Hc & Insurance Operations Senior Assoc

4 days ago

Chennai Tamil Nadu, India NTT DATA Full time

In-depth knowledge and experience in the US healthcare Non Voice - Provider Data Validation and Provider Data management Ability to train the team on new process and process updates Calibrate with QA s to ensure process knowledge and variance are managed and under control Ability to create Process SOP Process Map and identifying the outlier within process Review Discrepancy report and comments identify gaps and share with TL Identify NVA and provide suggestion for automation opportunities Leads teams to manage day to day inventory Monitors QA scores of production resources and performs reviews to improve overall performance Floor support to operations and 1st point of level of escalation to client in process inventory and performance metrics Identify refresher re-trainable topics conduct assessments and certify staff to move to different levels of production Drive team from the front in case of leadership unavailability Need to co-ordinate with quality team to identify the root cause and provide appropriate solution to overcome errors Ensures day-day 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

  • Hc & Insurance Operations Associate

    3 days ago

    Chennai, Tamil Nadu, India NTT DATA Full time

    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...

  • Hc & Insurance Operations Senior Rep

    1 week ago

    Chennai, Tamil Nadu, India NTT DATA Full time

    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 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...

  • Hc & Insurance Operations Associate

    3 days ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    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...

  • Hc & Insurance Operations Associate

    5 days ago

    Chennai, Tamil Nadu, India NTT DATA Full time

    **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 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...

  • Hc & Insurance Operations Associate

    3 days ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    HC & Insurance Operations Roles and Responsibilities: - 2-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA) and institutional (UB) claims - Knowledge in handling authorization, COB, duplicate and pricing process - Knowledge of healthcare insurance policy concepts including in network, out of...

  • Hc & Insurance Operations Associate

    2 weeks ago

    Chennai, India Hashmap Full time

    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...

  • Hc & Insurance Operations Associate

    3 days ago

    Coimbatore, Tamil Nadu, India NTT DATA Full time

    **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 competition. By hiring, the best people and helping them grow both professionally...

  • Hc & Insurance Operations Associate

    3 days ago

    Chennai, India NTT DATA Full time

    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...

  • Hc & Insurance Operations Associate

    2 weeks ago

    Chennai, India NTT DATA Full time

    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...

  • Hc & Insurance Operations Senior Assoc

    1 week ago

    Chennai, Tamil Nadu, India NTT DATA Full time

    Role Responsibilities In-depth knowledge and experience in the US healthcare Non Voice - Provider Data Validation and Provider Data management Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling Ensures day-day transactions are processed per standard operating procedures Follows Work...