NTT DATA · 8 hours ago
Claims Processing Associate (Temporary)
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Information ServicesInformation Technology
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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/ fee schedule/
Qualification
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Required
1-3 year(s) of hands on experience in Healthcare Claims Processing
2+ year(s) 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.
Understanding of previous quality, production and attendance parameters
Understanding and adhering to working hours and leave policy.
Key board skills and computer familiarity
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.
Preferred
Amisys Experience is Preferred
Ability to communicate (oral/written) effectively in a professional office setting
Effective troubleshooting skills where you can leverage your research, analysis and problem-solving skills
Time management skills that require the ability to cope with a complex, changing environment
Company
NTT DATA
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 CompanyTotal Funding
unknown1995-04-26IPO· undefined
Recent News
2024-11-26
ComputerWeekly.com
2024-11-26
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