Hc & Insurance Operations Associate

**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...

**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 - Aware of Medicare enrollment policies - 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...

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...

Demonstrates knowledge of internal operations and develops relationships to facilitate workflow. - Applies specialized knowledge of Human anatomy & common scientific terminologies to co-ordinate day to day work - Knowledge of related regulations and standards. - Strong understanding of current processes and procedures and may identify opportunities for...

Should follow the policy and procedure which is defined by the customer. Secure the PHI information. - Established working - Demonstrates knowledge of internal operations and develops relationships to facilitate workflow. - Applies specialized knowledge of Human anatomy & common scientific terminologies to co-ordinate day to day work - Knowledge of related...

**In this Role you will be Responsible For** - Processing member enrollment and change forms, including data entry - Aware of Medicare enrollment policies - 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...

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...

Company **:KPN Farm fresh** Retail store operations - unloading, stacking, - replenishment, - shelf management, - customer service, billing All inside store activities need to be done weekly 1 off except Saturday - Sunday WORK TIMINGS : 5-11 AM & 4-10PM SALARY OFFERED : 12K NET TAKE HOME (WITH FOOD & ACCOMMODATION BY KPN FARM FRESH) Pay: ₹12,000.00 -...

Job Role:Purpose of the role:To contribute to the achievement of HCL goals by supporting the objectives and goals of the Business Change teamTo work with existing and new clients to demonstrate expertise and promote HCL to a high standard.To produce high quality documentation meeting company standards for issuing to and approval by internal and external...

Job Description 1) Handling Claims2) Payer Vertical knowledge Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal Services Mexico Read more Apply from local Career site Back to search results

Job Description 1) Handling Claims 2) Payer Vertical knowledge Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal Services Mexico Read more Apply from local Career site Back to search...

Job Description 1. Having experience in claims adjudication2. Appeals & Adjustment process knowledge is mandatory3. Minimum 3+ yrs of experience is needed Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra Peralta Legal...

Job Description 1. Having experience in claims adjudication 2. Appeals & Adjustment process knowledge is mandatory 3. Minimum 3+ yrs of experience is needed Apply from local Career site Listen to the story of Employee Voice Vijay Bhambri Operations Manager India Read more Alex Gruber Sales Executive United States Read more Alejandra...

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 competition. By hiring the best people and helping them grow both professionally and personally, we ensure...