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BPO Administrative Operations Associate

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Date: Nov 11, 2021

Location: Plano, TX, US

Company: NTT DATA Services

  • Check for completeness and appropriateness of source data.
  • To perform initial fact finding, information search and data gathering.
  • Verify and compile data in accordance with established policy and procedure
  • Identify and resolve routine and recurring claim transactions
  • Maintain current knowledge of CMS compliance requirements as they pertain to Medicare Advantage claim adjudication.
  • Research incomplete and missing information by utilizing several internal systems
  • Interpret and apply desk level procedures to accurately adjudicate claims data
  • Identify complex or out of compliance cases for escalation

Nearest Major Market: Plano
Nearest Secondary Market: Dallas

Job Segment: Administrative Assistant, Administrative