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Claims Processing Associate (Temporary)

extra holidays - extra parental leave

Remote:

Full Remote

Contract:

Freelance

Salary:

35 - 69K yearly

Work from:

Texas (USA), United States

Offer summary

Qualifications:

1-3 years of experience in Healthcare Claims Processing, Experience in VBA and HealthRules software, High school diploma or GED required, Familiarity with MS Office products.

Key responsabilities:

Process professional claim forms by provider
Review policies and benefits

NTT DATA XLarge http://www.nttdata.com

10001 Employees

See all jobs

Job description

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. 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.

For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

NTT DATA 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.

NTT DATA's Client is seeking a Remote Claims Processing Associate to join their team!
Pay rate: $18 per hr

In this Role the candidate will be responsible for:

Processing of Professional claim forms files by provider
Reviewing the policies 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, guidelines
• Sustaining and meeting the client productivity/quality targets to avoid penalties
• Maintaining and sustaining quality scores above 98.5% 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/

Required Skills for this role include:

1-3 year(s) of hands on experience in Healthcare Claims Processing
Must have experience in VBA (Visual Basic Applications) software and HealthRules (HRP)

2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools

An education level of at least a high school diploma or GED.
Understanding of previous quality, production and attendance parameters
Understanding and adhering to working hours and leave policy.
Key board skills and computer familiarity
Familiar with toggling back and forth between screens/can you navigate multiple systems.
Working knowledge of MS office products like – Outlook, MS word and MS-excel.

Preference

Ability to communicate (oral/written) effectively in a professional office setting

Effective troubleshooting skills where you can leverage your research, analysis and problem-solving skills

Time management skills that require the ability to cope with a complex, changing environment

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 Services 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.