Healthcare Claims Specialist
5 days ago
Raise your career to new heights as a Healthcare Claims Specialist at NTT DATA. In this role, you will play a pivotal part in the claims adjudication process, ensuring timely and accurate resolution of claims. With experience in handling claims, adjudication, and adjustment processes, you will be an asset to our team.
Key Responsibilities:
- Process and resolve claims for payment and denials
- Knowledge of healthcare insurance policy concepts, including in-network and out-of-network providers, deductibles, coinsurance, copays, and maximum out-of-pocket limits
- Ensure accurate and timely completion of transactions to meet or exceed client Service Level Agreements (SLAs)
- Organize and complete tasks according to assigned priorities
Requirements:
- 1-3 years of experience in processing claims, adjudication, and adjustment processes
- Experience in professional, institutional, UB, and HCFA claims is preferred
- Strong analytical skills and ability to work independently
- Good communication and strong reading comprehension and writing skills
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