Healthcare Claims Processing Associate – Remote (MO)

Make an impact in healthcare claims processing with a global leader in digital innovation.


About NTT DATA
NTT DATA is a $30+ billion global innovator of business and technology services, serving 75% of the Fortune Global 100. With more than 25 years of experience in outsourcing and automation, we help organizations innovate, optimize, and transform for long-term success. Headquartered in Tokyo and part of NTT Group, we operate in 50+ countries with a focus on delivering sustainable value.


Schedule

  • Fully remote role (training is required on-camera).
  • Temporary position.
  • Standard hours: 7:00 AM – 4:00 PM CST, Monday–Friday.
  • No time off during training and ramp-up period.

Responsibilities

  • Process professional healthcare claim forms submitted by providers.
  • Review policies and benefits to ensure accuracy.
  • Adjudicate claims in compliance with workflows, guidelines, and SLAs.
  • Calculate payable amounts using appropriate fee schedules/methodology.
  • Maintain productivity and quality standards (≥98.5% PA and ≥99.75% FA).
  • Research and resolve claim issues, including email-based inquiries.
  • Ensure compliance with HIPAA, PHI, and company confidentiality regulations.
  • Complete compliance training within required timelines.

Requirements

  • High school diploma or GED.
  • 1+ year of hands-on experience in healthcare claims processing.
  • 2+ years of computer experience (Windows, MS Office, Outlook, Word, Excel).
  • Proficiency navigating multiple systems/screens simultaneously.
  • Previous experience working in a production-driven, queue-based environment.
  • Previous remote work experience.

Preferred

  • Experience with Amisys.
  • Strong oral and written communication skills.
  • Troubleshooting and problem-solving ability.
  • Effective time management in a dynamic, changing environment.

Benefits & Pay

  • Hourly pay: $18.00 per hour (range may vary by location, experience, and skills).
  • Eligible for NTT DATA benefits package, which may include:
    • Medical, dental, and vision insurance.
    • Life, AD&D, short- and long-term disability coverage.
    • Paid time off.
    • 401(k) with company match.
    • Flexible spending and health savings accounts.
    • Employee assistance program.
    • Additional voluntary or legally required benefits.

NTT DATA is an equal opportunity employer, committed to diversity and inclusion. We consider all applicants regardless of race, color, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any protected characteristic.

Happy Hunting,
~Two Chicks…

APPLY HERE