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HC & Insurance Operations Senior Rep.

1.00 to 5.00 Years   Coimbatore   05 May, 2021
NTT Global Delivery Services Limited
Job LocationCoimbatore
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT - Software
Functional AreaRisk / Underwriting,Operations Management / Process Analysis
EmploymentTypeFull-time

Job Description

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 forward-thinking organization, apply now.We are currently seeking a HC & Insurance Operations Senior Rep. to join our team in Coimbatore, Tamil N du (IN-TN), India (IN).In these roles you will be responsible for:

  • Performing actions based on the EOB, Insurance wesbites to collect outstanding Accounts Receivables.
  • Identify the outstanding claims with payers through the reports from clients and check website and imaging application with regard to outstanding claims and document the details in the client software for claims resolution.
  • Analyzing medical insurance claims for quality assurance
  • Resolving moderately routine questions following pre-established guidelines
  • Ensuring accurate and timely completion of transactions to meet or exceed client SLA
  • Performing routine research on customer inquiries.
  • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
  • Identify the outstanding claims with payers through the reports from clients
  • Check EOB and Insurance websites with regard to outstanding claims
  • Coordinate with the team leader in following the processes
Requirements for this role include:
  • Ability to work regularly scheduled shifts from Monday-Friday 7:30Am to 5:30Pm IST.
  • University degree or equivalent that required 3+ years of formal studies.
  • 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
Preferences: -
  • Ability to communicate (oral/written) effectively to exchange information with our client.
  • *** 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.
  • *** All new hires will be required to successfully complete our Orientation/Process training classes and demonstrate proficiency of the material.
About NTT DATA ServicesNTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100. NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.Job Segment: Consulting, Quality Assurance, Cloud, Technology ,

Keyskills :
new hiresit servicesdata servicesinsurance claimsbusiness processquality assurancemedical insuranceinsurance operations

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