NTT DATA Services · 4 hours ago
Claims Processing Associate
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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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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 Services
NTT DATA Services is a recognized leader in IT and business services including cloud, data and applications.
H1B Sponsorship
NTT DATA Services 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
2023-12-26
Vermont Business Magazine
2023-12-26
2023-12-26
Company data provided by crunchbase