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HC & Insurance Operations Assoc

3.00 to 7.00 Years   Noida   05 Apr, 2022
NTT Global Delivery Services Limited
Job LocationNoida
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT - Software
Functional AreaGeneral / Other Software
EmploymentTypeFull-time

Job Description

    In this Role you will be Responsible ForReview & Processes Healthcare payer claims including HCFA & UB forms. Validate Member, Provider and other Claims information. Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure. Coordination of Claim Benefits based on the Policy & Procedure. Maintain productivity goals, quality standards and aging timeframes. Scrutinizing Medical Claim Documents and settlements. 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 tea Resolving complex situations following pre-established guidelinesRequirements for this role include:University degree or equivalent that required formal studies of the English language and basic Math 3+ Year of experience where you had to apply business rules to varying fact situations and make appropriate decisions 3+ Year of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product. 3+ Year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools. 3+ Year of experience that required prioritizing your workload to meet deadlinesJob Segment: Data Entry, Administrative ,

Keyskills :
teafactbusiness rulesquality standardsdata entry

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