Plano, Texas, United States · Remote OK
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Claims Processing, Insurance Validation, Data Entry, Medical Claim Scrutiny, Healthcare Insurance Knowledge
Plano, Texas, United States · Remote OK
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Claims Processing, Insurance Validation, Data Entry, Medical Claim Scrutiny, Healthcare Insurance Knowledge
Plano, Texas, United States · On-site
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Insurance Claims Processing, Data Entry, Claims Validation, Healthcare Insurance Knowledge, Medical Document Scrutiny
Plano, Texas, United States · On-site
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Plano, Texas, United States · On-site
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Insurance Claims Processing, Data Entry, Medical Claim Scrutiny, Healthcare Insurance Knowledge, Claims Administration
Plano, Texas, United States · On-site
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Plano, Texas, United States · Hybrid
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Plano, Texas, United States · On-site
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Insurance Claims Processing, Data Entry, Medical Claim Scrutiny, Claims Administration, Windows PC Applications
Plano, Texas, United States · On-site
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Future Tech Enterprise has an opening for a Warehouse Manager at our depot in Plano, TX. This hands-on position will manage the warehouse staff, operations, logistics and inventory. The candidate will have high quality a…
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Plano, Texas, United States · Hybrid
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Plano, Texas, United States · On-site
$13/hr–$16/hr
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Plano, Texas, United States · On-site
$10/hr–$14/hr
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Plymouth Meeting, Pennsylvania, United States · Hybrid
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Plano, Texas, United States · On-site
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Plano, Texas, United States · On-site
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Plano, Texas, United States · On-site
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Plano, Texas, United States · On-site
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Plano, Texas, United States · On-site
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Plano, Texas, United States · On-site
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Review and process insurance claims by validating member and provider information according to defined policies. Maintain productivity goals and quality standards while resolving complex healthcare insurance situations.
Requires a university degree and at least 6 months of experience in applying business rules, data entry, and using Windows PC applications. Candidates must be able to prioritize workloads to meet deadlines and communicate effectively in English.
NTT Data Services is Hiring!
Grade 3 - HC & Insurance Operations Sr Rep
Position's Overview
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA, Inc. currently seeks an “BPO HC & Insurance Operations Sr Rep” to join our team in “Coimbatore”.
Client's business problem to solve?
Our Client is one of Leading Health Plan in US providing services in Florida state, NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction
Position's General Duties and Tasks
In these roles you will be responsible for:
• Review and process insurance claims.
• Validate Member, Provider and other Claim’s 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 team
• 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
• 6+ months of experience where you had to apply business rules to varying fact situations and make appropriate decisions
• 6+ months of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
• 6+ months of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
• 6+ months of experience that required prioritizing your workload to meet deadlines
Preferences: - Optional (nice-to-have’s)
• Ability to communicate (oral/written) effectively to exchange information with our client.
• Commerce graduate with English as a compulsory subject
Required schedule availability for this position is Monday-Friday (06:00pm to 04:00am 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.
NTT DATA, Inc. is a trusted global innovator of business and technology services. We're committed to helping clients innovate, optimize and transform for long-term success. Our R&D investments help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity.
Offices: 7950 Legacy Drive, Suite 900, Plano, Texas 75024, US · 18 S End Road, Bengaluru, Karnataka 560004, IN
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