Medical Claims Processor

NTT DATA North America • Plano, TX • 2h ago

Req ID: 358224

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Medical Claims Processor to join our team in Plano, Texas (US-TX), United States (US).

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:

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 -

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:

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

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.

Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us .

NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here (http://us.nttdata.com/en/compliance#eeos) . If you'd like more information on your EEO rights under the law, please click here (http://us.nttdata.com/en/compliance#know-your-rights) . For Pay Transparency information, please click here (http://us.nttdata.com/en/compliance#ppnp) .

Similar Jobs

Research Biomedical Engineer II

The University Of Texas At Dallas • Dallas, TX • 1h ago

Hospital & Medical

Posting Number: S06883P Job Description: The Texas Biomedical Device Center supports active projects in vagus nerve stimulation, recovery from neurological injuries, tinnitus therapies, and implantable neural devices. Th...

1h ago

Go to Apply

Medical Assistant

HCA Healthcare • Mesquite, TX • 1h ago

Hospital & Medical

Introduction Do you have the career opportunities as a Medical Assistant you want with your current employer? We have an exciting opportunity for you to join Women's Health Alliance which is part of the nation's leading...

1h ago

Go to Apply

NCT - Medical Assistant

HCA Healthcare • Forney, TX • 2h ago

Hospital & Medical

This position is incentive eligible. New Hires may receive UP TO $3,500 Sign-On Bonus! Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your...

2h ago

Go to Apply

BBCS Healthcare Post Underwriter

U.S. Bank • Irving, TX • 2h ago

Hospital & Medical

At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it tak...

2h ago

Go to Apply

Staff Engineering Technician - AutoCAD Electrical with SDS (Substation Design Suite)

System One • Dallas, TX • 9h ago

Hospital & Medical

Staff Engineering Technician - AutoCAD Electrical (Substation Design Suite) Location: Leawood / Overland Park, KS (Onsite) Work Model: Onsite only (must be within 50 miles of a substation office) Employment Type: Temp to...

9h ago

Go to Apply

Deputy Associate Chief of Staff/Deputy Designated Education Officer (DDEO) - Supervisory Physician

Veterans Affairs, Veterans Health Administration • Dallas, TX • 16h ago

Hospital & Medical

Summary Education & Learning Resources Service is seeking to fill a full-time Deputy Associate Chief of Staff/Deputy Designated Education Officer (DDEO) position for VA North Texas Health Care System. The DDEO works...

16h ago

Go to Apply

Registered Nurse

CVS Health • Dallas, TX • 18h ago

Hospital & Medical

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate...

18h ago

Go to Apply

Physical Therapist

Select Medical • Carrollton, TX • 18h ago

Hospital & Medical

Overview Baylor Scott & White Institute for Rehabilitation Carrolton (Sandy Lake), TX Physical Therapist-Ortho Outpatient Full Time Salary range: $80,080.00 - $108,804.80 Compensation depends upon candidate's years o...

18h ago

Go to Apply

Physical Therapist - PT

Select Medical • Plano, TX • 19h ago

Hospital & Medical

Overview Baylor Scott & White Institute for Rehabilitation Plano, TX Physical Therapist (PT) PRN Acure care PRN Rate: $60/hr Weekend PRN rate: $66/hr Westrive to provide our employees with a solid work-life balance,...

19h ago

Go to Apply

Pharmacy Operations Manager

Walgreens • The Colony, TX • 1d ago

Hospital & Medical

Job Description: Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patie...

1d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.