HC & Insurance Ops Senior Analyst

5 days ago

Chennai, Tamil Nadu, India NTT DATA Full time ₹ 12,00,000 - ₹ 36,00,000 per year

ENROLLMENT & BILLING - GRADE 7

HC & Insurance Ops Senior Analyst

Position Overview:

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA Services currently seeks a "HC & Insurance Ops Senior Analyst" to join our team in "CHENNAI."

Position General Duties:

Eligibility & Accounting representatives to assist Centene with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB.

Role Responsibilities:

  • In-depth knowledge and experience in the US healthcare (Non Voice) - Membership enrollment and billing.
  • 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, Process Map and identifying the outlier within process.
  • Review Discrepancy report and comments, identify gaps and share with TL.
  • Identify NVA and provide suggestion for automation opportunities.
  • Identify refresher/re-trainable topics, conduct assessments, and certify staff to move to different levels of production.
  • Drive team from the front in case of leadership unavailability.
  • Need to co-ordinate with quality team to identify the root cause and provide appropriate solution to overcome errors.
  • Oversee data integrity of member enrollment records and remittance files transmitted from the state.
  • Provide timely, efficient support for the eligibility load process while coordinating with corporate IS department to resolve issues that arise during the process.
  • Provide research to correct errors in membership and Primary Care Physician data output within the provider information system.
  • Research information on members/subscribers to resolve problems and disputes.
  • Maintains quality and production standards as outlined by government regulations and department policies & procedures.
  • Completion of volumes in queue within specified Turn Around Time.
  • Ability to meet their required production and Quality target.
  • Setting productivity /Quality benchmark
  • Handles internal and external inquiries concerning billing, enrollment of member or subscriber.

Required Skills:

  • 5+ years of experience in US healthcare working with Enrollment and Billing process.
  • Ability to work regularly scheduled shifts from Monday-Friday 17:30pm to 3:30am IST.
  • 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 is preferred.

**Required schedule availability for this position is Monday-Friday 6PM/4AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on wend's basis business requirement.

  • HC & Insurance Operations Senior Assoc

    3 days ago

    Chennai, Tamil Nadu, India NTT DATA North America Full time

     PROVIDER DATA MANAGEMENT - GRADE 5 HC & Insurance Operations Senior Assoc.Position Overview:At NTT DATA, we know that with the right people on board, anything is possible.  The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence.  By hiring the best people and helping them grow both...

  • hc & insurance operations senior assoc

    7 days ago

    Chennai, Tamil Nadu, India NTT DATA North America Full time ₹ 40,00,000 - ₹ 80,00,000 per year

    Eligibility & Accounting representatives to assist client partner with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB.ENROLLMENT & BILLING - GRADE 5HC & INSURANCE OPERATIONS SENIOR ASSOCPosition Overview:At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees...

  • hc & insurance operations senior assoc

    3 days ago

    Chennai, Tamil Nadu, India NTT DATA North America Full time

    Eligibility & Accounting representatives to assist client partner with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB. ENROLLMENT & BILLING - GRADE 5 HC & INSURANCE OPERATIONS SENIOR ASSOCPosition Overview:At NTT DATA, we know that with the right people on board, anything is possible.  The quality, integrity, and commitment of our...

  • Senior Medical Coder

    5 days ago

    Chennai, Tamil Nadu, India HC Intellect Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Company DescriptionHC Intellect is a leading provider of Revenue Cycle Management (RCM) services, empowering US healthcare organizations with comprehensive solutions in medical billing, coding, claims management, and patient engagement. Our mission is to streamline financial operations, enhance compliance, and drive sustainable growth for healthcare...

  • Sr Ops Analyst- Operations Analyst- Tamil Nadu

    2 weeks ago

    Chennai, Tamil Nadu, India Photon Group Full time ₹ 40,00,000 - ₹ 80,00,000 per year

    DescriptionDuties & Responsibilities The Sr Ops Analyst will take on a high-impact role within an innovative organization providing its clients and consumers affordable healthcare services. Take your career to the next level by helping drive the continued delivery of exceptional healthcare services.   In this key position, you will be responsible for...

  • Ops Support Analyst I, IRT

    1 week ago

    Chennai, Tamil Nadu, India ICON plc Full time US$ 2,00,000 - US$ 6,00,000 per year

    Ops Support Analyst I, IRT (Customer Service with Voice Process) - Chennai/TrivandrumICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development.We are currently...

  • Ops Support Analyst I, IRT

    2 weeks ago

    Chennai, Tamil Nadu, India ICON plc Full time US$ 2,50,000 - US$ 5,00,000 per year

    Ops Support Analyst I, IRT (Customer Service with Voice Process) - Chennai/TrivandrumICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical developmentWe are currently...

  • Ops Support Analyst I, IRT

    1 day ago

    Chennai, Tamil Nadu, India ICON plc Full time

    Ops Support Analyst I, IRT (Customer Service with Voice Support) _ ChennaiICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical developmentWe are currently seeking an...

  • HC & Insurance Operations Senior Rep

    1 day ago

    Chennai, Tamil Nadu, India NTT DATA Full time

    Analyze the insurance request received from the customer and process as per standard operating procedures. Provides basic-level of support on programs, projects, reporting, filing (electronic and hard-copy), confidential materials handling, and issue resolution. Candidate should be fresher with excellent analytical skills. Would be helpful, Candidate with...

  • Ops Sup Analyst

    2 weeks ago

    Chennai, Tamil Nadu, India Citi Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Discover your future at CitiWorking at Citi is far more than just a job. A career with us means joining a team of more than 230,000 dedicated people from around the globe. At Citi, you'll have the opportunity to grow your career, give back to your community and make a real impact.Job OverviewThe Ops Sup Analyst 1 is responsible for providing operations...