skillindiajobs
Register for Job
Hyderabad Jobs
Banglore Jobs
Chennai Jobs
Delhi Jobs
Ahmedabad Jobs
Mumbai Jobs
Pune Jobs
Vijayawada Jobs
Gurgaon Jobs
Noida Jobs
Oil & Gas Jobs
Banking Jobs
Construction Jobs
Top Management Jobs
IT - Software Jobs
Medical Healthcare Jobs
Purchase / Logistics Jobs
Sales
Ajax Jobs
Designing Jobs
ASP .NET Jobs
Java Jobs
MySQL Jobs
Sap hr Jobs
Software Testing Jobs
Html Jobs
IT Jobs
Logistics Jobs
Customer Service Jobs
Airport Jobs
Banking Jobs
Driver Jobs
Part Time Jobs
Civil Engineering Jobs
Accountant Jobs
Safety Officer Jobs
Nursing Jobs
Civil Engineering Jobs
Hospitality Jobs
Part Time Jobs
Security Jobs
Finance Jobs
Marketing Jobs
Shipping Jobs
Real Estate Jobs
Telecom Jobs

BPO HC & Insurance Operations Senior Analyst BPO HC & Insurance Oper

5.00 to 7.00 Years   Chennai   15 Jun, 2023
NTT Global Delivery Services Limited
Job LocationChennai
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT - Software
Functional AreaGeneral / Other Software
EmploymentTypeFull-time

Job Description

    Roles and Responsibilities:
    • Perform research on the areas where Auditors have questions.
    • Train the Auditors and monitor the Quality improvement.
    • Create documentation on the research. Update training material and track the process changes.
    • 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:
    • 5+ years of experience in processing claims adjudication and adjustment process
    • Experience in Medicare, Medicaid, Commercial Insurance. State Federal Rules.
    • Good Understanding of Claim life Cycle. Provider Contract, Pricing, Fee schedules.
    • 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
    • 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. ,

Keyskills :
customer relationstraining materialaccountsclaims adjudicationreporting

APPLY NOW

BPO HC & Insurance Operations Senior Analyst BPO HC & Insurance Oper Related Jobs

© 2020 Skillindia All Rights Reserved