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

HC & Insurance Operations Senior Associate

2.00 to 3.00 Years   Coimbatore   14 Dec, 2022
NTT Global Delivery Services Limited
Job LocationCoimbatore
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT - Software
Functional AreaSales / BD
EmploymentTypeFull-time

Job Description

    • 2-3 years of experience in processing claims adjudication and adjustment process
    • Experience in professional (HCFA) and institutional (UB) claims
    • Knowledge in handling authorization, COB, duplicate and pricing 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
    • Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims.
    • Document, track findings per organizational guidelines for reporting purpose.
    • Based upon trends, determine ongoing Claims Examiner training needs and develop/implement training programs as approved by Senior Management.
    • Conduct in-depth research of contract issues, system-related problems, claims processing Policies and Procedures, etc., to confirm cause of trends. Recommend actions/resolutions to Senior Management.
    • Work with other organizational departments to develop corrective action plans to improve accuracy of the claims adjudication processes and assure compliance with organizational requirements and applicable regulations.
    • Assist in the development of Claims Department Policies and Procedures.
    • Attend organizational meetings as required
    • Adhere to organizational Policies and Procedures.
    Requirements:
    • 2-3 years of experience in processing claims adjudication and adjustment process
    • 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
    Work Timings: 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 :
claims processingtraining needscorrective actionqualitymissalesinsurance

APPLY NOW

HC & Insurance Operations Senior Associate Related Jobs

© 2020 Skillindia All Rights Reserved