NTT Data Recruitment Drive; Hiring Claims Adjudicator / Processor – Apply Now

NTT DATA is your Innovation Partner anywhere around the world. With business operations in more than 35 countries, we put emphasis on long-term commitment and combine global reach and local intimacy to provide premier professional services from consulting, system development, business process and IT outsourcing to cloud-based solutions. Candidates kindly read all the information given below, before proceed to apply

Name of the Organization: NTT Data

Requisition ID:

Positions: Claims Adjudicator / Processor

Location: Chennai & Coimbatore

Salary: As per company Norms

Educational Qualifications:

• Graduate
• Experience: 1 – 3yrs

Skills Required:

• Insurance Claims,
• Claims Adjudication

Other key skills:

• cpt codes,
• Claim Payment,
• Medicare,
• HIPAA,
• US Healthcare,
• Medicaid,
• Medical Billing,
• Claims Processing

Job Description:

• Ability to work regularly scheduled shifts from Monday-Friday 20:30pm to 5:30am IST.
• Work from Office.
• No transport facility (Own transport).
• University degree or equivalent that required 3+ years of formal studies.
• Ability to work in a team environment.
• Good logical thinking ability.
• Good English Comprehension/written skills should have exposure to MS Office.
• Good Communication Skills Both Verbal and Written
• Ability to interact with clients preferred.

Role Responsibilities:

• In-depth knowledge and experience in the US healthcare (Non Voice) Provider Data Validation and Provider Data management.
• Candidate should have more than 1 years and above experience in US healthcare and into provider enrollment and credentialling.
• Ensures day-day transactions are processed per standard operating procedures.
• Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards.
• Knowledge in Amisys and Cenprov application are preferred.
• Product knowledge in checking affiliation for Medicaid, Medicare and Exchange.
• Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc.
• Ability to read and understand the provider contract.
• Handling Paid claims and recouped claims.
• Claims Rejections handling.
• Working in claims denial management.
• Knowledge about End to End provider billing process.
• Working knowledge in EDI rejection claims
• Handing Patient and provider demographic changes.

 

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