• Healthcare Claims Processing

    NTT DATA North America (MO)


    NTT DATA is seeking to hire **Remote Healthcare Claims Processing Associates** to work for our end client and their team. This is scheduled to be a 8+ month contract role.

     

    Pay rate $18 per hour.

    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:

    + 1+ 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

    + Previous work from home experience

    + 2+ years Key board skills and computer familiarity including toggling back and forth between screens and navigating multiple systems.

    + 2+ years(s) Working knowledge of MS office products – Outlook, MS Word and MS-Excel.

    Preferred Skills & Experiences:

    + Amisys Preferred

    + 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

     

    Education: Verifiable-High school diploma or GED

     

    Hours: Must be able to work 7am - 4 pm CST online/remote (training is required on-camera).

     

    NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

     

    Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The pay rate for this remote role is $18 Hourly **.** This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.