HC&Insurance Operations Associate

**Job Summary:**We are seeking a highly skilled HC & Insurance Operations Associate to join our team.**Key Responsibilities:Process insurance claims in accordance with company policies and procedures.Review medical documents, policy documents, and system notes to make informed claims decisions.Stay up-to-date on new policies, processes, and procedures...

Job DescriptionChecks for completeness and appropriateness of source data.- Involved in fact finding, information search and data gathering.- Verifies and compiles data. Identifies and resolves routine and recurring problems.Skills Required- Ability to analyze and process transactions based on rules.- Able to integrate knowledge as a skilled specialist.-...

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: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,...

Job DescriptionPositions 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...

Job DescriptionIn this Role you will be Responsible For :- Read and understand the process documents provided by the customer.- Entry-level administrative operations support performing various basic tasks (mail, file services, reporting, project support, and general account support activities).- Analyze the insurance request received from the customer and...

Job DescriptionRoles 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...

Be thoroughly familiar with the day-to-day activities of the Billing process Show the zeal and drive to learn take initiative in equipping one-self through induction client specific training Actively participate in all educational training activities like Refresher training on billing and compliance Should know and understand patient enrollment ...

Job Description- Be thoroughly familiar with the day-to-day activities of the Billing process.- Show the zeal and drive to learn, take initiative in equipping one-self through induction & client specific training.- Actively participate in all educational & training activities like Refresher training on billing and compliance.- Should know and understand...

Job Title: Senior Manager - Claims (Employee Benefits)Department: Claims & OperationsReports to: Head - Claims/OperationsJob Summary:The Senior Manager - Claims will be responsible for leading and overseeing the Employee Benefits (EB) claims team, ensuring smooth and efficient claims processing across cashless and reimbursement cases. The role requires...