HC & Insurance Operations Processing Sr Rep
NTT DATA•Plano, TX
13h
About The Position
Processing of Professional claim forms files by provider Work independently to research, review and act on the claims Ensure claims are adjudicated as per clients defined workflows, guidelines
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.
- 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, 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
- Research, review and act on claims
- Ensure claims are adjudicated as per clients defined workflows, guidelines
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
