HC & Insurance Operations Associate
Published date: 2024/01/10
- Location: Ahemdabad , Ahemdabad , India
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HC & Insurance Operations Associate
NTT DATA Business Solutions Private Limited
4.0
(4680 Reviews)
147 applicants
Posted 11d ago
Job detailsAbout companyReviewsBenefitsSalaries
Job highlights
. **Required schedule availability for this position is Monday-Friday 5PM / 3AM IST (AR SHIFT)
The shift timings can be changed as per client requirements
1 - 3 Years
Not mentioned
Not disclosed
Chennai
Must have key skills
Insurance Operations
Other key skills
claims processing,HCFA,products services
Job description
What you’ll do
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 exclusions, state variations
Ensuring 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
Company logo
HC & Insurance Operations Associate
NTT DATA Business Solutions Private Limited
4.0
(4680 Reviews)
147 applicants
Posted 11d ago
Job detailsAbout companyReviewsBenefitsSalaries
Job highlights
. **Required schedule availability for this position is Monday-Friday 5PM / 3AM IST (AR SHIFT)
The shift timings can be changed as per client requirements
1 - 3 Years
Not mentioned
Not disclosed
Chennai
Must have key skills
Insurance Operations
Other key skills
claims processing,HCFA,products services
Job description
What you’ll do
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 exclusions, state variations
Ensuring 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
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