HC Insurance Operations Specialist

Job Title: HC & Insurance Operations Senior RepresentativeWe are seeking a highly skilled and experienced individual to fill the role of HC & Insurance Operations Senior Representative. This is an exciting opportunity for someone who is passionate about delivering exceptional results and making a meaningful contribution to our organization.Key...

Req ID: NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a HC&Insurance Operations Associate to join our team in Chennai, Tamil Nādu (IN-TN), India (IN)."""• Checks for completeness...

Job DescriptionReq ID:329975NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a HC&Insurance Operations Associate to join our team in Chennai, Tamil Ndu (IN-TN), India (IN).. Checks for...

**Job Summary:**We are seeking a highly skilled HC & Insurance Operations Associate to join our team.**Key Responsibilities:Process insurance claims in accordance with company policies and procedures.Review medical documents, policy documents, and system notes to make informed claims decisions.Stay up-to-date on new policies, processes, and procedures...

Job DescriptionChecks 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.-...

In this Role you will be Responsible For - Read and understand the process documents provided by the customer - Analyze the insurance claims and process as per standard operating procedures - To understand and calculate COB - Coordination of Benefit the patients responsibility and perform insurance calculations - Familiarize navigate multiple client...

Job DescriptionIn this Role you will be Responsible For :- Read and understand the process documents provided by the customer.- Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities).- Analyze the insurance request received from the customer and...

Positions General Duties and Tasks Process Insurance Claims timely and qualitatively Meet Exceed Production Productivity and Quality goals Review medical documents policy documents policy history Claims history system notes and apply the trained client level business rules to make appropriate Claims decisions call out claims trends and flag...

Positions General Duties and Tasks:Process Insurance Claims timely and qualitativelyMeet & Exceed Production, Productivity and Quality goalsReview medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud...

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 ...