Medical Claims Processor, RemoteNTT • Plano, United States
Medical Claims Processor, Remote
NTT • Plano, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
- [filters.remote]
[job_card.job_description]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 – 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
JOB DESCRIPTION
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
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 :
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 :
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Medical Claims Processor Remote • Plano, United States
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