Remote Temp HRP Claims Processor

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

Job summary

Lensa, in association with NTT DATA, is looking for an HRP Claims Processing Specialist for a temporary remote position. The ideal candidate will process claims, ensure compliance with regulations, and meet productivity targets while working independently. Applicants need to have experience in healthcare claims processing and proficiency in MS Office.

Qualifications

• 1-3 years of hands-on experience in Healthcare Claims Processing.
• Familiarity with multiple computer systems and navigation.
• Understanding of quality and attendance standards.

Responsibilities

• Processing professional claim forms by provider.
• Reviewing policies and benefits for compliance.
• Calculating claims payable amounts accurately.

Skills

HRP system experience

Healthcare Claims Processing

Computer navigation skills

MS Office proficiency

Education

High school diploma or GED

Job description

13 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 strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

HRP Claims Processing Specialists (temp)

Location: Remote

Monday-Friday 9am-5pm CST

Pay Rate: 22.00 per hour

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 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.
• 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 (https://us.nttdata.com/en) .

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting range for this remote role is ($22.00 per hour). 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.

NTT DATA Services 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.

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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Temporary

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

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