Posted in Other 30+ days ago.
Type: Full Time
Req ID: 107295
NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a Healthcare & Insurance Operations Associate - Temp to join our team in Quincy, Massachusetts (US-MA), United States (US).
Duties and Responsibilities (other duties may be assigned):
* Process claims in accordance with plan benefits.
* Maintain minimum quality and production levels as determined by the Claims Manager.
* Maintain updated filings for claim benefit investigation (medical necessity reviews, etc), as required in accordance with plan benefits.
* Prepare filings for outside vendors (subrogation) as required in accordance with the plan benefits.
* Handle correspondence from Plan Correspondent and/or employees in a timely and efficient manner.
* Resolve claim issues that do not require outside involvement.
* Serve as back-up to Customer Service department, as needed.
Requirements:
* Perform other various tasks that are deemed necessary and equitable by the Claims Manager
* Ability to coordinate with management as effectively as with subordinates
* Ability to prioritize and multi task effectively
* Communicates effectively, both verbally and in writing
* Ability to work both independently and as a member of the team
* Ability to anticipate and understand systems interactions
* Must be detailed, analytical and accurate
* Recognize the need for follow-thru and follow-up
* Ability to work within specified timeframe and meet deadlines
* Recognize and maintain confidentiality of work materials as appropriate
* High School diploma or combination of education, related experience or training
* Prior claim processing experience desired
* Knowledge of medical terminology and/or billing & coding preferred
* Experience in healthcare industry is a plus
* Proficient with Microsoft Word and Excel or similar PC based programs
Reasonable Accommodation:
Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position.
Working Environment/Physical Demands:
The work environment characteristics and physical demands described here are representative of those an employee may encounter while performing the duties of this job.
The noise level in the work environment is moderate. The employee may occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to sit, walk, speak, or hear. The employee is frequently required to use hands or feel or handle items as well as reach with hands and arms. The employee is occasionally required to stand.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.
About NTT DATA Services
NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.
NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.
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