Operations Senior Assoc.

Date: Aug 2, 2024

Location: Chennai, TN, IN

Company: NTT DATA Services

### Role Responsibilities:

  • Indepth knowledge and experience in the US healthcare (Non Voice) Provider Data Validation and Provider Data management.
  • Candidate should have more than 1 years and above experience in US healthcare and into provider enrollment and credentialling.
  • Ensures dayday transactions are processed per standard operating procedures.
  • Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards.
  • Knowledge in Amisys and Cenprov application are preferred.
  • Product knowledge in checking affiliation for Medicaid, Medicare and Exchange.
  • Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc.
  • Ability to read and understand the provider contract.
  • Handling Paid claims and recouped claims.
  • Claims Rejections handling.
  • Working in claims denial management.
  • Knowledge about End to End provider billing process.
  • Working knowledge in EDI rejection claims
  • Handing Patient and provider demographic changes.
### Required Skills:

  • 3 to 5 years of experience in US healthcare working with Provider Data Enrollment and Management.
  • Ability to work regularly scheduled shifts from Monday-Friday 20:30pm to 5:30am IST.
  • Work from Office.
  • No transport facility (Own transport).
  • 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.
**Required schedule availability for this position is Monday-Friday 8:30PM/5:30AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.