NTT DATA North America ยท 7 hours ago
Remote Claims Processing Associate (Temporary)
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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
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Required
Minimum of 2 year(s) of hands on experience in Healthcare Claims Processing
Must have experience in VBA
2+ years working with Windows applications
2+ years experience working in Microsoft Office applications
High School Diploma or GED Required
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
NTT DATA, Inc. is a trusted global innovator of business and technology services.
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 StageRecent News
2024-11-29
2024-11-29
2023-12-26
Company data provided by crunchbase