TEMP BPO Senior Representative

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA, Inc. currently seeks a Remote- Provider Data Management Representative to join our team. This is a long term -Temp role

$16.00 per hour

Our Client is one of Leading Health Plan in US providing services in Rhode Island. NTT is getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction

Responsibilities

• Analyzing and processing provider transactions in accordance with plan provisions.
• Should follow the policy and procedure which is defined by the customer.
• Secure the PHI information. - Established working knowledge and application of a specialized technical skills.
• Understands how work impacts results for their area.
• Demonstrates knowledge of internal operations and develops relationships to facilitate workflow.
• Knowledge of related regulations and standards.
• Strong understanding of current processes and procedures and may identify opportunities for improvement.
• Completes a wide range of tasks and assignments.
• Projects and assignments are typically non-routine and variable in nature.

• Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.

Requirements:

• High school Diploma or equivalent.
• 3+ years of experience in a Healthcare Provider Data Management, Provider Enrollment, Payor Claims, or Physician Credentialing where you had to apply business rules to varying fact situations and make appropriate decisions
• 3+ 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.
• 3+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.

***Hours: 8:00am - 4:30pm EST (subject to change per client needs)