NTT DATA North America · 14 hours ago
Claims Processing Associate (Temporary)
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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+ years' of hands on experience in 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
1 year experience with VBA (Visual Basic for Applications)
An education level of at least a high school diploma or GED
Preferred
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 North America
NTT DATA, Inc. is a trusted global innovator of business and technology services.
H1B Sponsorship
NTT DATA North America 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 StageRecent News
2024-11-29
2024-11-29
2023-12-26
Company data provided by crunchbase