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The Coordination of Benefits Associate role at NTT DATA involves researching dual coverage for health insurance subscribers and determining primary insurance. Candidates should have at least 3 years of experience in medical claims and eligibility verification, along with proficiency in Microsoft Office. Strong communication skills and the ability to meet performance standards are essential for success in this position.
Job Responsibility:
Use multiple sources in researching the potential of dual coverage and determining which Insurance is primary
Update Claims System according to Member insurance
Making outbound call to other Insurance companies to verify coverages
Take up additional training/ new assignments or projects that may come up as per client needs
Meet/ exceed required performance measures such as quality and productivity standards
Meet/ exceed process SLAs
Successfully complete the required regulatory and compliance requirements such as the HIPAA
Successfully complete all organizational and client training requirements
Understand how work impacts results for their area as well as other processes
Demonstrate knowledge of internal operations and develops relationships to facilitate workflow
Knowledge of related regulations and standards
Strong understanding of current processes and procedures and may identify opportunities for improvement
Requirements:
High school Diploma or equivalent
3+ years of medical claims or eligibility experience
5+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web-based applications
5+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word