Be an early applicantLess than 25 applicants

Company

NTT DATA North America · 2 days ago

Amisys Claims Examiner - Remote

Dallas, TX

Part-time

Remote

Mid Level

$18/hr - $18/hr

3+ years exp

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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 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 North America

Glassdoor

3.9

NTT DATA, Inc. is a trusted global innovator of business and technology services.

Founded in 1988

Plano, Texas, USA

10001+ employees

https://us.nttdata.com

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

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Trends of Total Sponsorships

2023 (185)

2022 (731)

2021 (838)

2020 (1190)