Spe-claims Hc

Job SummaryWe are seeking a skilled professional with 2 to 4 years of experience in Claims Adjudication for the role of SPE-Claims HC. The ideal candidate will work from our office during night shifts focusing on ensuring accurate and efficient claims processing. Experience in Commercial Claims is a plus contributing to the enhancement of our claims...

**Job Summary** **Responsibilities** - Oversee the claims processing workflow to ensure timely and accurate handling of healthcare claims. - Collaborate with team members to resolve complex issues related to commercial insurance enrollment. - Analyze Medicare enrollment data to identify trends and improve service delivery. - Provide expert guidance on...

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...

**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...

Req ID 288996NTT 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 Coimbatore Tamil N xc4 x81du IN-TN India IN Roles...

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...

**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...

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...

**In these roles you will** **be responsible for**: - Review and process insurance claims. - Validate Member, Provider and other Claim's 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...

NTT Data Services is Hiring! 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...