Hc & Insurance Operations Associate

2 weeks ago


Noida, India NTT DATA Full time

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 exclusions, state variations
- Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
- 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 performed by the team
- Resolving complex situations following pre-established guidelines

**Requirements**:

- 1-3 years of experience in processing claims adjudication and adjustment process
- Experience of Facets is an added advantage.
- 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

**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.



  • Noida, Uttar Pradesh, India NTT DATA Full time

    Req ID 289199NTT DATA Services 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 Noida Uttar Pradesh IN-UP India IN Roles and...


  • Noida, India NTT DATA Full time

    We are currently seeking a BPO Health Care and Insurance Operations Associate to join our team in Noida, Uttar Pradesh, India. In this Role you will be Responsible For - Review and process insurance claims. - Validate Member, Provider and other Claims information. - Determine accurate payment criteria for clearing pending claims based on defined Policy and...


  • Noida, Uttar Pradesh, India Newgen Full time ₹ 1,50,000 - ₹ 28,00,000 per year

    Position Sr. Executive/ Associate Manager Sales OperationsExperience- (3-5 year)Job Description: The candidate should have a strong background in Office 365 Word Excel Power Point Outlook automation. Coordinate within the CRM and HC COE Team members onshore and offshore to facilitate the data and help in monitoring.Job ResponsibilitiesMaintain and manage the...


  • Noida, India NTT DATA Full time

    In this Role you will be Responsible For - Review and process insurance claims. - Validate Member, Provider and other Claims 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 standards...


  • Noida, India Hashmap Full time

    In this Role you will be Responsible For - Review and process insurance claims. - Validate Member, Provider and other Claims 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 standards...


  • Noida, India Hashmap Full time

    **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...


  • Noida, India NTT DATA Full time

    **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...


  • Noida, Uttar Pradesh, India beBeeHealthcare Full time ₹ 8,00,000 - ₹ 15,00,000

    HC Insurance Operations Associate JobWe are seeking a professional to join our team in Noida, India.About the RoleThe successful candidate will be responsible for process adjudication claims and resolving for payment and denials. They should have knowledge of handling authorization, COB, duplicate, pricing, and corrected claims processes. The ideal candidate...


  • Noida, Uttar Pradesh, India Newgen Software Technologies Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    About Newgen Software: Newgen is the leading provider of a unified digital transformation platform with native process automation, content services, and communication management capabilities. GlobaAbout Newgen Software:Newgen is the leading provider of a unified digital transformation platform with native processautomation, content services, and...

  • Architect

    1 week ago


    Noida, India Infogain Full time

    ROLES & RESPONSIBILITIES - "12-14 years of Experience in Core Java, Databases along with experience in some or the other front end technology - Write high-quality code using the guidelines and effectively debug the code. - " - "architecture standards as well as...