Amisys Claims Examiner - Remote @ NTT DATA Services | Jobright.ai
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Amisys Claims Examiner - Remote jobs in Dallas, TX
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NTT DATA Services · 1 day ago

Amisys Claims Examiner - Remote

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Responsibilities

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/

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare claims processingAmisys experienceWindows applicationsMS Office productsNavigating multiple systems

Required

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
High school diploma or GED.

Preferred

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.

Company

NTT DATA Services

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NTT DATA Services is a recognized leader in IT and business services including cloud, data and applications.

H1B Sponsorship

NTT DATA Services has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (185)
2022 (731)
2021 (838)
2020 (1190)

Funding

Current Stage
Late Stage

Leadership Team

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Bob Pryor
Chief Executive Officer
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Bonnie Holub
VP Consulting
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Company data provided by crunchbase
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