184 applicants

Company

NTT DATA · 15 hours ago

Claims Processing Associate

St. Louis, MO

Full-time

Remote

Mid Level

$18/hr - $18/hr

3+ years exp

Maximize your interview chances

Information ServicesInformation Technology

H1B Sponsor Likely

Insider Connection @NTT DATA

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

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

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

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

Glassdoor

3.9

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.

Founded in 1988

Koto, Tokyo, JPN

10,001+ employees

https://www.nttdata.com/jp/ja/

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)