Medical Claims Processor

NTT DATA's Client is seeking a Remote Claims Processor to join their team for a 3+ month contract role.

MUST HAVE VBA OR HRP EXPERIENCE!

Responsibilities:
• 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

Required:
• 2+ years of experience in medical claims processing
• 1+ year of experience with VBA or HRP
• High school diploma or GED

Preferred:
• 1+ year of experience with HealthRules

#INDHRS

NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race color religion citizenship national origin ancestry age sex sexual orientation gender identity genetic information physical or mental disability veteran or marital status or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability please inform your recruiter so that we may connect you with the appropriate team.

Where required by law NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $18.00 - 22.00/hourly. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors including the candidate's actual work location relevant experience technical skills and other qualifications.