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HC & Insurance Operations Assoc.

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Date: Jun 5, 2022

Location: Noida, UP, IN

Company: NTT DATA Services

In this Role you will be Responsible For

Review & Processes Healthcare payer claims including HCFA & UB forms.
Validate Member, Provider and other Claims information. 
Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. 
Coordination of Claim Benefits based on the Policy & Procedure. 
Maintain productivity goals, quality standards and aging timeframes. 
Scrutinizing Medical Claim Documents and settlements. 
Organizing and completing tasks per assigned priorities. 
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the tea 
Resolving complex situations following pre-established guidelines

Requirements for this role include:

University degree or equivalent that required formal studies of the English language and basic Math
3+ Year of experience where you had to apply business rules to varying fact situations and make appropriate decisions
3+ Year of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
3+ Year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
3+ Year of experience that required prioritizing your workload to meet deadlines


Job Segment: Data Entry, Administrative