Medical Claims Examiner, Remote, Temporary

Other Jobs To Apply

No other job posts for this day.

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.<br><br>In this Role the candidate will be responsible for:<br><br><ul><li> Processing of Professional claim forms files by provider</li><li> Reviewing the policies and benefits</li><li> Comply with company regulations regarding HIPAA, confidentiality, and PHI</li><li> Abide with the timelines to complete compliance training of NTT Data/Client</li><li> Work independently to research, review and act on the claims</li><li> Prioritize work and adjudicate claims as per turnaround time/SLAs</li><li> Ensure claims are adjudicated as per clients defined workflows, guidelines</li><li> Sustaining and meeting the client productivity/quality targets to avoid penalties</li><li> Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. </li><li> Timely response and resolution of claims received via emails as priority work</li><li> Correctly calculate claims payable amount using applicable methodology/ fee schedule<br><br></li></ul>Requirements:<br><br><ul><li> 3 year(s) hands-on experience in Healthcare Claims Processing</li><li> 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools</li><li> High school diploma or GED. </li><li> Previously performing – in P&Q work environment; work from queue; remotely</li><li> Key board skills and computer familiarity –</li><li> Toggling back and forth between screens/can you navigate multiple systems. </li><li> Working knowledge of MS office products – Outlook, MS Word and MS-Excel. <br><br></li></ul>Preferred Skills & Experiences:<br><br><ul><li> Amisys</li><li> Ability to communicate (oral/written) effectively in a professional office setting</li><li> Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities</li><li> Time management with the ability to cope in a complex, changing environment</li></ul>

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...