Medical Claims Examiner - Remote U.S.

Remote Medical Claims Examiner

NTT DATA is currently seeking remote medical claims examiners to join our 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 processing of professional and hospital claim forms files by provider, reviewing the policies and benefits, complying with company regulations regarding HIPAA, confidentiality, and PHI, abiding with the timelines to complete compliance training of NTT Data/Client, working independently to research, review and act on the claims, prioritizing work and adjudicating claims as per turnaround time/SLAs, ensuring 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, and 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 2+ years of healthcare claims processing (full cycle: Pay, Pend, Deny), 2+ years using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools, high school diploma or GED. Experience processing claims in Amisys or Xcelys is a plus. Ability to communicate (oral/written) effectively in a professional office setting, familiar with toggling back and forth between screens/can you navigate multiple systems. Working knowledge of MS office products like Outlook, MS word and MS-excel.

NTT DATA provides a reasonable range of compensation for specific roles. The rate for this remote role is $18/hour. This rate reflects the 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. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401K program, and additional voluntary or legally required benefits.

About NTT DATA: NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo.