Claims Processing Associate @ NTT DATA | Jobright.ai
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Claims Processing Associate jobs in St. Louis, MO
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NTT DATA · 20 hours ago

Claims Processing Associate

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Information ServicesInformation Technology
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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

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Healthcare claims processingWindows applicationsMS Office productsMulti-system navigation

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
An education level of at least a 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.

Benefits

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
Additional voluntary or legally required benefits

Company

NTT DATA

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NTT DATA provides broad range of IT services and solutions, including consulting, systems integration, and IT outsourcing. It is a sub-organization of Nippon Telegraph and Telephone.

H1B Sponsorship

NTT DATA 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
Public Company
Total Funding
unknown
1995-04-26IPO· undefined

Leadership Team

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Akihiro Ishizuka
Chairman and CEO
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D
David Costa
CEO everis UK
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Company data provided by crunchbase
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