Healthcare and Insurance Operations Senior Representative

HC & Insurance Operations Senior Rep. 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...

Job Summary:We are looking for energetic and detail-oriented Healthcare Associates to join our US Healthcare Voice Process team. The ideal candidate should have excellent communication skills, a passion for customer service, and a basic understanding of the US healthcare system. You will be responsible for handling inbound and outbound calls, verifying...

About the Role:The Operations Director will be responsible for overseeing and driving the end-to-end operational performance of the healthcare division. This role ensures smooth delivery of healthcare services, process optimization, compliance with healthcare regulations, and achievement of business objectives. The ideal candidate should have extensive...

Job Summary:We are seeking a highly motivated and experienced Healthcare Manager to lead and manage teams handling Voice-based patient/provider support and Accounts Receivable (AR) follow-up processes. The ideal candidate will have strong expertise in US healthcare RCM, excellent leadership skills, and a proven track record in driving operational excellence...

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...

Job Summary:The AVP – Healthcare Operations will be responsible for leading and managing the overall healthcare operations, ensuring efficiency, compliance, and service excellence across multiple client accounts. The role involves strategic planning, operational governance, performance optimization, client relationship management, and leadership...

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...

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...

HC & Insurance Operations Associate In this Role you will be Responsible For : Read and understand the process documents provided by the customer. Analyse the insurance request received from the customer and process as per standard operating procedures. Familiarize, navigate multiple client applications and capture the necessary information to...

JD for Medical Representative Key responsibilities include: • Organising appointments and meetings with community- and hospital- based healthcare staff. • Liaising with Doctors and explain them the benefits of our branded medicines. • Identifying and establishing new business. • Negotiating contracts. • Demonstrating or presenting products to...