HC & Insurance Operations Associate

5 months ago


Chennai, India NTT DATA Full time

Job Description

Roles and Responsibilities:

Process Adjudication claims and resolve for payment and Denials.Knowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge 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 variationsEnsuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines

Requirements:

1-3 years of experience in processing claims adjudication and adjustment processExperience of Facets is an added advantage.Experience in professional (HCFA), institutional (UB) claims (optional)Both under graduates and post graduates can applyGood communication (Demonstrate strong reading comprehension and writing skills)Able to work independently, strong analytic skills

**Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). 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.

Apply from local Career site

Listen to the story of Employee Voice

Samantha Fortney

Life Sciences Account Executive

United States

Read more

Barkha Setia

GBSS Training Manager

India

Read more

Phillip Leamon

Sales Executive

United States

Read more

Apply from local Career site Back to search results

  • Chennai, India Hashmap Full time

    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...


  • Chennai, Tamil Nadu, India NTT DATA Full time

    Job Title: HC & Insurance Operations Senior AssociateJob SummaryWe are seeking a skilled HC & Insurance Operations Senior Associate to join our team at NTT DATA. As a key member of our operations team, you will be responsible for assisting eligibility representatives with validating and maintaining member details across various lines of business (LOBs). This...


  • Chennai, Tamil Nadu, India NTT DATA Services Full time

    Job Title: Senior Associate for HC & Insurance OperationsAbout the Role: We are seeking a skilled Senior Associate to join our HC & Insurance Operations team. The ideal candidate will have 3+ years of experience in US healthcare and will be responsible for validating and maintaining member details across various LOBs (Medicaid, Medicare, Commercial).Key...


  • Chennai, Tamil Nadu, India NTT DATA Full time

    **ENROLLMENT & BILLING - GRADE 4** **HC & INSURANCE OPERATIONS ASSOCIATE** **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...


  • Chennai, India Hashmap Full time

    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...


  • Chennai, Tamil Nadu, India NTT DATA Full time

    **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...


  • Chennai, India NTT DATA Full time

    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...


  • Chennai, India NTT DATA Services Full time

    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...


  • Chennai, India NTT DATA Full time

    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...


  • Chennai, Tamil Nadu, India Hashmap Full time

    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...


  • Chennai, India NTT DATA Services Full time

    • 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 process customer request. • Clearing the enquiry from the team and address it...


  • Chennai, Tamil Nadu, India NTT DATA Full time

    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. - 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.


  • Chennai, India Hashmap Full time

    In 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 process as per...


  • Chennai, India NTT DATA Full time

    **In 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 process as per...


  • Chennai, Tamil Nadu, India NTT DATA Full time

    **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. **Requirements for this role include**: - Should have typing knowledge. - Type speed should be minimum 21 WPM - Ready to work in...


  • Chennai, Tamil Nadu, India Hashmap Full time

    Position's General Duties and Tasks **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. **Requirements for this role include**: - Should have typing knowledge. - Type speed should be...


  • Chennai, India Hashmap Full time

    **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 inside limits...


  • Chennai, India NTT DATA Full time

    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 inside limits and...


  • Chennai, Tamil Nadu, India NTT DATA Full time

    **In this Role you will be Responsible For**: - Analyse the insurance request received from the customer and process as per standard operating procedures. - Ensuring accurate and timely completion of transactions to meet or exceed client SLAs - Organizing and completing tasks according to assigned priorities. **Requirements for this role include**: -...


  • Chennai, India Hashmap Full time

    Assists in preparing SOP for new process. Utilizes best practice processes around work assignments, project management, and quality of output while maximizing overall team performance. Ensures accurate and timely processing of transactions to meet or exceed client service level agreements. Identifies and resolves issues around nonstandard pending...