openings For experienced claims adjudication - NTT DATA

NTT DATA, Inc.

1 - 4 years

0 - 3 Lacs

Chennai Coimbatore

Posted:1 day ago| Platform:

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Skills Required

Claims Adjudication Claims Processing US Healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

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:

1-3 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.

Interested please share resume to pushpa.shanmugam@nttdata.com

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