TEMP BPO Senior Representative
Company
NTT DATA Services
Location
Clifton Heights, PA
Type
Full Time
Job Description
Position's General Duties and Tasks
• Process claims by following the policies and procedures as defined by the customer.
• Take up additional trainings/ new assignments or projects that may come up as per client needs.
• Meet/ exceed required performance measures such as quality and productivity standards
• Meet/ exceed process SLAs
• Confirm to the required regulatory and compliance requirements such as the HIPAA.
• Confirm to the organizational and client training requirements
• Understand how work impacts results for their area as well as other processes.
• Demonstrate knowledge of internal operations and develops relationships to facilitate workflow.
• Knowledge of related regulations and standards.
Want more jobs like this?
Get jobs in Clifton Heights, PA delivered to your inbox every week.
• Strong understanding of current processes and procedures and may identify opportunities for improvement.
Requirements for this role include:
• High school Diploma or equivalent.
• 3+ years of claims processing experience in a Health care payer/ BPO/ TPA setting (Claims Examiners)
• 3+ years of Medicaid claims processing experience using Amisys
• 3+ years of processing COB and Dual claims
• 5+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web based applications.
• 5+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.
• Ability to type 40 WPM
Required schedule availability for this position is Monday-Friday (08:00am to 08:00pm CST/EST) . The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.
Position's General Duties and Tasks:
Process claims by following the policies and procedures as defined by customer. Take up new assignments or projects that may come up as per clients needs. Meet/exceed required performance measures such as quality and productivity standards. Meet/Exceed process SLA's. Understand how work impacts results for their area as well as other processes. Demonstrate knowledge of internal operations. Knowledge of related regulations and standards.
Position's General Duties and Tasks: Process claims by following the policies and procedures as defined by customer. Take up new assignments or projects that may come up as per clients needs. Meet/exceed required performance measures such as quality and productivity standards. Meet/Exceed process SLA's. Understand how work impacts results for their area as well as other processes. Demonstrate knowledge of internal operations. Knowledge of related regulations and standards.
Date Posted
10/14/2024
Views
0
Similar Jobs
AI & GenAI Data Scientist - Manager - PwC
Views in the last 30 days - 0
The job description at PwC involves leveraging data and advanced analytics techniques to drive business decisions and optimize operations The role req...
View DetailsProduct Management Group Manager - The PNC Financial Services Group
Views in the last 30 days - 0
The job profile at PNC involves defining the strategy and executing on business and financial results for a product portfolio The role requires leadin...
View DetailsData Engineer Senior - Data and Automation (Hadoop, Google Cloud, Pyspark, Python, SQL) - The PNC Financial Services Group
Views in the last 30 days - 0
PNC is seeking a Data Engineer Senior to join their Data and Automation organization The role involves architecting developing testing and optimizing ...
View DetailsSenior Software Engineer-Java/React/SQ - The PNC Financial Services Group
Views in the last 30 days - 0
PNC is seeking a Senior Software Engineer with 3 years of experience in full stack engineering The role involves detailed technical design and develop...
View DetailsAI & GenAI Data Scientist-Senior Associate - PwC
Views in the last 30 days - 0
At PwC data and analytics professionals leverage advanced analytics techniques to drive insights and informed business decisions They focus on data ma...
View DetailsSoftware Engineer Sr-Python/Ansible/React/SQL - The PNC Financial Services Group
Views in the last 30 days - 0
PNC is seeking a Senior Software Engineer for a position based in one of its technology hubs The role involves providing detailed technical design and...
View Details