Healthcare and Insurance Operations Senior Associate

HC & Insurance Operations Senior Rep.Contributes to own team/closely related teams by ensuring quality and accuracy of team output. Builds productive internal relationships at team lead or management level. Collaborates with others to achieve objectives and ensure information flow Provides operational support for activities associated with all phases of...

HC & Insurance Operations Senior Assoc. Role Responsibilities:In-depth knowledge and experience in the US healthcare (Non Voice) – Provider Data Validation and Provider Data management. Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling. Ensures day-day transactions are processed per...

HC & Insurance Operations Senior Assoc.In-depth knowledge and experience in the US healthcare (Non Voice) – Provider Data Validation and Provider Data management. Ability to train the team on new process and process updates. Calibrate with QA's to ensure process knowledge and variance are managed and under control. Ability to create Process SOP,...

HC & Insurance Operations Senior Rep. Position's General Duties and Tasks: In this role you will be responsible for: Life Claims:Processing Death Claims and identifying the right beneficiary(s) to provide the Claims benefit Setting up a claim and then following up for pending requirements (if any) Examining the received documents, payment...

Contributes to own team closely related teams by ensuring quality and accuracy of team output Builds productive internal relationships at team lead or management level Collaborates with others to achieve objectives and ensure information flow Provides operational support for activities associated with all phases of transaction processing Ensures accurate...

Contributes to own team/closely related teams by ensuring quality and accuracy of team output.Builds productive internal relationships at team lead or management level.Collaborates with others to achieve objectives and ensure information flowProvides operational support for activities associated with all phases of transaction processingEnsures accurate and...

Job Description 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...

Key Responsibilities:Oversee end-to-end insurance operations including claims submission, follow-ups, denials management, and reimbursements.Lead and manage the Accounts Receivable (AR) team to ensure timely collection and reconciliation of dues.Monitor KPIs such as DSO (Days Sales Outstanding), denial rates, claim rejection ratios, etc.Travel regularly to...

Roles and Responsibilities:2-3 years of experience in processing claims adjudication and adjustment processExperience in professional (HCFA) and institutional (UB) claimsKnowledge in handling authorization, COB, duplicate and pricing processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible,...

FULL JOB DESCRIPTIONSenior Operations Associate includes responsibilities like leading projects, optimizing processes, analyzing data to provide insights, collaborating with cross-functional teams, and providing mentorship to junior staff. This role typically requires strong analytical and communication skills, a passion for efficiency, and the ability to...