• Atlanta, GA, USA
NTT DATA Remote * (Houston, TX, USA)
Sep 18, 2021
MILITARY VETERANS Job DescriptionThe Credentialing Representative obtains and reviews documentation to determine status in a health plan. The Credentialing Representative performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The Credentialing Representative reviews the Provider applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Make outbound calls and take inbound calls from Providers Reviews the information and documentation collected, as well as verification that the information is accurate and complete. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for...
NTT DATA Remote * (Phoenix, AZ, USA)
Sep 17, 2021
Req ID: 143059 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Jr. Application Developer to join our team in Phoenix, Arizona . This position will work remotely from your home office located within the US. Preference for candidate to be within the local Phoenix, Arizona area. This position will work be required to work the local business hours of Phoenix, Arizona. NTT DATA Services is committed to improving patient outcomes by creating efficiencies across the healthcare ecosystem. A recognized leader in the healthcare space, the company delivers targeted segment solutions including patient engagement, predictive analytics, healthcare cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management and policy administration, in...
NTT DATA Remote * (Tampa, FL, USA)
Sep 16, 2021
In this Role you will be Responsible for : • Reviewing and researching insurance claims to determine possible payment accuracy. • Validating Member, Provider and other Claims information. • Determining accurate payment criteria for clearing pending claims based on defined Policy and Procedure. • Coordinating Claim Benefits based on the Policy & Procedure. • Maintaining productivity goals, quality standards and aging timeframes. • Scrutinizing Medical Claim Documents and settlements. Requirements for this role include : • 2 + years of Claims Adjudication experience that required you to review claims rules and workflows. • 2 years of prior experience with Xcelys software system • MUST HAVE hands-on experience in Insurance medical claims adjudication including managing Data, Auth, COB and corrected holds • Experience processing claims that required a working knowledge of HCPCS, ICD and CPT codes • Experience that required a knowledge of healthcare insurance policy concepts...
NTT DATA Remote * (Woonsocket, RI 02895, USA)
Aug 25, 2021
Executive TA Coordinator (ETAC) REMOTE Hours: 8:30 - 5 pm CT $24.00 hour. We need someone who supported recruiters and not looking for a Recruiter Position Overview The Executive Talent Acquisition Coordinator plays a critical role supporting the Executive Search team. While the daily tasks may vary, they are pivotal partners in providing coordination and support throughout the recruiting lifecycle. You will manage and drive essential activities that keep Executives and Executive candidates engaged and informed while also ensuring the Executive Recruiter stays connected on all the moving parts of the process. Your efforts will power a more efficient team, as well as drive a more effective and meaningful experience for our leader and candidates. The position is about maximizing operational efficiency with a strong focus of customer service. KeyResponsibilities Ensure exceptional Candidate Experience, beginning with interview to offer through start date Develop strong working...