NTT Data Services, Inc Hiring for Provider Claims Processor at Remote Full Time

Provider Data Management Processor (claims processors or provider credentialing also valid)

• Location: REMOTE

Tentative Start date: May 22, 2023 or May 29th, 2023

• Duration: May-Aug 2023 and we expect an extension (Long term project-expected to extend multiple years)
• Hours: 8:00am – 4:30pm EST (subject to change per client needsNTT DATA, Inc. currently seeks a BPO HC & Insurance – Provider Data Management Rep

to join our team.

Client’s business problem to solve?

Our Client is one of Leading Health Plan in US providing services in Rhode Island. NTT is getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction

Position’s General Duties and Tasks
In these roles you will be responsible for:

• Analyzing and processing provider transactions in accordance with plan provisions.
• Should follow the policy and procedure which is defined by the customer.
• Secure the PHI information. – Established working knowledge and application of a specialized technical skills.
• Understands how work impacts results for their area.
• Demonstrates 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.
• Completes a wide range of tasks and assignments.
• Projects and assignments are typically non-routine and variable in nature.
• Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.

Requirements for this role include:

• High school Diploma or equivalent.
• 2+ years of experience in a Healthcare Provider Data Management, Provider Enrollment, Payor Claims, or Physician Credentialing where you had to apply business rules to varying fact situations and make appropriate decisions
• 3+ 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.
• 3+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.
• 2 years of remote experience. Must have quiet and secured home office and high speed Internet.

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.

Job Type: Temporary

Pay: $16.00 – $16.75 per hour

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Health Care: 3 years (Required)
• Microsoft Excel: 1 year (Required)
• Provider Data: 1 year (Preferred)
• Provider Enrollment: 1 year (Required)
• Medical Claims Processing: 1 year (Required)
• Data entry: 1 year (Preferred)

Work Location: Remote