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Hc & Insurance Operations Associate

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Hc & Insurance Operations Associate

In this Role you will be Responsible For : Read and understand the process documents provided by the customer. Analyse the insurance request received from th...


From Nttdata - Uttar Pradesh

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Hc & Insurance Operations Associate

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and ...


From Nttdata - Uttar Pradesh

Published 9 days ago

Hc & Insurance Operations Associate

Req ID:289020 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 inc...


From Nttdata - Uttar Pradesh

Published 9 days ago

Hc & Insurance Operations Associate

Hc & Insurance Operations Associate
Company:

Nttdata


Details of the offer

In this Role you will be Responsible ForProcessing member enrollment and change forms, including data entryVerifying proper completion of enrollment and change documentation.Requesting and verifying information as needed to expedite enrollment.Verifying payments, process adjustments, refunds and perform reconciliation of accountsEnsuring accurate and timely completion of transactions to meet or exceed client SLAs.Processing daily enrollee invoices and premium reconciliation for members.Organizing and completing tasks per assigned priorities.Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the teamResolving complex situations following pre-established guidelinesRequirements for this role include:University degree or equivalent that required formal studies of the English language and basic Math1+ year(s) of experience processing claims for the US healthcare market1+ years of experience where you had to apply business rules to varying fact situations and make appropriate decisions1+ years of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.1+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.1+ years of experience that required prioritizing your workload to meet deadlines**Required schedule availability for this position is Monday-Friday 6PM/4AM IST 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.


Source: Eightfold_Ai

Job Function:

Requirements

Hc & Insurance Operations Associate
Company:

Nttdata


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