HC & Insurance Operations Processing Sr Rep

NTT DATA Services • Plano, TX

1d

About The Position

This role involves researching and calculating member accumulators using multiple sources, updating the Accumulator Application according to Standard Operating Procedure (SOP), and undertaking additional training, new assignments, or projects as needed. The position requires meeting or exceeding performance measures, process SLAs, and completing all required regulatory, compliance, and client training. The individual will need to understand how their work impacts results for their area and other processes, demonstrate knowledge of internal operations, develop relationships to facilitate workflow, and possess knowledge of related regulations and standards. A strong understanding of current processes and procedures is expected, with the potential to identify opportunities for improvement.

Requirements

• High school Diploma or equivalent.
• 3+ years of healthcare experience.
• Very good Excel skills.
• 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.

Responsibilities

• Use multiple sources in researching the potential and calculating member accumulators.
• Update Accumulator Application according to Standard Operating Procedure (SOP).
• 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 develop relationships to facilitate workflow.
• Knowledge of related regulations and standards.
• Strong understanding of current processes and procedures and may identify opportunities for improvement.

What This Job Offers

• Career Level: Senior
• Education Level: High school or GED