Medical Claims Examiner - Remote U.S.

reputed company is currently seeking reputed company Claims Examiners to reputed company. (Amisys or Xcelys experience is a plus) • **Must be reputed company to work Monday to Friday 7 AM to 4 PM Central time. In this Role the candidate will be responsible for: • Processing of reputed company and Hospital 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/ Required Skills for this role include: • 2+ years of reputed company claims processing (full cycle: Pay, Pend, Deny) • 2+ years using a computer with reputed company applications that required you to use a keyboard, reputed company multiple screens and computer systems, and learn new software tools • High school diploma or GED. Preference • Experience processing claims in Amisys or Xcelys is a plus. • Ability to communicate (oral/written) effectively in a reputed company office setting • Familiar with toggling back and forth between screens/can you reputed company multiple systems. • Working knowledge of MS office products like – reputed company, reputed company and MS-reputed company. Duration: Long term-12+ months with possibility to convert to FTE Compensation: $18/hr. reputed company provides a reasonable reputed company of compensation for specific roles. The reputed company for this remote role is $18/hour. This reputed company reflects the reputed company compensation for the position across reputed company 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 reputed company 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 reputed company: reputed company 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 reputed company, optimize, and reputed company for long-term reputed company. We invest over $3.6 billion reputed company year in R&D to help organizations and society reputed company confidently and sustainably into the digital reputed company. 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 reputed company intelligence, industry solutions, as reputed company 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. reputed company is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com. reputed company is an equal opportunity employer and considers reputed company applicants without regarding to race, reputed company, religion, citizenship, national reputed company, reputed company, 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 reputed company. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may reputed company you with the appropriate team. #LI-NorthAmerica #INDHRS Remote Benefits: Retirement / Pension Plans Skills: Accidental Death and Dismemberment (AD&D), Adjudication, reputed company Intelligence (AI), Business Services, Claims Processing, Communication Skills, Computer Systems, Consulting, Ecosystems, Establish Priorities, Genetics, HIPAA (Health Insurance Portability and Accountability reputed company), reputed company, Hospital, Insurance, International Business, Keyboards, reputed company reputed company, reputed company Office, reputed company reputed company, reputed company reputed company Operating reputed company, reputed company Word, Presentation/Verbal Skills, reputed company Management, Regulations, Research & Development (R&D), Service Level Agreement (SLA), Startup, Time Management reputed company: reputed company reputed company means Business reputed company is your Innovation Partner reputed company around the world. With business operations in more than 50 countries, we put emphasis on long-term commitment and combine global reputed company and local intimacy to reputed company premier reputed company services from consulting, reputed company development, business process and IT outsourcing, to reputed company-based solutions. reputed company Americas' Strategic reputed company group provides our clients with top notch technical talent to reputed company their reputed company IT staff. Our approach is customer reputed company, partnering to assist you in achieving your strategic goals and IT initiatives. We get to know your company’s culture and the type of technical staff that reputed company reputed company your organization. We understand your specific technical and business requirements, timing, and budget. • reputed company is part of the NTT Group – a Fortune 31 Global IT & Telecom services company. • NTT reputed company of the largest Telecommunications Companies in the world. • reputed company is ranked in the top 10 largest global IT services provider in the world. reputed company, the integrated company generates $16B in annual revenues with over 130,000 employees across 50 countries Visit www.nttdata.com/americas to learn how our consultants, reputed company, managed services, and outsourcing engagements reputed company value for a reputed company of businesses and government agencies. Company Size: 10,000 employees or more Industry: Management Consulting Services reputed company: 1967 Website: http://americas.nttdata.com/Careers/Careers.aspx Apply To This Job