Hc & Insurance Operations Associate

5 days 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.
- 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.
- 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.

**Required Skills**:

- 1 to 3 years of experience in US healthcare working with Provider Data Enrollment and Management.
- Ability to work regularly scheduled shifts from Monday-Friday 20:30pm to 5:30am IST.
- Work from Office
- No transport facility (Own transport)
- University degree or equivalent that required 3+ years of formal studies.
- Ability to work in a team environment.
- Good logical thinking ability.
- Good English Comprehension/written skills should have exposure to MS Office.
- Good Communication Skills - Both Verbal and Written
- Ability to interact with clients preferred.

**Required schedule availability for this position is Monday-Friday 8:30PM/5:30AM IST 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.

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