HC & Insurance Operations Senior Rep.

HC & Insurance Operations Senior Rep.

NTT Data
3-6 years
Not Specified

Job Description


Job Responsibilities:
  • Review claim rules and workflows
  • Reviews claim requests to determine eligibility for processing and escalate to management on a case to case basis
  • 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

Desired Skills & Qualification:
  • University degree or equivalent that required 3+ years of formal studies
  • Possess excellent typing skill
  • Ability to understand logic of standard Payment posting (i.e. Payment, Denials, Adjustments etc.)
  • 1+ year(s) of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
  • Ability to work scheduled shifts from Monday-Friday 07:30 PM to 05:30 AM and to be flexible to accommodate business requirements
  • Ability to communicate (oral/written) effectively in English to exchange information with our client.

Job Details

Employment Types:

Industry:

Function:

IT

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