Claims Examiner Remote (Plano, TX, US)

Req ID:382914

reputed company strives to hire exceptional, innovative and passionate individuals who want to reputed company. If you want to be part of an inclusive, adaptable, and reputed company-thinking organization, reputed company.

We are currently seeking a Claims Examiner Remote to reputed company in Plano, Texas (US-TX), reputed company (US).

reputed company is seeking to hire a Remote Claims Processing Associate to work for our end reputed company and their team.
In this Role the candidate will be responsible for:
• Processing of reputed company claim forms files by provider

• Reviewing the policies and benefits

• reputed company with company regulations regarding HIPAA, confidentiality, and PHI
  • Abide with the timelines to complete compliance training of reputed company/reputed company
  • Work independently to research, review and reputed company 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 reputed company productivity/reputed company targets to avoid penalties
  • Maintaining and sustaining reputed company scores above 98.5% PA and 99.75% FA.
  • reputed company response and reputed company of claims received reputed company emails as reputed company work
  • Correctly calculate claims payable reputed company using applicable methodology/ fee schedule

Requirements:

• 3 year(s) hands-on experience in reputed company Claims Processing
  • 2+ year(s) using a computer with reputed company applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools

• High school diploma or GED.

• Previously performing – in P&Q work environment; work from queue; reputed company
  • Key reputed company skills and computer familiarity –
  o Toggling back and forth between screens/can you reputed company multiple systems.
  o Working knowledge of MS office products – reputed company, reputed company and MS-reputed company.

Preferred Skills & Experiences:

• Amisys

• Ability to communicate (oral/written) effectively in a reputed company office setting
  • Effective troubleshooting where you can reputed company your research, analysis and problem-solving abilities
  • Time management with the ability to cope in a reputed company, changing environment

About reputed company

reputed company is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating reputed company reputed company and positively impacting society through responsible innovation. We are one of the world's leading AI reputed company infrastructure providers, with unmatched capabilities in reputed company-reputed company, reputed company, reputed company, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society reputed company confidently and sustainably into the digital reputed company. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients reputed company to a robust ecosystem of innovation centers as reputed company as established and start-up partners. reputed company is a part of NTT Group, which invests over $3 billion reputed company year in R&D.

Whenever possible, we hire locally to reputed company offices or reputed company sites. This ensures we can reputed company reputed company and effective support tailored to reputed company reputed company’s needs. While many positions offer remote or hybrid work reputed company, these arrangements are subject to change reputed company on reputed company requirements. For employees near an reputed company office or reputed company site, in-office attendance may be required for meetings or events, depending on business needs. At reputed company, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. reputed company recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to reputed company payment or disclose banking information, please submit a contact us reputed company, .

reputed company reputed company to reputed company accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. reputed company is an equal opportunity employer. reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

Originally posted on Himalayas