• Coordination of Benefits Representative

    NTT DATA North America (TX)


    Position's Overview

    At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

     

    NTT DATA, Inc. currently seeks a **Coordination of Benefits Representative** to join our team.

     

    Client's business problem to solve?

     

    Our Client is one of the leading Health Plans in the US providing services in multiple states. NTT Business Process Outsourcing (BPO) team offers end-to-end administrative services help streamline operations, improve productivity, and strengthen cash flow to help our customers stay competitive and improve member satisfaction.

    Position's General Duties and Tasks

    + Use multiple sources in researching the potential of dual coverage and determining which Insurance is primary.

    + Update Claims System according to Member insurance

    + Making outbound call to other Insurance companies to verify coverages

    + Take up additional training/ new assignments or projects that may come up as per client needs.

    + Meet/ exceed required performance measures such as quality and productivity standards

    + Meet/ exceed process SLAs

    + Successfully complete the required regulatory and compliance requirements such as the HIPAA.

    + Successfully complete all organizational and client training requirements

    + Understand how work impacts results for their area as well as other processes.

    + Demonstrate knowledge of internal operations and develops relationships to facilitate workflow.

    + Knowledge of related regulations and standards.

    + Strong understanding of current processes and procedures and may identify opportunities for improvement.

    Requirements for this role include:

    + High school Diploma or equivalent.

    + 3+ years of medical claims or eligibility experience

    + 5+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web-based applications.

    + 5+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.

    + Ability to type 40 WPM

     

    Required schedule availability for this position is Monday-Friday (08:00am to 08:00pm CST/EST) . The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.

    Position's General Duties and Tasks:

    Using multiple sources, this position will research the Coordination of Benefits (COB) for potential dual coverage by other health insurance companies for all subscribers, spouses, and affected dependents and determines which insurance is prime. COB research extends to all coverage offered by Health Net

    About NTT DATA Services:

    NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

     

    NTT DATA Services 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 starting hourly range for this remote role is **($15-18 /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.

     

    This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include 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, and additional voluntary or legally required benefits.