Apply in 3 Minutes: Hc
8 hours ago
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 network providers deductible coinsurance co-pay out of pocket maximum inside limits and exclusions state variations Audit claims as outlined by Policies and Procedures Utilize appropriate system-generated reports applicable for specialty claims Document track findings per organizational guidelines for reporting purpose Based upon trends determine ongoing Claims Examiner training needs and develop implement training programs as approved by Senior Management Conduct in-depth research of contract issues system-related problems claims processing Policies and Procedures etc to confirm cause of trends Recommend actions resolutions to Senior Management Work with other organizational departments to develop corrective action plans to improve accuracy of the claims adjudication processes and assure compliance with organizational requirements and applicable regulations Assist in the development of Claims Department Policies and Procedures Attend organizational meetings as required Adhere to organizational Policies and Procedures Requirements 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional HCFA institutional UB claims optional Both under graduates and post graduates can apply Good communication Demonstrate strong reading comprehension and writing skills Able to work independently strong analytic skills Work Timings 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 weekend s basis business requirement
-
Chennai, Tamil Nadu, India NTT DATA Full timeENROLLMENT BILLING - GRADE 6 HC INSURANCE OPERATIONS ANALYST 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 professionally and personally...
-
Chennai, Tamil Nadu, India NTT DATA Full timeRole 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 process...
-
▷ High Salary: Hc
2 weeks ago
Chennai, Tamil Nadu, India NTT DATA Full timePROVIDER DATA MANAGEMENT - GRADE 5 HC INSURANCE OPERATIONS SENIOR 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 professionally...
-
Hc & Insurance Operations Associate
3 days ago
Coimbatore, Tamil Nadu, India NTT DATA Full timeNTT 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...
-
Hc & Insurance Operations Associate
3 days ago
Coimbatore, Tamil Nadu, India NTT DATA Full time**Req ID**: 281034 We are currently seeking a HC & Insurance Operations Associate to join our team in Coimbatore, Tamil Nādu (IN-TN), India (IN). **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...
-
(Apply in 3 Minutes) Senior Software Engineer
2 weeks ago
Chennai, Tamil Nadu, India Jobted IN C2 Full timeSitecore Developer - Digital Our business our culture One of the top 20 global general insurers and is recognised as Australia s largest international insurance and Reinsurance Company with operations in 37 countries around the world Seeking an experienced Digital Front-end lead to join our team This is a newly created role specialising with the Sitecore...
-
▷ [Apply in 3 Minutes] Lead
7 days ago
Chennai, Tamil Nadu, India HCLTech Full timeDesignation LEAD No of Positions 1 Skill Primary SAP APPS -SAP HANA-D D-SAP ABAP on HANA Job Family Development Posting About HCLTech HCLTech is a global technology company spread across 60 countries delivering industry-leading capabilities centered around digital engineering cloud and AI powered by a broad portfolio of technology services and products We...
-
(Apply Now) Hr Ops Admin
3 weeks ago
Coimbatore, Tamil Nadu, India Amazon Full timeDESCRIPTION Basic qualifications JOB DESCRIPTION - Maintain accurate headcount and other HR reports Engage with employees to ensure higher morale and productivity Proactive sensing of ER issues Grievance Handling HRIS Payroll Co-rdination with Recruitment and ERC Team Statutory Compliances Ensuring Contractors Agency HC and Compliances Graduate in any...
-
▷ Apply in 3 Minutes! Structural Engineer
6 days ago
Chennai, Tamil Nadu, India Adecco Full timeAbout Company A job opportunity is available for a Design Engineer with one of our clients who creates comprehensive Civil Structural and Engineering drawings along with essential documentation for construction-related activities An Ideal Candidate An Ideal candidate should perform Structural analysis and design for Telecommunication structures like Lattice...
-
▷ Apply in 3 Minutes! Project Manager 3
3 weeks ago
Chennai, Tamil Nadu, India Trimble Full timeCTCT Project Manager - Grade Control - Chennai You are responsible for coordinating scheduling and integrating work across GCA GCP product teams to deliver projects products using the outcome-based T5 process This should be accomplished by ensuring efficient execution in the current quarter as well as looking ahead at the backlog and ensuring that discovery...