Healthcare Claims Processing Associate Remote

extra holidays - extra parental leave
Work set-up: 
Full Remote
Contract: 
Full time
Salary: 
94 - 94K yearly
Experience: 
Entry-level / graduate
Work from: 
Missouri (USA)

Offer summary

Qualifications:

High school diploma or GED is required., 1-3 years of experience in Healthcare Claims Processing., Proficiency in Windows applications, MS Office, and navigating multiple screens., Ability to work remotely and independently with strong computer skills..

Key responsibilities:

  • Process professional claim forms and review policies.
  • Research, review, and act on claims independently.
  • Ensure claims are adjudicated according to client workflows and guidelines.
  • Maintain high quality scores and meet productivity targets.

NTT DATA logo
NTT DATA XLarge http://www.nttdata.com
10001 Employees
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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 are key factors in our companys growth, market presence and our ability to help our clients stay a step ahead of the competition. 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.

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
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 DataClient
  • Work independently to research, review and act on the claims
  • Prioritize work and adjudicate claims as per turnaround timeSLAs
  • Ensure claims are adjudicated as per clients defined workflows, guidelines
  • Sustaining and meeting the client productivityquality 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

Requirements:
  • 13 year(s) handson experience in Healthcare Claims Processing
  • 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
  • High school diploma or GED.
  • Previously performing – in P&Q work environment; work from queue; remotely
  • Key board skills and computer familiarity –
    • Toggling back and forth between screenscan you navigate multiple systems.
    • Working knowledge of MS office products – Outlook, MS Word and MSExcel.
      • Must be able to work 7am 4 pm CST onlineremote (training is required oncamera).

Preferred Skills & Experiences:
  • Amisys Preferred
  • Ability to communicate (oralwritten) effectively in a professional office setting
  • Effective troubleshooting where you can leverage your research, analysis and problemsolving abilities
  • Time management with the ability to cope in 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 longterm 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 startup 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 pay rate for this remote role is $18 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 candidates actual work location, relevant experience, technical skills, and other qualifications.

#INDHRS

Required profile

Experience

Level of experience: Entry-level / graduate
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Medical Insurance ClaimsAdjudicationGlobal Positioning SystemsQuantitative Analysis

Other Skills

  • Microsoft Office
  • Time Management
  • Research
  • Troubleshooting (Problem Solving)
  • Problem Solving
  • Prioritization
  • Communication
Are you interested?

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