HC & Insurance Operations Processing Sr Rep

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. 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.

 

For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

 

NTT DATA currently seeks a Coordination of Benefits Associate to join our team for a remote position.

 

Role Responsibilities

• Use multiple sources in researching the potential of dual coverage and determining which Insurance is primary.
• Update Claims System according to Member insurance
• Making outbound call to other Insurance companies to verify coverages
• Take up additional training/ new assignments or projects that may come up as per client needs.
• Meet/ exceed required performance measures such as quality and productivity standards
• Meet/ exceed process SLAs
• Successfully complete the required regulatory and compliance requirements such as the HIPAA.
• Successfully complete all organizational and client training requirements
• Understand how work impacts results for their area as well as other processes.
• Demonstrate knowledge of internal operations and develops relationships to facilitate workflow.
• Knowledge of related regulations and standards.
• Strong understanding of current processes and procedures and may identify opportunities for improvement.

Required Skills/Experience  

• High school Diploma or equivalent.
• 3+ years of medical claims processing experience
• 5+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web-based applications.
• 5+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.
• Ability to type 40 WPM
• Schedule availability for this position is Monday-Friday (08:00am to 08:00pm CST/EST), shifts assigned

 

Preferences

-Experience in Amisys

Job Description

• Understand, Gathering and Prepare the requirements for Business.  
• Works under supervision with internal and external teams to understand customer requirements
• Ability to elaborate on the details of a project  
• Collaborate with Automation Engineers, Machine Learning Engineers, Data Analysts and Business Intelligence Analyst to execute deliverables.
• Must possess technical writing, decision making, and problem-solving skills.
• Must possess strong command over English language.
• Must be flexible with working hours – may require to work in UK or US Shifts depending on the business requirement.

 

Skills

• Appropriate mathematical knowledge
• Strong communication and critical thinking skills
• Strives for professional development
• Custom