HC & Insurance Operations Associate (Chennai, TN, IN)
Chennai, Tamil Nadu 1 month ago
Job Description
Role Responsibilities:
In-depth knowledge and experience in the US healthcare (Non Voice) – Provider Data Validation and Provider Data management.
Candidate should have more than 1 years and above experience in US healthcare and into provider enrollment and credentialling.
Ensures day-day transactions are processed per standard operating procedures.
Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards.
Knowledge in Amisys and Cenprov application are preferred.
Product knowledge in checking affiliation for Medicaid, Medicare and Exchange.
Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc.
Ability to read and understand the provider contract.
Handling Paid claims and recouped claims.
Claims Rejections handling.
Working in claims denial management.
Knowledge about End to End provider billing process.
Working knowledge in EDI rejection claims
Handing Patient and provider demographic changes.
1 to 3 years of experience in US healthcare working with Provider Data Enrollment and Management.
Ability to work regularly scheduled shifts from Monday-Friday 20:30pm to 5:30am IST.
No transport facility (Own transport)
University degree or equivalent that required 3+ years of formal studies.
Ability to work in a team environment.
Good logical thinking ability.
Good English Comprehension/written skills should have exposure to MS Office.
Good Communication Skills – Both Verbal and Written
Ability to interact with clients preferred.
**Required schedule availability for this position is Monday-Friday 8:30PM/5:30AM IST 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.
Security Center Operations Sr. Associate Securonix (Noida, UP, IN)
Uttar Pradesh 2 days ago
NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Security Center...
HC and Insurance Operations Analyst (Hyderabad, TG, IN)
Hyderabad, Andhra Pradesh 2 days ago
In this Role you will be Responsible For: Highest-level of support on programs, projects, reporting, filing for the BPO organization (electronic and hard copy), confidential materials handling, and issue resolution through experiences performing the...
Banking Operations Senior Associate (Gurgaon, HR, IN)
India 5 days ago
Job Details: § Analyze and execute the KYC/CDD process by understanding Standard operating Procedures § Interpret documents related to KYC operations and capture the information into appropriate application § Adhere to all appropriate and agreed...
Data Analytics (Chennai, TN, IN)
Chennai, Tamil Nadu 5 days ago
Scripting :Python , Pyspark , Unix scripting (Basic) Cloud : AWS -Lambda, Glue, Athena,RDS,S3, DynamoDB,SNS, SQS, IAM, Step function, Pipeline monitoring , Security, Access and Role permissions, Logging and monitoring Services. Database : SQL/Oracle...
HC & Insurance Operations Associate (Chennai, TN, IN)
Chennai, Tamil Nadu 5 days ago
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a HC & Insurance...
HC & Insurance Operations Associate (Hyderabad, TG, IN)
Hyderabad, Andhra Pradesh 5 days ago
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...
HC & Insurance Operations Associate (Chennai, TN, IN)
Chennai, Tamil Nadu 5 days ago
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...
Network Security Advisor (Chennai, TN, IN)
Chennai, Tamil Nadu 11 days ago
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Network Security Advisor...
Financial Analysis Senior Analyst (chennai, TN, IN)
Chennai, Tamil Nadu 11 days ago
Preparing and reviewing monthly financial statement for Business unit head/ line management Analyzing forecast with actuals and provide variance comments. Analyzing cash flow forecast with actuals and provide variance comments. Manage processes for...
Zscaler -: System Integration senior specialist (Chennai, TN, IN)
Chennai, Tamil Nadu 11 days ago
NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Zscaler -:...