NTT Data Recruitment Drive; Hiring Operations Associate – Apply Now

NTT Data HC & Insurance Operations Associate is a role that involves managing various aspects of healthcare insurance operations. As an associate, you'll be responsible for tasks such as processing claims, verifying insurance coverage, and ensuring accurate and timely payments. This role requires a strong understanding of healthcare insurance policies, procedures, and regulations. It also demands excellent attention to detail, problem-solving skills, and the ability to work efficiently in a fast-paced environment.

Name of the Organization: NTT Data

Requisition ID: 289255

Positions: HC & Insurance Operations Associate

Location: Chennai

Salary: As per company Norms

Educational Qualifications:

• 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

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

 

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