{"schemaVersion":"jobsearcher.job.v1","id":"2f5eb6bd340f23630372a549","url":"https://jobsearcher.com/jobs/2f5eb6bd340f23630372a549","canonicalUrl":"https://jobsearcher.com/jobs/2f5eb6bd340f23630372a549","title":"Medical Claims Processor","description":"Job Title: Medial Claims Processor Industry: Healthcare FSLA status: Non-Exempt Department: Operations Level: Entry to mid-level Location: Work at Home Pay Rate: 17.00-18.00\n\nIn this Role the candidate will be responsible for:\nProcessing of Professional and Hospital claim forms files by provider\nReviewing the policies and benefits\n\nComply with company regulations regarding HIPAA, confidentiality, and PHI\nAbide with the timelines to complete compliance training of NTT Data/Client\nWork independently to research, review and act on the claims\nPrioritize work and adjudicate claims as per turnaround time/SLAs\nEnsure claims are adjudicated as per clients defined workflows, guidelines\nSustaining and meeting the client productivity/quality targets to avoid penalties\nMaintaining and sustaining quality scores above 98.5% PA and 99.75% FA.\nTimely response and resolution of claims received via emails as priority work\nCorrectly calculate claims payable amount using applicable methodology/ fee schedule/\n\nRequired Skills for this role include:\n\n2+ year(s) of Medical Claims experience\n2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools\n1+ years of working with Claims Adjudication Systems\nHigh School diploma or equivalent\n\nPreference\n\nAbility to communicate (oral/written) effectively in a professional office setting\n\nEffective troubleshooting skills where you can leverage your research, analysis and problem-solving skills\n\nTime management skills that require the ability to cope with a complex, changing environment\n\nWhere required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $17.00-18.00. This range reflects the minimum and maximum 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. This position may also be eligible for incentive compensation based on individual and/or company performance.\n\nThis position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.\n\n#INDHRS","company":"NTT Data","rawCompany":"ntt data","city":"Perry","state":"MO","isRemote":false,"isActive":false,"createdAt":"2026-07-07T10:32:28.697Z","occupations":[{"code":"43-9041.00","title":"Insurance Claims and Policy Processing Clerks","slug":"insurance-claims-and-policy-processing-clerks"},{"code":"13-1031.00","title":"Claims Adjusters, Examiners, and Investigators","slug":"claims-adjusters-examiners-and-investigators"},{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"}],"industries":[{"code":"524292","title":"Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds","slug":"pharmacy-benefit-management-and-other-third-party-administration-of-insurance-and-pension-funds"},{"code":"524298","title":"All Other Insurance Related Activities","slug":"all-other-insurance-related-activities"},{"code":"524291","title":"Claims Adjusting","slug":"claims-adjusting"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Medical Claims Processor","description":"Job Title: Medial Claims Processor Industry: Healthcare FSLA status: Non-Exempt Department: Operations Level: Entry to mid-level Location: Work at Home Pay Rate: 17.00-18.00\n\nIn this Role the candidate will be responsible for:\nProcessing of Professional and Hospital claim forms files by provider\nReviewing the policies and benefits\n\nComply with company regulations regarding HIPAA, confidentiality, and PHI\nAbide with the timelines to complete compliance training of NTT Data/Client\nWork independently to research, review and act on the claims\nPrioritize work and adjudicate claims as per turnaround time/SLAs\nEnsure claims are adjudicated as per clients defined workflows, guidelines\nSustaining and meeting the client productivity/quality targets to avoid penalties\nMaintaining and sustaining quality scores above 98.5% PA and 99.75% FA.\nTimely response and resolution of claims received via emails as priority work\nCorrectly calculate claims payable amount using applicable methodology/ fee schedule/\n\nRequired Skills for this role include:\n\n2+ year(s) of Medical Claims experience\n2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools\n1+ years of working with Claims Adjudication Systems\nHigh School diploma or equivalent\n\nPreference\n\nAbility to communicate (oral/written) effectively in a professional office setting\n\nEffective troubleshooting skills where you can leverage your research, analysis and problem-solving skills\n\nTime management skills that require the ability to cope with a complex, changing environment\n\nWhere required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $17.00-18.00. This range reflects the minimum and maximum 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. This position may also be eligible for incentive compensation based on individual and/or company performance.\n\nThis position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.\n\n#INDHRS","datePosted":"2026-07-07T10:32:28.697Z","dateModified":"2026-07-07T10:32:28.697Z","hiringOrganization":{"@type":"Organization","name":"NTT Data","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Perry","addressRegion":"MO","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"2f5eb6bd340f23630372a549"},"url":"https://jobsearcher.com/jobs/2f5eb6bd340f23630372a549"}}