About the Job:
NTT DATA is seeking a Remote Claims Processing Associate to support its end client in managing healthcare claims efficiently and accurately. This W-2 contract role is based in the United States and offers the opportunity to work remotely while ensuring compliance, accuracy, and timeliness in claims adjudication.
Key Responsibilities:
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Process professional claim forms submitted by providers.
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Review policies, benefits, and coverage details to validate claims.
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Ensure compliance with HIPAA, confidentiality, and PHI regulations.
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Complete required compliance training within set timelines.
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Research, review, and adjudicate claims independently.
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Prioritize and process claims according to turnaround time/SLAs.
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Maintain high productivity and quality targets (≥98.5% PA and ≥99.75% FA).
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Manage email-based claims promptly and accurately.
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Calculate claim payable amounts using appropriate methodologies and fee schedules.
Requirements:
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1–3 years of hands-on experience in healthcare claims processing.
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2+ years using Windows-based systems and multiple software tools.
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High school diploma or GED required.
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Experience in a remote, queue-based work environment.
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Proficient keyboard and navigation skills across multiple systems.
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Working knowledge of MS Office (Outlook, Word, Excel).
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Must be available to work 7 AM – 4 PM CST (on-camera training required).
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Strong analytical, problem-solving, and time management abilities.
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Effective written and verbal communication skills.
Preferred Skills:
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Experience with Amisys and/or Xcelys systems.
About NTT DATA:
NTT DATA is a $30 billion global IT and business services innovator, serving 75% of the Fortune Global 100. With expertise in over 50 countries, NTT DATA helps organizations innovate, optimize, and transform through AI, data, digital infrastructure, and consulting. As part of the NTT Group, the company invests over $3.6 billion annually in R&D, promoting sustainable digital progress.
NTT DATA is an Equal Opportunity Employer, providing consideration for employment without regard to race, color, religion, gender, sexual orientation, identity, national origin, disability, or veteran status.
Compensation:
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Starting hourly rate: $18.00
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May include performance-based incentives.
For accessibility assistance or application inquiries, visit: https://us.nttdata.com/en/contact-us