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Medical Claims Processor - Remote

NTT DATA

  • remote, TX
  • 25 days ago
  • Remote
  • $18 Per Hour
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Skills

  • Accidental Death and Dismemberment (AD&D)unmatched
  • Adjudicationunmatched
  • Analysis Skillsunmatched
  • Artificial Intelligence (AI)unmatched
  • Business Servicesunmatched
  • Claims Processingunmatched
  • Communication Skillsunmatched
  • Computer Systemsunmatched
  • Consultingunmatched
  • Ecosystemsunmatched
  • Establish Prioritiesunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Healthcareunmatched
  • High School Diplomaunmatched
  • Identify Issuesunmatched
  • Insuranceunmatched
  • International Businessunmatched
  • Keyboardsunmatched
  • Microsoft Excelunmatched
  • Microsoft Officeunmatched
  • Microsoft Outlookunmatched
  • Microsoft Windows Operating Systemunmatched
  • Microsoft Wordunmatched
  • Presentation/Verbal Skillsunmatched
  • Problem Solving Skillsunmatched
  • Quality Managementunmatched
  • Regulationsunmatched
  • Research & Development (R&D)unmatched
  • Service Level Agreement (SLA)unmatched
  • Startupunmatched
  • Time Managementunmatched
  • Typingunmatched
  • Work From Homeunmatched

Description

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 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 and for the people who work here.

To ensure proper evaluation, candidates must submit a current and accurate resume reflecting their actual employment history, relevant experience, and qualifications. Applications containing insufficient, incomplete, or unverifiable information may be excluded from consideration.

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.

Medical Claims Processing Specialist
Location: Remote-Work From Home
Pay Rate: $18.00 per hour
Start Date: 8/26/2026
Shift: M-F 7:00-4:00 pm CT
Employment Type: Contract to Hire

In this Role the candidate will be responsible for:
  • Processing of Professional claim forms files by provider
  • Reviewing the policies and benefits
  • Comply with company regulations regarding HIPAA, confidentiality, and PHI
  • Abide with the timelines to complete compliance training of NTT Data/Client
  • Work independently to research, review and act on the claims
  • Prioritize work and adjudicate claims as per turnaround time/SLAs
  • Ensure claims are adjudicated as per clients defined workflows, guidelines
  • Sustaining and meeting the client productivity/quality targets to avoid penalties
  • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
  • Timely response and resolution of claims received via emails as priority work
  • Correctly calculate claims payable amount using applicable methodology/ fee schedule

Requirements:
  • 1-3 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.
  • Must be able to work 7am - 4 pm CST online/remote (training is required on-camera).
  • 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
  • Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:
  • Amisys Preferred


NTT DATA provides a reasonable range of compensation for U.S. based positions. The starting hourly range for this remote role is $18.00. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.

This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401K program, and additional voluntary or legally required benefits. 

About NTT DATA

NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com

NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here . If you'd like more information on your EEO rights under the law, please click here . For Pay Transparency information, please click here .

Numbers & Facts

Locationremote, TX (
Remote
)
IndustryManagement Consulting Services
Company Size10,000 employees or more
Year Founded1967
Websitehttp://americas.nttdata.com/Careers/Careers.aspx

Benefits

Retirement / Pension Plans

About Company

NTT DATA means Business

NTT DATA is your Innovation Partner anywhere around the world. With business operations in more than 50 countries, we put emphasis on long-term commitment and combine global reach and local intimacy to provide premier professional services from consulting, system development, business process and IT outsourcing, to cloud-based solutions.

NTT DATA Americas' Strategic Staffing group provides our clients with top notch technical talent to augment their core IT staff. Our approach is customer centric, partnering to assist you in achieving your strategic goals and IT initiatives. We get to know your company’s culture and the type of technical staff that thrive within your organization. We understand your specific technical and business requirements, timing, and budget.

  • NTT DATA is part of the NTT Group – a Fortune 31 Global IT & Telecom services company.
  • NTT Group one of the largest Telecommunications Companies in the world.
  • NTT DATA is ranked in the top 10 largest global IT services provider in the world.
Collectively, the integrated company generates $16B in annual revenues with over 130,000 employees across 50 countries Visit www.nttdata.com/americas to learn how our consultants, projects, managed services, and outsourcing engagements deliver value for a range of businesses and government agencies.

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