Demo

Medical Claims Examiner - Remote U.S.

NTT DATA North America
Dallas, TX Remote Part Time
POSTED ON 3/28/2025
AVAILABLE BEFORE 4/26/2025
NTT DATA is currently seeking 50 Remote Claims Examiners to join our team.

(Amisys or Xcelys experience is a plus)

  • Must be able to work Monday to Friday 7 AM to 4 PM Central time.

In This Role The Candidate Will Be Responsible For

  • Processing of Professional and Hospital 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/

Required Skills For This Role Include

  • 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny)
  • 2 years using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools
  • High school diploma or GED.

Preference

  • Experience processing claims in Amisys or Xcelys is a plus.
  • Ability to communicate (oral/written) effectively in a professional office setting
  • Familiar with toggling back and forth between screens/can you navigate multiple systems.
  • Working knowledge of MS office products like – Outlook, MS word and MS-excel.

About NTT DATA

NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The hourly rate for this remote role is $18 hourly. This rate reflects the target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.

Salary : $4

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Medical Claims Examiner - Remote U.S.?

Sign up to receive alerts about other jobs on the Medical Claims Examiner - Remote U.S. career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$48,938 - $64,891
Income Estimation: 
$58,790 - $76,174
Income Estimation: 
$63,693 - $82,116
Income Estimation: 
$63,693 - $82,116
Income Estimation: 
$78,860 - $101,439
Income Estimation: 
$78,860 - $101,439
Income Estimation: 
$94,044 - $119,611
Income Estimation: 
$94,044 - $119,611
Income Estimation: 
$112,758 - $147,378
Income Estimation: 
$48,938 - $64,891
Income Estimation: 
$58,790 - $76,174
Income Estimation: 
$63,693 - $82,116
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at NTT DATA North America

NTT DATA North America
Hired Organization Address Cumberland, RI Full Time
NTT DATA Services currently seeks a Medical Office Manager/Coordinator to join our team for a hybrid role in Cumberland ...
NTT DATA North America
Hired Organization Address Washington, DC Full Time
Req ID: 310791 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If ...
NTT DATA North America
Hired Organization Address Louisville, KY Part Time
Req ID: 281077 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow wit...
NTT DATA North America
Hired Organization Address Orlando, FL Full Time
Req ID: 317289 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If ...

Not the job you're looking for? Here are some other Medical Claims Examiner - Remote U.S. jobs in the Dallas, TX area that may be a better fit.

Claims Examiner - REMOTE

NTT DATA Services, Plano, TX

AI Assistant is available now!

Feel free to start your new journey!