HC & Insurance Operations Associate
NTT Data Vertex Software Inc.
- 1 to 3 yrs
- As per Industry Standards
- location_on Chennai (Tamil Nadu)
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JOB DESCRIPTION
HC & Insurance Operations AssociateDate: Jul 12, 2024
Location: Chennai, TN, IN
Company: NTT DATA Services
- 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
- Requirements:
- 1-3 years of experience in processing claims adjudication and adjustment process
- Experience of Facets is an added advantage.
- Experience in professional (HCFA), institutional (UB) claims (optional)
- Both under graduates and post graduates can apply
- Good communication (Demonstrate strong reading comprehension and writing skills)
- Able to work independently, strong analytic skills
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- Banks/Insurance/Financial Services
- Software Services, Internet/Dot com/ISP
- Other Banking/Insurance
- Any Graduate
- Full Time
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KEY SKILLS
** claims adjudication, healthcare insurance, authorization handling, client slas, reading comprehension, **insurance policy, insurance operations.Stay Connected and Subscribe to fresherjobsworld.com to get Latest Job updates from fresherjobsworld.com.
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