Coordination of Benefits Associate

NTT DATA•Plano, TX

About The Position

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay ahead of the competition. 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. NTT DATA, Inc. currently seeks a Coordination of Benefits Associate to join our team. Client's business problem to solve? Our Client is one of the leading Health Plans in the US providing services in multiple states. NTT Business Process Outsourcing (BPO) team offers end-to-end administrative services help streamline operations, improve productivity, and strengthen cash flow to help our customers stay competitive and improve member satisfaction. Using multiple sources, this position will research the Coordination of Benefits (COB) for potential dual coverage by other health insurance companies for all subscribers, spouses, and affected dependents and determines which insurance is prime. COB research extends to all coverage offered by Health Net

Requirements

High school Diploma or equivalent.
3+ years of medical claims or eligibility experience
5+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web-based applications.
5+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.
Ability to type 40 WPM
Required schedule availability for this position is Monday-Friday (08:00am to 08:00pm CST/EST) . The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.

Responsibilities

Use multiple sources in researching the potential of dual coverage and determining which Insurance is primary.
Update Claims System according to Member insurance
Making outbound call to other Insurance companies to verify coverages
Take up additional training/ new assignments or projects that may come up as per client needs.
Meet/ exceed required performance measures such as quality and productivity standards
Meet/ exceed process SLAs
Successfully complete the required regulatory and compliance requirements such as the HIPAA.
Successfully complete all organizational and client training requirements
Understand how work impacts results for their area as well as other processes.
Demonstrate knowledge of internal operations and develops relationships to facilitate workflow.
Knowledge of related regulations and standards.
Strong understanding of current processes and procedures and may identify opportunities for improvement.