1 medical claims examiner trainer Job in plano, tx
NTT DATA is Hiring a Remote Medical Claims Examiner
- NTT DATA Corporation is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We operate with 60,000 professionals in 36 countries. Every day around the world we help clients explore new ways to respond to market dynamics with flexibility and speed, reduce costs with less risk, and increase productivity to enable growth.
NTT DATA Services currently seeks Medical Claims Examiners versed in health plans to join our team working project in Plano, TX. This will be 100% remote AFTER on-site training is completed. - Responsibilities will be:
- Process Adjudication claims and resolve for payment and Denials
- Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
- Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
- Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
- Organizing and completing tasks according to assigned priorities.
- Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
- Resolving complex situations following pre-established guidelines
- 1-2 yrs. exp in Healthcare.
- 1-3 years of experience in processing claims adjudication and adjustment process
- Typing test - to check familiarity with computers.
- Experience of Amisys is an added advantage.
- Experience in professional (HCFA), institutional (UB) claims (optional)
- Good communication (Demonstrate strong reading comprehension and writing skills)
- Able to work independently, strong analytic skills
- Some overtime and work on weekends based on business requirement.
About NTT DATA Services:
NTT DATA Services 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 nttdata.com or LinkedIn to learn more.
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.
For Colorado Candidates: In compliance with the Colorado Equal Pay Transparency Rules, NTT DATA provides a reasonable range of compensation for roles that may be hired in Colorado. For a candidate in the state of Colorado only, the starting pay range for this role is $16/hr. Actual compensation will depend on a number of factors, including actual work location, relevant experience (internal or external), technical skills, and other qualifications.
If eligible for incentive compensation: The candidate may also be eligible for incentive compensation based on personal and/or company performance. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, 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.
Job Summary
Full Time
Software & Cloud Computing
$47k-61k (estimate)
08/10/2023
06/09/2024
nttdata.com
PLANO, TX
>50,000
1986
JOHN W MCCAIN
$1B - $3B
Software & Cloud Computing
Related Companies
About NTT DATA
NTT DATA is a top 10 global IT services provider, headquartered in Tokyo and operating in more than 50 countries. For us, work is not only for technological innovation, it is about connecting people to create better solutions for everyday life. NTT DATA offers an advanced portfolio of consulting, application, business process, cloud, and infrastructure services to businesses and governments worldwide. Our roots cross continents and cultures, dating back five decades. Since the foundation of NTT DATA , we have made sustainable business growth through our DNA to be people-oriented. Through our l ...
ong-term perspective, we hope to make a big difference in this world by getting the small things right. This pedigree yields a characteristic unique to NTT DATA: the opportunity for a global brand with the creative energy and enthusiasm of an entrepreneur.
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The job skills required for Medical Claims Examiner include Claim Processing, Technical Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Claims Examiner. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Claims Examiner. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Claims Examiner positions, which can be used as a reference in future career path planning. As a Medical Claims Examiner, it can be promoted into senior positions as a Disability Claims Examiner, Sr. that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Claims Examiner. You can explore the career advancement for a Medical Claims Examiner below and select your interested title to get hiring information.
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