Company:
NTT DATA Group Corporation
Location: Kansas City
Closing Date: 27/10/2024
Hours: Full Time
Type: Permanent
Job Requirements / Description
NTT DATA's Client is seeking a Remote Claims Processing Associate to join their team!
*Must be able to work Monday to Friday 7 AM to 4 PM Central time.
In this Role the candidate will be responsible for:
• 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:
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
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.
#INDHRS
*Must be able to work Monday to Friday 7 AM to 4 PM Central time.
In this Role the candidate will be responsible for:
- Processing of Professional and Hospital claim forms files by provider
- Reviewing the policies and benefits
• 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 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
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.
#INDHRS
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NTT DATA Group Corporation