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Date: Feb 16, 2018

Location: Lincoln, NE, US

Company: NTT DATA Services

At NTT DATA we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here.

Req ID: 14161  



 

Role Responsibilities

  • Facilitates and measures whether procedures, processes and controls are consistently achieved based on established service standards.
  • Provides feedback and direction to staff to ensure established processes and procedures are followed.
  • Identifies trends, issues and training needs; and communicates results to leadership.

 

Qualifications/Requirements

  • Recent experience in insurance/healthcare claims processing or auditing – must be with an insurance, managed care or TPA company.
  • 3.5-5 years of experience
  • Knowledge of CPT, HCPC, ICD-9, ICD-10 codes
  • Knowledge of HMO, PPO, Medicare and Medicaid plans, as well as experience with Medicare Part D
  • Knowledge of medical terminology

 

Preferences

  • High school diploma with 3.5-5 years of healthcare/audit experience
  • Knowledge of one or more of the following claims payment systems: IKA, AMISYS, AMISYS Advance Release 4 or 6, NASCO, Facets (latest version), E-Z Cap, Rims, Ocare, Xcelys, NextGen, QNXT, ITS, WGS, Call Care Browser, GBAS, Genelco, HEALTHsuite and Diamond.

This is a full-time salaried position with a group company within NTT DATA.  Please note, 1099 or corp-2-corp contractors will NOT be considered. This position is only available to those interested in direct staff employment opportunities.  We offer a full comprehensive benefits package that starts from your first day of employment.


Nearest Major Market: Lincoln

Job Segment: Quality Assurance, Technology