HC Insurance Operations Associate
1 month ago
Date:
Aug 1, 2024
Location:
Chennai, TN, IN
Company:
NTT DATA Services
Roles and Responsibilities:
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
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 undergraduates and postgraduates can apply
Good communication (Demonstrate strong reading comprehension and writing skills)
Able to work independently, strong analytic skills
Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.
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