Remote Senior Health Claims Processing Specialist

NTT DATA, Inc.; Plano (TX); Hybrid; USD 55,000 - 75,000; Full time

Job summary

NTT DATA Services is seeking a HC & Insurance Operations Processing Sr Rep in Plano, Texas. The role centers on processing professional claim forms, reviewing benefits, and ensuring HIPAA compliance while meeting tight SLAs.

Qualified candidates will have 3+ years in healthcare claims, strong MS Office and Amisys skills, and a track record of accurate, timely adjudication. Hybrid/remote options may apply based on client needs.

Qualifications

• 3 years hands-on experience in Healthcare Claims Processing.
• Proficient with Windows and navigating multiple screens/computers.
• Understanding of HIPAA, confidentiality, and PHI handling.

Responsibilities

• Process professional claim forms by provider and ensure accuracy.
• Review policies and benefits and adjudicate within SLAs.
• Research, review and act on claims with independent judgment.
• Maintain quality targets and ensure 98.5%+ PA score and 99.75% FA.

Skills

Healthcare claims processing

Windows navigation across screens

Education

High school diploma or GED

Tools

Amisys

MS Excel

MS Word

MS Outlook

Job description

NTT DATA Services is seeking a HC & Insurance Operations Processing Sr Rep in Plano, Texas. The role centers on processing professional claim forms, reviewing benefits, and ensuring HIPAA compliance while meeting tight SLAs.

Qualified candidates will have 3+ years in healthcare claims, strong MS Office and Amisys skills, and a track record of accurate, timely adjudication. Hybrid/remote options may apply based on client needs.