Client Services Specialist I - Health Concierge at NTT Data Services in Omaha, Nebraska

Job Description:

Req ID:110995

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 Client Services Specialist I - Health Concierge to join our team in Omaha, Nebraska (US-NE), United States (US).

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.

NTT DATA Services currently seeks Medical Claims Benefit Specialist to join our team for a seven month or longer temporary assignment with the possibility of being hired permanently. If you feel you are qualified by the description below, please apply for a chance to interview and discuss your skills & qualifications.

You'll join and work with a team of talented people who enjoy solving tough problems and improving the healthcare industry. They believe in supporting both personal and professional growth. That means, they pay attention to goals, celebrate milestones and highly encourage learning opportunities.

JOB SUMMARY

In this role you will be responsible for:

• May handle customer service inquiries and problems


• Triage resulting rework to appropriate staff


• Document and track contacts with members, providers, and plan sponsors


• Process claim referrals, new claim handoffs, nurse reviews, and appeals


• Handles file review request and assist as required


• Performs review of member claim history to ensure accurate tracking of benefits


• Assesses Client's needs, research and communicate information regarding plan


• Handles written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals.


• Ability to multi-task to accomplish workload efficiently

JOB QUALIFICATIONS

• 2+ Medical Claims processing


• 1+ years of experience with Medicare/Medicaid or Health Insurance.


• Read and interpret policies, procedures, and instructions


• High School Diploma or GED


• Proficient in Microsoft Office Products

Preference

ESSENTIAL FUNCTIONS

All duties and responsibilities are essential job functions and are subject to possible modification to reasonably accommodate individuals with disabilities. Other functions and accountabilities may be assigned from time to time. Regular attendance is an essential function of this position. To perform this job successfully, the employee will possess the skills, aptitudes, and abilities to perform each duty proficiently.

TYPICAL PHYSICAL DEMANDS

Requires sitting for long periods of time. Some bending, stretching or reaching required. Requires the physical dexterity to operate a keyboard, calculator, telephone, copier and other office equipment as necessary. Requires ability to perform data entry functions for 95% of the scheduled work shift and perform duties in a fast-paced environment with high demands and tight deadlines. Requires ability to view computer monitor for long periods of time without eyestrain.

About NTT Data, Inc.

NTT DATA, Inc. 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, Inc. is part of the NTT DATA family of companies, together comprising a top 10 global business and IT services provider with 100,000+ professionals in more than 50 countries, and is part of NTT Group, a partner to 85 percent of the Fortune 100. Learn more at https://us.nttdata.com/en/.

EEO Statement

NTT DATA, Inc. (the "Company") is an equal opportunity employer and makes employment decisions based on 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 genetic information, physical or mental disability, veteran or marital status, or any other class protested 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.

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.