Jobs
>
Coimbatore

    HC & Insurance Operations Associate - Coimbatore, India - NTT DATA

    NTT DATA
    NTT Data background
    Description

    Job Description

    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
  • **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

    Barkha Setia

    GBSS Training Manager

    India

    Read more

    Phillip Leamon

    Sales Executive

    United States

    Read more

    Vijay Bhambri

    Operations Manager

    India

    Read more

    Apply from local Career site Back to search results


  • NTT DATA Coimbatore, Tamil Nadu, India

    NTT Data Services is Hiring · Position's Overview · 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 ...


  • NTT DATA Coimbatore, Tamil Nadu, India

    Provides front-line supervision to an operational team of 25 or more employees Supervised team typically responsible for manging US healthcare Payer claims adjudication process May assign work to direct reports. Makes hiring, firing, promotion, and disciplinary recommendations. L ...


  • NTT DATA Services coimbatore, India

    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 p ...


  • NTT DATA Coimbatore, Tamil Nadu, India

    **In these roles you will be responsible for**: - Ensuring accurate and timely completion of transactions to meet our or client service deliverables - Organizing and completing tasks according to assigned priorities - Developing and maintaining a solid working knowledge of the he ...


  • Solaris Technologies Services Pvt Ltd Coimbatore, Tamil Nadu, India

    **Walk in Drive - 21st June Friday.** · We are currently hiring freshers from 2021, 2022 & 2023 passed outs UG /PG with any specialization. · Job Description: To work in a non-voice KPO production environment catering to the needs of client process requirements. · Requirements: E ...


  • NTT DATA Coimbatore, Tamil Nadu, India

    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 ...


  • NTT DATA Coimbatore, Tamil Nadu, India

    We are currently seeking a HC & Insurance Operations Associate to join our team in Coimbatore, Tamil Nadu, India. · In this Role you will be Responsible For · - Review and process insurance claims. · - Validate Member, Provider and other Claims information. · - Determine accurate ...


  • NTT DATA Coimbatore, Tamil Nadu, India

    **Req ID**: 281034 · We are currently seeking a HC & Insurance Operations Associate to join our team in Coimbatore, Tamil Nādu (IN-TN), India (IN). · **Roles and Responsibilities**: · - Process Adjudication claims and resolve for payment and Denials · - Knowledge in handling auth ...


  • NTT DATA coimbatore, India

    Job Description · 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 netwo ...


  • NTT DATA Coimbatore, Tamil Nadu, India

    **In this Role you will be Responsible For** · - Processing member enrollment and change forms, including data entry · - Verifying proper completion of enrollment and change documentation. · - Requesting and verifying information as needed to expedite enrollment. · - Verifying pa ...


  • NTT DATA Coimbatore, Tamil Nadu, India

    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, coinsura ...

  • v3 Engineers

    CNC Turner Setter

    4 weeks ago


    v3 Engineers Coimbatore, India

    programming and set up CNC to complete new product/different functions · - change the tooling of the CNC machine · - observe machine operation to verify accuracy of machine settings and to detect malfunctions or out-of-tolerance machining, using precision measuring instruments su ...


  • Avantor Coimbatore, Tamil Nadu, India

    **Job Summary**: Intermediate level position; answers routine questions and issues from external or internal customers. Frequently escalates more complex customer complaints or issues to more senior customer service representatives. · **UK Customer Service Associate** · **ROLE OV ...

  • CIRCOR

    Welder Ii

    4 weeks ago


    CIRCOR Coimbatore, Tamil Nadu, India

    **Welder II** · **ORGANIZATIONAL STRUCTURE** · BUSINESS: Circor Refinery Valves · LOCATION: Coimbatore, India · DIRECT REPORTING: Supervisor · FUNCTIONAL REPORTING: NA · **POSITION DETAILS** · **_ Position Summary_** · **_Principal Activities_** · - Analyses Work Orders and assoc ...

  • KCT college

    Associate Professor

    4 weeks ago


    KCT college Coimbatore, India

    **Job Title**:Assistant Professor / Associate Professor** · **Specialization**: Marketing / Finance/HR/Operations / entrepreneurship/Analytics/Project Management · **Academic qualification**:PhD or MBA with minimum 2 years of academic or Industry experience · **Salary**: From ₹40 ...

  • VMax Wellness

    Operations Executive

    3 weeks ago


    VMax Wellness Coimbatore, India

    **Job description** · **ROLE**:Operations Executive / Associate** · VMax is a service-based startup revolutionizing the Digital Health & Wellness market by transforming people's lives through Weight management services and Healthcare for Lifestyle-related health Conditions. · We ...


  • Bosch Group Coimbatore, India

    Company Description · Robert Bosch Engineering and Business Solutions Private Limited (RBEI), is a 100% owned subsidiary of Robert Bosch GmbH, one of the world's leading global supplier of technology and services, offering end to end engineering, IT and Business solutions. · With ...

  • MS Associates

    Office Administrator

    3 weeks ago


    MS Associates Coimbatore, India

    **Job Title: Office Administrator (with Auditing & Accounts Knowledge)** · **Company Overview**: · MS Associates is a well-established architectural company based in Coimbatore, known for delivering high-quality architectural solutions to our clients. We are currently seeking a d ...


  • Avantor Coimbatore, Tamil Nadu, India

    **Job Summary**: To play an important role support by processing Goods receipt for stocks that enter warehouse. The main responsibility is to cross verify the Ordered Materials, Quantity, shared by the supplier towards Avantor Purchase Order request before entering SAP. · - The a ...

  • SABARI KITCHEN SERVICE PVT LTD

    Cad Designer

    4 weeks ago


    SABARI KITCHEN SERVICE PVT LTD Coimbatore, India

    An associate's degree or equivalent experience. · - Sit for extended periods of time. · - Use of hands to operate computers. · - Extensive knowledge of the company's preferred software. · - Make decisions based on designs. · - Strong communication skills. · - Ability to collabora ...