Senior Healthcare Claims Support

NTT DATA North America; Quezon; On-site; PHP 240,000 - 360,000; Full time

Job summary

NTT DATA North America is hiring Customer Service Representatives to learn business procedures across internal teams and handle inbound and outbound calls based on established program processes.

You will review documents, transactions and accounts for completeness, analyze medical insurance claims for quality assurance, and respond to customer requests to ensure service standards are met while expanding your knowledge of the healthcare insurance industry.

Qualifications

• High School diploma or equivalent required.
• 1-2 years’ experience working in the medical field preferred.
• Must master the English language, both oral and written.

Responsibilities

• Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
• Identifies opportunities and reports on inaccuracies that may be present in reviewed documents.
• Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner.
• Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.
• Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
• Analyzing medical insurance claims for quality assurance
• Resolving moderately routine questions following pre-established guidelines
• Performing routine research on customer inquiries.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Skills

English language proficiency

Detail-oriented

Organized

Independent work

Education

High School diploma or equivalent

Tools

Microsoft Office

Job description

NTT DATA North America is hiring Customer Service Representatives to learn business procedures across internal teams and handle inbound and outbound calls based on established program processes.

You will review documents, transactions and accounts for completeness, analyze medical insurance claims for quality assurance, and respond to customer requests to ensure service standards are met while expanding your knowledge of the healthcare insurance industry.