Claims Examiner Remote
NTT DATA•Plano, TX
11h•Remote
About The Position
Processing of Professional claim forms files by provider Reviewing the policies and benefits Work independently to research, review and act on the claims Ensure claims are adjudicated as per clients defined workflows, guidelines Previously performing - in P&Q work environment; work from queue; remotely o Toggling back and forth between screens/can you navigate multiple systems.
Requirements
- 3 year(s) hands-on experience in Healthcare Claims Processing
- 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.
- Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
- Amisys
- Ability to communicate (oral/written) effectively in a professional office setting
- Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
- Time management with the ability to cope in a complex, changing environment
Responsibilities
- Processing of Professional claim forms files by provider
- Reviewing the policies and benefits
- Work independently to research, review and act on the claims
- Ensure claims are adjudicated as per clients defined workflows, guidelines
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
