Healthcare Claims Specialist - NTT DATA Services - Plano, TX
Plano, TX, US
$16–$17/hour
over 1 year ago
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Summary
NTT DATA's Client is seeking a Claims Processing Associate to join their team in Dallas, TX. (8 week training onsite followed by remote work) In this Role the candidate will be responsible for
Processing of Professional and Hospital 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/Required Skills for this role include:
1+ year(s) of experience in a role that required a focus on quality including attention to detail, accuracy and accountability of work
2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools
An education level of at least a high school diploma or GED.
Understanding of previous quality, production and attendance parameters,
Understanding and adhering to working hours and leave policy.
Key board skills and computer familiarity –
o typing test required.
o familiar with toggling back and forth between screens/can you navigate multiple systems.
o Working knowledge of MS office products like – Outlook, MS word and MS-excel.Preference
Ability to communicate (oral/written) effectively in a professional office setting
Effective troubleshooting skills where you can leverage your research, analysis and problem-solving skills
Time management skills that require the ability to cope with a complex, changing environment
Job Types: Contract, Full-time
Pay: $16.00 - $17.00 per hour
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to commute/relocate:
Plano, TX 75024: Reliably commute or planning to relocate before starting work (Required)
Experience:
Microsoft Office: 1 year (Preferred)
Customer service: 1 year (Preferred)
Work Location: In person
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