Medical Claims Processor - Remote

Starrcohawaii; Northern (KY); Remote; USD 20,000 - 29,000; Part time

Job summary

NTT DATA is seeking a Remote Claims Processing Associate to join our client’s team. This contract-to-hire role is remote (Work From Home) with a starting pay of $18.00 per hour and a standard schedule Monday through Friday.

The candidate will process professional claims, verify benefits, and ensure HIPAA and PHI compliance while meeting SLAs and quality targets. Experience in healthcare claims, MS Office, and strong research and problem-solving skills are required.

Qualifications

• 1-3 years hands-on healthcare claims processing experience.
• 2+ years computer proficiency across multiple systems and screens.
• High school diploma or GED.
• Remote work experience in P&Q environment; work from queue; remotely.
• Strong keyboard and MS Office proficiency.
• Effective oral and written communication in a professional setting.
• Ability to troubleshoot and research to resolve issues.

Responsibilities

• Process professional claim forms by provider.
• Review the policies and benefits.
• Ensure HIPAA, confidentiality, and PHI compliance.
• Adhere to training timelines and complete on-camera training.
• Research, review and adjudicate claims.
• Meet turnaround time/SLAs and maintain quality targets.
• Calculate claims payable amounts using applicable methodology/fee schedule.

Skills

Healthcare claims

Time management

Communication

Research skills

MS Office

Keyboard navigation

Education

High school diploma or GED

Tools

MS Word

MS Excel

Outlook

Amisys

Job description

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. Medical Claims Processing Specialist Location: Remote-Work From Home Pay Rate: $18.00 per hour Start Date: 8/26/2026 Shift: M-F 7:00-4:00 pm CT Employment Type: Contract to Hire

In this role the candidate will be responsible for:

Campaigns & Elections

• Processing of professional claim forms files by provider
• Reviewing the policies and benefits
• Complying with company regulations regarding HIPAA, confidentiality, and PHI
• Abide with the timelines to complete compliance training of NTT Data/Client
• Work independently to research, review and act on 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 client productivity/quality targets to avoid penalties
• Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA
• Timely response and resolution of claims received via emails as priority work
• Correctly calculate claims payable amount using applicable methodology/fee schedule

Requirements:

• 1-3 year(s) hands-on experience in Healthcare Claims Processing
• 2+ year(s) using a computer with Windows 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; remotely
• Key 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 7am - 4 pm CST online/remote (training is required on-camera)
• Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
• Time management with the ability to cope in a complex, changing environment
• Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:

• Amisys Preferred

NTT DATA provides a reasonable range of compensation for U.S. based positions. The starting hourly range for this remote role is $18.00. This range reflects the minimum and maximum target compensation for the position across all 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 is eligible for company benefits including participation in medical, dental, and vision 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 NTT DATA

NTT DATA 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 innovate, optimize and transform for long-term success. 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 artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future.