Provider Data Processor

NTT Data Americas, Inc.; Texas; Hybrid; USD 20,000 - 29,000; Full time

Job summary

NTT DATA is seeking an Eligibility Provider Data Processor back office in the United States (remote). The role focuses on analyzing and processing provider transactions and enrollment records in accordance with plan provisions, while safeguarding PHI information.

The successful candidate will have at least 3 years in healthcare processing, experience with Provider Data Management or Credentialing, and daily use of Outlook, Excel, and Word.

Qualifications

• High school diploma or equivalent is required.
• Minimum 3 years of healthcare processing experience; provider data management preferred, claims or other healthcare payer/provider experience is acceptable.
• At least 1 year with Microsoft Office (Outlook, Excel, Word) used daily.
• Experience with Provider Data Management and/or Credentialing is preferred.
• Must be proficient with Windows PC applications and typing at least 40 WPM.

Responsibilities

• Analyze and process provider transactions and enrollment records per plan provisions.
• Follow customer-defined policy and procedures.
• Secure PHI information with established technical skills.
• Understand how work impacts results and build relationships to facilitate workflow.
• Identify opportunities for process improvement and resolve complex situations.

Skills

Healthcare processing

Provider Data Management

Provider Credentialing

MS Office

Windows PC navigation

Typing 40 WPM

Education

High school Diploma or equivalent

Job description

Eligibility Provider Data Processor, back office

Our client is one of the leading Health Plans in the US.

Responsibilities:

• Analyzing and processing provider transactions in accordance with plan provisions. Eligibility or enrollment records
• Should follow the policy and procedure which is defined by the customer.
• Secure the PHI information - Established working knowledge and application of specialized technical skills.
• Understands how work impacts results for their area.
• Demonstrates knowledge of internal operations and develops relationships to facilitate workflow.
• Knowledge of related regulations and standards.
• Strong understanding of current processes and procedures and may identify opportunities for improvement.
• Completes a wide range of tasks and assignments.
• Projects and assignments are typically non-routine and variable in nature.
• Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.

Qualifications:

• High school Diploma or equivalent.
• 3 years of experience in healthcare processing (Provider Data Management preferred, Claims or other Healthcare Payer/Provider experience).
• 1+ year of experience with the Microsoft Office suite that required daily usage of Outlook, Excel, and Word.

Preferred Skills/Experience:

• Experience in Provider Data Management and/or Provider Credentialing.
• Experience in Appian, ServiceNow is a plus.
• 3 years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web-based applications.
• Ability to type 40 WPM.

NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($18-$18). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of 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 that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, 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

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. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. 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 also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.

NTT DATA 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.