
NTTDATAprovides you the opportunity to realize your true potential, to do things differently and be an agent of positive change. With us, you'll join a world-leading technologycompanymade up of 190,000 innovative colleagues, located across more than 50 countries.
job description
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: 1-4 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 weekends basis business requirement.
If interested please walk - in to the location on below date NTT Data services,5th Block 4th Floor, DLF IT park, Ramapuram, Chennai Date - 9th August 2024 Regards, Ganga Gayathri Venkatasamy Role: Non Voice - Other , Industry Type: BPO / Call Centre , Department: Customer Success , Service & Operations , Employment Type: Full Time, Permanent Role Category: Non Voice Education UG: Any Graduate Key Skills Skills highlighted with ‘ ‘ are preferred keyskills Claim Adjudication US Healthcare Claims Adjudication Health Claims Claims Claims Management Adjudication claims process Claims Processing
NTT Data Services, 5th Block 4th Floor, DLF IT park, Ramapuram, Chennai