Job description

At NTT DATA Services, 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 a step 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 Services and for the people who work here.

NTT DATA Services currently seeks Claims Processors to join our team working on a temp-to-hire basis with our customer in Irving, TX. After training, going permanent with the client, this will be a hybrid remote/onsite role.

Summary:
The Senior Claims Examiner is responsible for processing batches of claims (HCFA and UB) data entered by Pre-Key staff in a timely and consistent manner.

• Adjudicate claims at a rate equal to 150 per normal work day
• Maintain statistical accuracy of 98%, and financial accuracy of 98%
• Correct DoD error report as needed
• Respond timely to all Customer Service, Provider Relations type questions
• Other duties as assigned by management
• Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals
• Follow the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)

Requirements:

• High school diploma or equivalent, some college preferred
• Knowledge of HCFA, Medicare and TDI regulations
• Excellent 10-key and computer skills
• Requires excellent data entry speed and accuracy, working with large volumes of input
• Knowledge of CPT, ICD-9 and medical terminology
• Good written and verbal skills
• Minimum three years claims processing in a Managed Care/HMO environment

About NTT DATA Services

NTT DATA Services partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.

NTT DATA Services, headquartered in Plano, Texas, is a division of NTT DATA Corporation, a top 10 global business and IT services provider with 118,000+ professionals in more than 50 countries, and NTT Group, a partner to 88 percent of the Fortune 100. Visit nttdataservices.com to learn more.

NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.

Job Type: Full-time

Pay: $20.00 - $22.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Irving, TX 75038: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• How many years' experience in claims processing do you have?
• What kinds of companies did you process claims for (ie: health plan, TPA, insurance, doctors office, hospital, etc.)?
• What is your knowledge of HCFA, Medicare, and TDI regulations?
• Do you know your data entry speed and accuracy?
• What is your knowledge base of CPT, ICD-9 and medical terminology?
• Have you worked in a Managed Care/HMO environment? Doing what?
• Have you ever worked for NTT DATA or its predecessor, Dell Services? If so, when/where and who was your manager?

Education:

• High school or equivalent (Required)

Experience:

• Medical terminology: 1 year (Required)
• Data entry: 1 year (Required)
• 10 key typing: 1 year (Required)

Work Location: Hybrid remote in Irving, TX 75038

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