Be an early applicantLess than 25 applicants

Company

NTT DATA North America · 8 hours ago

Claims Processing Associate w/systems exp: VBA & HealthRules - REMOTE

Austin, TX

Part-time

Remote

Entry Level

$18/hr - $22/hr

1+ 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/ 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 ProcessingVBAHealthRules (HRP)Windows applicationsMS OfficeKeyboard skills

Required

1-3 year(s) of hands-on experience in Healthcare Claims Processing

Must have experience in software: VBA or HRP

2+ year(s) 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.

Understanding of previous quality, production and attendance parameters

Understanding and adhering to working hours and leave policy.

Key board skills and computer familiarity

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.

Preferred

Ability to communicate (oral/written) effectively in a professional office setting

Effective troubleshooting skills where you can leverage your research, analysis and problem-solving skills

Time management skills that require the ability to cope with a complex, changing environment

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)