HC & Insurance Operations Associate

NTT DATA North America


Date: 2 hours ago
City: Coimbatore, Tamil Nadu
Contract type: Full time
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.

How to apply

To apply for this job you need to authorize on our website. If you don't have an account yet, please register.

Post a resume

Similar jobs

Business Development Executive in Coimbatore, Visakhapatnam, Panipat

PlanetSpark, Coimbatore, Tamil Nadu
1 day ago
Key Responsibilities Connect with parents or adult learners and invite them to personalized 1:1 video counseling sessions Deliver value-packed counseling sessions, address concerns, and guide decision-makers toward enrolling in our transformative programs Own the end-to-end sales funnel from first touch to final conversion with precision and persistenceWhy Sales At PlanetSpark Are a Game-changer No cold calls, only warm leads: Work...

Django Full Stack Developer

Codevantage Inc, Coimbatore, Tamil Nadu
3 days ago
Role: Django Full Stack DeveloperLocation: On-siteType: Full-TimeExperience: 1–2 YearsThe ideal candidate will be responsible for developing and debugging responsive web applications for the company. Using Python, Django, JavaScript, this candidate will be able to translate user and business needs into functional products.Required Skills• Strong proficiency in Python + Django.• Experience with React, Vue, or Svelte.• Familiarity with Gen-AI APIs and...

Application Developer-SAP ABAP

IBM, Coimbatore, Tamil Nadu
3 weeks ago
IntroductionA career in IBM Consulting is rooted by long-term relationships and close collaboration with clients across the globe. You'll work with visionaries across multiple industries to improve the hybrid cloud and AI journey for the most innovative and valuable companies in the world. Your ability to accelerate impact and make meaningful change for your clients is enabled by our strategic...