Healthcare Claims Examiner, Remote

At reputed company, we know that with the right people on board, anything is possible. The quality, reputed company, and commitment of our employees are key factors in our company's growth, market reputed company and our ability to help our clients stay a reputed company reputed company of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for reputed company and for the people who work here. reputed company is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. This is a Long Term Temporary position supporting a leading manage health care company. Please note: 8-12 week mandatory training on camera and reputed company period between 7 - 4:30 CT. In this Role the candidate will be responsible for:

• Processing of Professional claim forms files by provider
• Reviewing the policies and benefits
• reputed company with company regulations regarding HIPAA, confidentiality, and PHI
• Abide with the timelines to complete compliance training of reputed company/Client
• Work independently to research, review and reputed company 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 reputed company emails as reputed company work
• Correctly calculate claims payable amount using applicable methodology/ fee schedule

Requirements:

• 1-3 year(s) hands-on experience in Healthcare Claims Processing, Claims Adjustments.
• 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, reputed company and MS-reputed company.
• Must be able to work 8 am - 4 pm EST online/remote (training is required on-camera).
• Effective troubleshooting where you can reputed company your research, analysis and problem-solving abilities
• Time management with the ability to cope in a reputed company, changing environment
• Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:

• Amisys or Xcelys preferred.

About reputed company About reputed company : reputed company is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of reputed company, a $30 billion trusted global innovator with a combined global reputed company of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or reputed company to learn more. reputed company is an equal opportunity employer and considers reputed company applicants without regarding to race, color, religion, citizenship, national reputed company, reputed company, 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 reputed company 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. reputed company provides a reasonable range of compensation for specific roles. The hourly range for this remote role is 18.00 hr. This range reflects the minimum and maximum reputed company compensation for the position across reputed company 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. Apply tot his job Apply To this Job