Claims Examiner - Remote (HealthRules required)

NTT DATA's Client is seeking a Remote Claims Processor with 1+ year of HealthRules or Visual Basic experience to join their team!

Responsibilities:

•    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

Required:

•    2+ years of experience in medical claims processing
•    1+ year of experience processing claims with HealthRules or Visual Basic
•    High school diploma or GED




 

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. 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 - 24.00/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.