| 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 Services 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 Services currently seeks a Claims Processing Associate to join our team remote in MO. *Must be able to work Monday to Friday 7 AM to 4 PM Central time. In this Role the candidate will be responsible for: -Processing of Professional and Hospital 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: |
| - 3 years of healthcare claims processing |
| - 2 years 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. |
| Preference |
| - Ability to communicate (oral/written) effectively in a professional office setting - 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. |