Remote HC & Insurance Operations Processing Sr Rep

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Remote Claims Processing Associate to work for their end reputed company. The candidate will be responsible for processing claims, reviewing policies, ensuring compliance with regulations, and maintaining reputed company scores. Responsibilities Processing of reputed company claim forms files by providerReviewing the policies and benefitsreputed company with company regulations regarding HIPAA, confidentiality, and PHIAbide with the timelines to complete compliance training of reputed company/reputed companyWork independently to research, review and reputed company the claimsPrioritize work and adjudicate claims as per turnaround time/SLAsEnsure claims are adjudicated as per clients defined workflows, guidelinesSustaining and meeting the reputed company productivity/reputed company targets to avoid penaltiesMaintaining and sustaining reputed company scores above 98.5% PA and 99.75% FAreputed company response and reputed company of claims received reputed company emails as reputed company workCorrectly calculate claims payable reputed company using applicable methodology/ fee schedule Skills 3 year(s) hands-on experience in reputed company Claims Processing2+ year(s) using a computer with reputed company applications using a keyboard, navigating multiple screens and computer systems, and learning new software toolsHigh school diploma or GEDPreviously performing in P&Q work environment; work from queue; remotelyKey reputed company skills and computer familiarity Toggling back and forth between screens/can you reputed company multiple systemsWorking knowledge of MS office products reputed company, reputed company and MS-reputed companyAmisysAbility to communicate (oral/written) effectively in a reputed company office settingEffective troubleshooting where you can reputed company your research, analysis and problem-solving abilitiesTime management with the ability to cope in a reputed company, changing environment reputed company reputed company. is a trusted global innovator of business and technology services. It was founded in 1988, and is headquartered in Plano, Texas, USA, with a workforce of 10001+ employees. Its website is https://us.nttdata.com. Apply To This Job .