Your browser does not support javascript! Please enable it, otherwise web will not work for you.

Hiring For Claims Adjudication - Ntt Data @ NTT DATA, Inc.

Home > Healthcare & Life Sciences - Other

 Hiring For Claims Adjudication - Ntt Data

Job Description

Greetings from NTT DATA,
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 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

Requirements:

  • 3-8 years of experience in processing claims adjudication and adjustment process
  • Experience of Facets is an added advantage.
  • 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

**Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement.

Job Classification

Industry: BPM / BPO
Functional Area / Department: Healthcare & Life Sciences
Role Category: Healthcare & Life Sciences - Other
Role: Healthcare & Life Sciences - Other
Employement Type: Full time

Contact Details:

Company: NTT DATA, Inc.
Location(s): Chennai

+ View Contactajax loader


Keyskills:   US Healthcare Claims Adjudication claim examiner Insurance Claims Claim Adjudicator Adjudication Claims Processing

 Job seems aged, it may have been expired!
 Fraud Alert to job seekers!

₹ Not Disclosed

Similar positions

Hiring For Eligibility, Authorizations& Referrals (US Healthcare)

  • Intellisight
  • 1 - 3 years
  • Hyderabad
  • 15 days ago
₹ Not Disclosed

Hiring - ED Profee Medical Coder

  • NTT DATA, Inc.
  • 1 - 6 years
  • Chennai
  • 20 days ago
₹ 60,000-2.75 Lacs P.A.

Hiring - Medical coding ED Team leader

  • NTT DATA, Inc.
  • 5 - 10 years
  • Chennai
  • 22 days ago
₹ Not Disclosed

Hiring For IVR and Radiology - Experienced

  • NTT DATA, Inc.
  • 1 - 4 years
  • Chennai
  • 1 month ago
₹ Not Disclosed

NTT DATA, Inc.

Company DetailsNTT DATA, Inc.