Claims Processing Associate - Remote
: Job Details :

We are currently seeking a Claims Processing Associate - Remote to join our team in Plano, Texas (US-TX), United States (US). In this Role the candidate will be responsible for: Processing of Professional claim forms files by provider Reviewing the policies and benefits Comply with company regulations regarding HIPAA, confidentiality, and PHI Abide with the timelines to complete compliance training of NTT Data/ Client Work independently to research, review and act on the claims Prioritize work and adjudicate claims as per turnaround time/ SLAs Ensure claims are adjudicated as per clients defined workflows, guidelines Sustaining and meeting the client productivity/quality targets to avoid penalties Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. Timely response and resolution of claims received via emails as priority work Correctly calculate claims payable amount using applicable methodology/ fee schedule Requirements: 3 year(s) hands-on experience in Healthcare ...Processing Associate, Claims, Processing, Associate, Remote