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Medical Claims Processor

81% Flex

EXTRA HOLIDAYS - EXTRA PARENTAL LEAVE

Remote:

Full Remote

Salary:

35 - 35K yearly

Experience:

Junior (1-2 years)

Work from:

Missouri (USA), United States

Offer summary

Qualifications:

1+ year(s) quality-focused work experience, High school diploma or GED.

Key responsabilities:

Process medical claims files
Review policies and benefits
Adhere to compliance regulations
Prioritize and adjudicate claims timely
Maintain productivity/quality targets

NTT DATA Information Technology & Services XLarge https://www.nttdata.com/

10001 Employees

See more NTT DATA offers

Job description

Your missions

NTT DATA's Client is seeking a Remote Claims Processing Associate to join their team!

*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:

1+ year(s) of experience in a role that required a focus on quality including attention to detail, accuracy and accountability of work

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 –

o typing test required.
o familiar with toggling back and forth between screens/can you navigate multiple systems.
o 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

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $18.00-$18.00. 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. This position may also be eligible for incentive compensation based on individual and/or company performance.

This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.

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