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.
We are currently seeking multiple Claims Processor to join our team REMOTELY!
Job Description:
- Processing of Professional and Hospital claim form files by provider.
- Reviewing the polices and benefits.
- Comply with company regulations regarding HIPAA, confidentiality, and PHI.
- Abide with the timelines to complete compliance training of NTT Data/Client.
- Work independently to research, review, and act on the claims.
- Prioritize work and adjudicate claims as per turnaround time/SLAs.
- Ensure claims are adjudicated as per clients defined workflows and guidelines.
- Sustaining and meeting the client productivity/ quality targets to avoid penalties.
- Maintaining and sustaining quality scores above 9.5% PA and 99.75% FA.
- Timely response and resolution of claims received via emails as priority work.
- Correctly calculate claims payable amount using applicable methodology/ fee schedule.
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Qualifications:
- 2+ years of experience working with a computer and with Windows applications
- 2+ years with Xcelys Diamond experience
- 1+ years of experience with Healthcare/Medical Claims Processing.
- 1+ years of experience of Data Entry experience.
- 1+ years of experience working with MS office products like - Outlook, MS Word, and MS Excel.
- 1+ years of experience working within Health Claims, Medical Claims, Benefits, Health Insurance, Medical Coding, Medical Billing, or other related experience is required.
- Must have experience using basic keyboard shortcuts and be able to navigate multiple screens.
- Must be able and willing to learn new software tools and computer systems.
- Effective troubleshooting skills, where you can leverage your research, analysis, and problem-solving skills.
- Must have strong attention to detail and accuracy.
- Ability to communicate (oral/written) effectively in a professional office meeting.
Other Requirements:
- Typing Test during interview process is required.
- An education level of High School Diploma or GED is required.
About NTT DATA
NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.
NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($hourly ). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.