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NTT DATA Services jobs - HC Claims Insurance Operations Associate BPO

HC Claims Insurance Operations Associate BPO

NTT DATA Services
location
Delhi
experience 0 to 3 Years
salary Salary not disclosed
qualification
Any Graduate, Other Course
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Posted: 3 Years ago
Views: 0
Applications: 1
Openings: 1

Job Description

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.
In this Role you will be Responsible For
  • Review and process insurance claims.
  • 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 guidelines

Requirements For This Role Include
  • University degree or equivalent that required formal studies of the English language and basic Math
  • 2 to 3 Years of experience in Claims Adjudication/Adjustments that required a working knowledge of HCPCS, ICD and CPT codes.
    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.
    Experience in Claims Platform AMISYS or Xcelys is preferrable

Job Particulars

Role HR
EducationAny Graduate, Other Course
Who can applyFreshers and Experienced (0 to 3 Years )
Hiring Process Face to Face Interview
Employment TypeApprenticeship
Job Id581450
StateDelhi
Country India

About Company

NTT DATA Services
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