Healthcare Claims Examiner, Remote

Remote Claims Processing AssociateNTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. This is a Long Term Temporary position supporting a leading manage health care company. Please note: 8-12 week mandatory training on camera and ramp period between 7 - 4:30 CT.In this Role the candidate will be responsible for:Processing of professional claim forms files by providerReviewing the policies and benefitsComply with company regulations regarding HIPAA, confidentiality, and PHIAbide with the timelines to complete compliance training of NTT Data/ClientWork independently to research, review and act on the claimsPrioritize work and adjudicate claims as per turnaround time/SLAsEnsure claims are adjudicated as per clients defined workflows, guidelinesSustaining and meeting the client productivity/quality targets to avoid penaltiesMaintaining and sustaining quality scores above 98.5% PA and 99.75% FATimely response and resolution of claims received via emails as priority workCorrectly calculate claims payable amount using applicable methodology/ fee scheduleRequirements:1-3 year(s) hands-on experience in Healthcare Claims Processing, Claims Adjustments.2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software toolsHigh school diploma or GED.Previously performing in P&Q work environment; work from queue; remotelyKey board skills and computer familiarity Toggling back and forth between screens/can you navigate multiple systems.Working knowledge of MS office products Outlook, MS Word and MS-Excel.Must be able to work 8 am - 4 pm EST online/remote (training is required on-camera).Effective troubleshooting where you can leverage your research, analysis and problem-solving abilitiesTime management with the ability to cope in a complex, changing environmentAbility to communicate (oral/written) effectively in a professional office settingPreferred Skills & Experiences:Amisys or Xcelys preferred.About NTT DATA:NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit to learn more.NTT DATA is an equal opportunity employer and considers all applicants without regard 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.NTT DATA provides a reasonable range of compensation for specific roles. The hourly range for this remote role is 18.00 hr. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of 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.