Remote HRP Claims Processor

Lensa; Plano (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A global leader in business and technology services is looking for a Remote Claims Processor in Plano, TX. This entry-level position offers hourly pay and requires skills in healthcare claims processing and compliance with regulations. Candidates will be responsible for processing claims and ensuring adherence to timelines while working in a supporting role to meet client quality targets.

Benefits

Medical insurance

Dental insurance

Vision insurance

401k program with company match

Qualifications

• 1-3 years hands-on experience in Healthcare Claims Processing.
• Must have at least 1 year experience with HRP system.
• Must be able to use computer applications with multiple screens.

Responsibilities

• Process professional claim forms and review policies.
• Comply with company regulations regarding HIPAA.
• Research, review, and act on claims independently.

Skills

Healthcare Claims Processing

Computer Skills

HIPAA Compliance

Education

High school diploma or GED

Job description

14 hours ago Be among the first 25 applicants

Lensa partners with DirectEmployers to promote this job for NTT DATA North America.

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

NTT DATA currently seeks a Remote Claims Processor to join our team in Plano, TX.

HRP Claims Processing Specialist

Monday-Friday 9am-5pm CST

In This Role The Candidate Will Be Responsible For

• Processing of Professional claim forms files by provider
• Reviewing the policies and benefits
• Comply 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
  
  

Required Skills For This Role Include

• Must have 1 year experience with HRP system
• 1-3 year(s) of hands on experience in Healthcare Claims Processing
• 2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools
• An education level of at least a high school diploma or GED
  
  

Preferences

• Understanding of previous quality, production and attendance parameters
• Understanding and adhering to working hours and leave policy.
• Key board skills and computer familiarity
• Familiar with toggling back and forth between screens/can you navigate multiple systems.
• Working knowledge of MS office products like – Outlook, MS word and MS-excel.
  
  

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.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($20 - $22/hourly ). 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 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.

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x

Sign in to set job alerts for “Claims Clerk” roles.

Data Entry Claims Clerk - National Remote

Data Entry Claims Clerk - National Remote

Remote Data Entry Clerk - Typing - Part Time Entry

General Liability Claims Adjuster II - Property, Auto

Spvsr Property Claims Branch - Wind & Hail Team

Dallas, TX $92,154.00-$166,210.00 2 weeks ago

Associate Clinical Administrative Coordinator - Remote in Irving, TX

Associate Clinical Administrative Coordinator - National Remote

Executive & Events Operations Assistant - Remote Work

Associate Clinical Administrative Coordinator - Remote in Irving, TX

Dallas, TX $110,000.00-$130,000.00 3 months ago

Administrative Executive with Ariba or SAP Software Experience - Remote

Dallas, TX $72,000.00-$97,000.00 2 weeks ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.