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Health Care Insurance Liability and Recovery Associate

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Date: Jun 19, 2022

Location: Quincy, MA, US

Company: NTT DATA Services

Req ID: 160941 

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Health Care Insurance Liability and Recovery Associate to join our team in Quincy, Massachusetts (US-MA), United States (US).

Investigate and research all possible third-party liability cases- including Motor Vehicle Insurance, Workers Compensation and Other Injury claims to determine subrogation recovery potential. 
•    Investigate and research coordination of benefits claims and determine primary over other Commercial / Medicare coverage. 
•    Review, process or adjust claims for one or more of the specialized functions handled by the unit and ensure timely and accurate payment or denial. 
•    Coordinate benefits with other available coverages, review correspondence to determine accurate payment and update claim systems regarding future payment. 
•    Open new cases in the case management system. 
•    Create and update medical lien requests. 
•    Place all parties of interest on notice and provide lien information.
•    Respond to all incoming ILR correspondence in an accurate and timely manner (attorney letters, third party carrier letters, member and provider letters. 
•    Performs other related projects and duties as assigned.

Qualifications 
•    College degree preferred or an equivalent combination of education and experience. 
•    Minimum 1-2 years of insurance liability recovery experience and 2-3 years medical claims examining experience, or equivalent of the two. Medicare CMS. 
•    Knowledge of ICD9-CM, CPT, and revenue Codes, DRG and APC coding a plus. 
•    Advanced proficiency in Microsoft Word and Excel; Access knowledge a plus.
•    Knowledge of Medical terminology. 
•    At least 3 years of coordination of benefits experience required, preferably in an HMO, self-insured or health related field.
Required schedule availability for this position is Monday-Friday 8:30am – 5pm.   The shift timings may be changed as per client requirements. Additionally, resources may have to work extra hours during the week, 

About NTT DATA Services

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law. To learn more, please visit https://us.nttdata.com/en/about-us/content/diversity-and-inclusion. Furthermore, NTT DATA Services will make accommodations for eligible applicants on a case-by-case basis. Please email EEOOfficer@nttdata.com for assistance.


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