Role : HC & Insurance Operations Associate
Company Name : NTT Data Services
Company Website: www.nttdata.com
Experience : 1-3 years
Mode of Interview: Virtual
Salary : As Per Industry Standared
Education : Any Graduate
Location: Chennai, Tamil Nadu
Hiring Process: Technical Interview, HR Interview
Job Description:
- 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
- 1-3 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
About Company :
NTT DATA – a part of NTT Group – is a trusted global innovator of IT and business services headquartered in Tokyo. We help clients transform through consulting, industry solutions, business process services, IT modernization and managed services. NTT DATA enables clients, as well as society, to move confidently into the digital future. We are committed to our clients’ long-term success and combine global reach with local client attention to serve them in over 50 countries.
Our history is traced back over 150 years to the first telegraph service in Japan. The Nippon Telegraph and Telephone Public Corporation then took over the government-run business to support Japan’s telephone and communication services over the decades. In 1967, its Data Communications Division was established as an internal organization, marking the beginning of NTT DATA. In 1985, the company was privatized to become NTT, and in 1988, NTT DATA was spun off from NTT. We have since become a major player in the numerous developments of large-scale systems called “social infrastructures” that help progress social transformations. Today, we are a global organization that supports clients beyond the IT domain, providing end-to-end services and solutions ranging from business transformations to the operations that realize the transformations.
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