Hc & Insurance Operations Associate - Coimbatore, India - NTT Data Services

NTT Data Services

Verified Company

Coimbatore, India

5 days ago

Posted by:

Deepika Kaur

beBee Recuiter

Description

About NTT DATA Services

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, colour, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team_
NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forwardthinking organization._

Role:
HC & Insurance operations Associate

Location:
Chennai,Coimbatore

Experience:1-2 Years

***
Mandatory Skills: Claims adjudication, Facets

Job type:
Full Time

Shift Timings: 4.00PM to 2.00AM IST

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, copay, 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 preestablished guidelines

Requirements:

13 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 4.00PM to 2.00AM 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.

Job Segment:
Consulting, Technology