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NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.Â
In this Role the candidate will be responsible for:
•   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
Requirements:
•   3 year(s) hands-on experience in Healthcare Claims Processing
•   2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
•   High school diploma or GED.
•   Previously performing – in P&Q work environment; work from queue; remotely
•   Key board skills and computer familiarity –
o   Toggling back and forth between screens/can you navigate multiple systems.
o   Working knowledge of MS office products – Outlook, MS Word and MS-Excel.
Preferred Skills & Experiences:
•   Amisys
•   Ability to communicate (oral/written) effectively in a professional office setting
•   Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
•   Time management with the ability to cope in a complex, changing environment
Learn more about this Employer on their Career Site
