NTT DATA North America ยท 10 hours ago
Claims Examiner - Remote (Visual Basic required)
Dallas, TX
Full-time
Remote
Entry Level
$18/hr - $24/hr
2+ years exp
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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
Qualification
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Required
2+ years of experience in medical claims processing
1+ year of experience with VBA
High school diploma or GED
Preferred
1+ year of experience with HealthRules
Company
NTT DATA North America
NTT DATA, Inc. is a trusted global innovator of business and technology services.
10001+ employees
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 StageLeadership Team
Bob Pryor
Chief Executive Officer
Bonnie Holub
VP Consulting
Recent News
2024-11-29
2024-11-29
2023-12-26
Company data provided by crunchbase
