Job title: HC & INSURANCE OPERATIONS ASSOCIATE
Company: NTT Data
Job description: Req ID: [[93731]] 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
Req ID: [[93731]] 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 [[Associate]] to join our team in [[Gurgaon]], [[Haryana]], [[India]]. Job Location : Noida Designation : HC & Insurance Operations Associate Looking for a Graduate with 1+years of experience in US Health Care (Claim Adjudication) In this Role you will be Responsible For : . Reviewing and researching insurance claims to determine possible payment accuracy. . Validating Member, Provider and other Claims information. . Determining accurate payment criteria for clearing pending claims based on defined Policy and Procedure. . Coordinating Claim Benefits based on the Policy & Procedure. . Maintaining productivity goals, quality standards and aging timeframes. . Scrutinizing Medical Claim Documents and settlements Requirements for this role include: . 1 to 2 years of Claims Adjudication experience that required you to review claims rules and workflows. . 1 to 2 years of experience processing claims that required a working knowledge of HCPCS, ICD and CPT codes . 1 to 2 years of experience that required a 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. . Ability to communicate (oral/written) effectively in English to exchange information with our client. ..Required schedule availability for this position is Monday-Friday 5.30pm to 3.40 am IST (AR Shift).
Expected salary:
Location: Gurgaon, Haryana
Job date: Fri, 08 Jul 2022 22:55:27 GMT
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