Share this Job

HC & Insurance Operations Associate

Apply now »

Date: Nov 2, 2022

Location: chennai, TN, IN

Company: NTT DATA Services

Job Role

Domain

Job Description

Years of Experience

HC & Insurance Operations Associate
Grade 4

BPO

Roles and Responsibilities:

  • 1-3 years of experience in processing claims adjudication and adjustment process
  • Experience in professional (HCFA), institutional (UB) claims (Optional)
  • Knowledge in handling authorization, COB, duplicate 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
  • Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims.
  • Assist in the development of Claims Department Policies and Procedures.
  • Attend organizational meetings as required
  • Adhere to organizational Policies and Procedures.

 

 

Requirements:

  • Both under graduates and post graduates can apply
  • Good communication (verbal and written)
  • Able to work independently, strong analytic skills

 

Work Timings:
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.

1-3 years