[Hiring] Medical Claims Representative @NTT DATA

Role Description

NTT DATA currently seeks a Remote Medical Claims Representative to join our team for a remote position. This is a US based, W-2 project. All candidates will be paid through NTT DATA only.

• Pay rate is $18.00
• 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
• 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
• Ability to communicate (oral/written) effectively in a professional office setting

Qualifications

• 1+ year(s) hands-on experience in Healthcare Claims Processing
• Previously performing – in P&Q work environment; work from queue; remotely
• 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
• Key board skills and computer familiarity – Toggling back and forth between screens
• Working knowledge of MS office products – Outlook, MS Word and MS-Excel

Preferences

• Amisys &/or Xcelys Preferred

Benefits

• 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
• Additional voluntary or legally required benefits