Offer summary

Qualifications:

High school diploma or GED is required., At least 2 years of healthcare claims processing experience., Proficiency with Windows applications and navigating multiple screens., Experience with Amisys or Xcelys systems is a plus..

Key responsibilities:

Process professional and hospital claim forms accurately.

Review policies and benefits related to claims.

Ensure compliance with HIPAA and confidentiality regulations.

Research, review, and adjudicate claims independently.

Job description

NTT DATA is currently seeking 20 Remote Claims Examiners to join our team.

(Amisys or Xcelys experience is a plus)

***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 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

Required Skills for this role include:

2 years of healthcare claims processing (full cycle: Pay, Pend, Deny)

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

High school diploma or GED.

Preference

Experience processing claims in Amisys or Xcelys is a plus.

Ability to communicate (oralwritten) effectively in a professional office setting

Familiar with toggling back and forth between screenscan you navigate multiple systems.

Working knowledge of MS office products like – Outlook, MS word and MSexcel.

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 hourly rate for this remote role is $18 hourly. This rate reflects the 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.