Hc & Insurance Operations Associate

**ENROLLMENT & BILLING - GRADE 4** **HC & INSURANCE OPERATIONS ASSOCIATE** **Position Overview**: At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both...

NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **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 company's growth, market presence and our ability to help our clients stay a step ahead of the...

NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep **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 company’s growth, market presence and our ability to help our clients stay a step ahead of the...

**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...

**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...

**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...

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...

**Position's General Duties and Tasks** **In these roles you will** **be responsible for**: - Review and process insurance claims. - Validate Member, Provider and other Claim's information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy &...

**Roles and Responsibilities**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (Optional) - Knowledge in handling authorization, COB, duplicate process - Knowledge of healthcare insurance policy concepts including in network, out of network providers,...

**In these roles you will be responsible for**: - Ensuring accurate and timely completion of transactions to meet our or client service deliverables - 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...

**In this Role you will be Responsible For** - Processing member enrollment and change forms, including data entry - Verifying proper completion of enrollment and change documentation. - Requesting and verifying information as needed to expedite enrollment. - Ensuring accurate and timely completion of transactions to meet or exceed client SLAs. - Processing...

" - 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. Skills Required - Ability to analyze and process transactions based on rules. - Able to integrate knowledge as a skilled specialist. - Possess...

In this Role you will be Responsible For : Read and understand the process documents provided by the customer.Analyse the insurance request received from the customer and process as per standard operating procedures.Familiarize, navigate multiple client applications and capture the necessary information to process customer request.Clearing the enquiry from...

**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...

**Position's General Duties and Tasks** **In these roles you will **be responsible for**: - Review and process insurance claims. - Validate Member, Provider and other Claim’s information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy &...

In this Role you will be Responsible ForProcessing member enrollment and change forms, including data entry Verifying proper completion of enrollment and change documentation. Requesting and verifying information as needed to expedite enrollment. Verifying payments, process adjustments, refunds and perform reconciliation of accounts Ensuring accurate and...

In these roles you will be responsible for: - Review and process insurance claims. - Validate Member, Provider and other Claim’s information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. - Coordination of Claim Benefits based on the Policy & Procedure. - Maintain productivity goals, quality...

Position's General Duties and TasksIn these roles you will be responsible for: Performing actions based on the EOB, Insurance wesbites 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...

Customer Care & Service Development Associate Function: Filed Work / Inspection Officer Salary : 8000 TO 12000 Direct Field Visit & Welcome Customer & Increase Appoinments Selected the Area Approach the Customer on Time Visit Customer Place **Job Types**: Full-time, Part-time, Permanent, Fresher, Internship, Temporary, Freelance, Volunteer Contract...

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