customer service specialist / receptionist

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application analyst, supply chain and logistics

administrative assistant

claims service specialist

customer claims representative Jobs in Tampa

customer claims representative

customer service specialist / receptionist Jobs in Tampa

healthcare claims specialist Jobs in Tampa

healthcare claims specialist

accounts receivable specialist

Workscapes, Inc.

<div><p><b>About Workscapes:</b></p><p>
Workscapes is more than a workplace solutions provider - we're a peoplefirst organization built on collaboration, creativity, and genuine care for our employees and clients. As a familyowned company with deep roots in Florida, we take pride in fostering an environment where team members feel supported, valued, and empowered to grow. Our culture is grounded in trust, respect, and a shared commitment to delivering exceptional experiences.</p><h1 class="jobSectionHeader"><b>
Position Summary:</b></h1><p>
As we continue to grow, we are expanding our internal operations to support our flooring division. We are seeking an Accounts Receivable Specialist who brings precision, professionalism, and a strong customerservice mindset to help ensure our financial processes run smoothly and efficiently. This role is essential to maintaining healthy cash flow, supporting project teams, and upholding the high standards our clients expect from Workscapes.</p><p><b><br>
Essential functions of the position:</b></p><ul><li>
Generate and send invoices for completed flooring installations</li><li>
Follow up on outstanding accounts and pastdue balances</li><li>
Reconcile customer accounts and resolve billing discrepancies</li><li>
Maintain organized and accurate records of all accounts receivable transactions</li><li>
Communicate professionally with customers regarding payment inquiries and account status</li><li>
Prepare aging reports and account summaries for management review</li><li>
Provide invoice details to the Account Administrator team to ensure accurate and timely posting of customer payments</li><li>
Coordinate Certificates of Insurance (COI) and subcontractor waiver requests internally and externally</li><li>
Other Duties as assigned</li></ul><p><b><br>
Secondary Functions of the position:</b></p><ul><li>
Ability to operate and lead under our core values and Guiding Principles:<ul><li>
Passionate</li><li>
Adaptable</li><li>
Dedicated</li><li>
Coachable</li><li>
Dependable</li></ul></li><li>
Adherence to attendance and punctuality expectations</li><li>
Multi-tasking, Ability to Problem Solve</li></ul><p><b><br>
Supervisory Responsibilities:</b></p><p>
NA</p><p><b><br>
Work Location:</b></p><p>
Required to work onsite in our Tampa office 4 days per week with 1 day remote work offered after 90-days.</p><p><b><br>
Travel Responsibilities:</b></p><p>
NA</p><h1 class="jobSectionHeader"><b>
Required Education and Experience:</b></h1><ul><li>
2+ years of A/R and/or Bookkeeping experience, preferably within the construction industry</li><li>
Bachelor's Degree in Accounting, Finance or Business Administration</li></ul><p><b><br>
Required Knowledge, Skills, and Abilities:</b></p><ul><li>
Proficiency in relevant software systems; Core and Procent experience preferred</li><li>
Strong attention to detail with excellent organizational skills</li><li>
Outstanding communication and customer service abilities</li><li>
2+ years of accounts receivable or bookkeeping experience, preferably within the construction industry</li><li>
Experience with AIA payment applications and schedule of values is highly preferred</li><li>
Background in construction, contracting, or related industries is a plus</li></ul></div>

Accounts Receivable Specialist

Humanitary Medical Center, INC

<div></div><div><p>HMC Dental Services Inc. is seeking a highly experienced and detail-oriented <b>Dental Billing Specialist</b> to join our elite, technology-driven dental practice. The ideal candidate will have a strong background in dental billing, ADA coding, insurance verification, and account reconciliation. This role is pivotal to maintaining an efficient revenue cycle and providing an outstanding patient experience through accurate and transparent billing practices.</p><h3 class="jobSectionHeader"><b>
Key Responsibilities</b></h3><h4 class="jobSectionHeader"><b>
Insurance Claims Management</b></h4><ul><li>
Prepare and submit dental claims accurately and timely (electronic and manual).</li><li>
Verify dental insurance eligibility and benefits (PPO &amp; Medicare Advantage).</li><li>
Attach necessary documentation (e.g., x-rays, perio charting, narratives) through platforms,</li><li>
Follow up on unpaid, denied, or underpaid claims to ensure maximum reimbursement.</li><li>
File appeals and corrections for denied claims, including submission of supplemental information.</li><li>
Submit pre-authorizations and predeterminations as required.</li></ul><h4 class="jobSectionHeader"><b>
Patient Account Management</b></h4><ul><li>
Post insurance and patient payments (EFT, checks, and patient payments).</li><li>
Reconcile and manage accounts receivable, ensuring accurate and timely follow-up.</li><li>
Generate and send monthly patient statements, particularly for balances following insurance denials.</li><li>
Respond to billing inquiries and resolve patient account issues professionally and promptly.</li><li>
Assign overdue balances to collections when necessary, following internal protocols.</li></ul><h4 class="jobSectionHeader"><b>
Billing Accuracy &amp; Compliance</b></h4><ul><li>
Ensure accurate use of ADA procedure codes.</li><li>
Identify and correct account errors, such as inaccurate demographics or insurance setup.</li><li>
Stay current with dental insurance billing policies and coding updates.</li><li>
Maintain compliance with federal, state, and payer-specific regulations.</li></ul><h4 class="jobSectionHeader"><b>
Reporting &amp; Collaboration</b></h4><ul><li>
Prepare daily, weekly, and monthly billing and production reports.</li><li>
Collaborate with front desk, dental assistants, and providers to ensure accurate documentation and timely billing.</li><li>
Support credentialing and re-credentialing processes for providers as needed.</li><li>
Assist Financial Coordinator with cost estimates and patient financial responsibility reviews.</li><li>
Maintain the cleanliness and confidentiality of all billing-related documentation.</li></ul><p></p><h3 class="jobSectionHeader"><b><br>
Qualifications &amp; Skills</b></h3><ul><li>
Minimum 2 years of dental billing experience required.</li><li>
Strong knowledge of ADA coding, PPO and Medicare Advantage plans.</li><li>
Experience with dental software Open Dental.</li><li>
High attention to detail and ability to multitask in a fast-paced environment.</li><li>
Excellent communication, organizational, and analytical skills.</li><li>
Strong customer service orientation with a problem-solving mindset.</li><li>
Must work on-site; remote work is not available for this position.</li><li>
Bilingual in English and Spanish is a plus.</li><li>
Knowledge of HIPAA and dental billing compliance standards</li></ul><p>
You will be eligible for a generous benefits package that includes:</p><ul><li>Paid time off (PTO)</li><li>Paid Holidays</li><li>401K</li><li>Voluntary Life Insurance</li><li>Employee Assistance Program (EAP)</li><li>Medical, Dental and Vision Benefits</li></ul><p><b>
Work Location:</b></p><div>
4200 W Cypress St. Suite 690</div><div></div><div><i><br>
Humanitary Medical Center Inc. complies with all federal, state, and local laws prohibiting employment discrimination of any kind. Humanitary Medical Center Inc. is an at-will employer and can terminate its employment relationship at any time, with or without cause, and without notice.</i></div></div>

Billing Dental

Ochs Enterprises LLC

<div><div><div><b>Benefits:</b></div>
<ul><li>Competitive salary</li>
<li>Flexible schedule</li>
<li>Training &amp; development</li>
</ul></div><div><div>Job Title: Entry-Level Bookkeeper &amp; Customer Support Assistant<br>
Location: Specify location or remote<br>
Job Type: Part-time or Full-time<br>
Pay Rate: $15 per hour<br>
<br>
Position Overview<br>
HealthisFreedom is looking for a detail-oriented entry-level bookkeeper to manage daily financial transactions and provide friendly, responsive customer support. This position is ideal for someone looking to build experience in both bookkeeping and customer service within a mission-driven organization.<br>
<br>
Key Responsibilities<br>
<ul><li>Accurately record day-to-day financial transactions using our bookkeeping software (e.g., QuickBooks or similar).</li><li>Process accounts payable and receivable, issue invoices, and track payments.</li><li>Reconcile bank statements and maintain accurate records of financial activity.</li><li>Assist with preparing financial reports for management and compiling supporting documentation as needed.</li><li>Help monitor and resolve discrepancies in accounts or transaction data.</li><li>Respond to customer inquiries by phone, email, or chat in a courteous and helpful manner.</li><li>Assist with routine administrative and clerical duties, including data entry and filing.</li><li>Support customer billing questions, account updates, and resolve basic issues or escalate as required.</li><li>Contribute to process improvements and support other team needs as assigned.</li></ul><br>
Qualifications<br>
<ul><li>High school diploma or equivalent required; some college or relevant coursework in accounting, finance, or business a plus.</li><li>Basic knowledge of bookkeeping principles and general office procedures.</li><li>Strong attention to detail and accuracy in data entry.</li><li>Excellent communication and customer service skills.</li><li>Proficient in Microsoft Office (Excel/Word) and comfortable learning new software.</li><li>Reliable, organized, and able to manage time effectively.</li><li>Previous experience in bookkeeping, retail, or customer service is a plus but not required.</li></ul><br>
Benefits<br>
<ul><li>Opportunity to gain hands-on experience in finance and customer support.</li><li>Flexible hours and supportive team environment.</li><li>Room for growth as you develop your skills.</li></ul></div></div></div>

Entry level Bookkeeper & Customer Service Assistant

Republic National Distributing Company

<div><p>Republic National Distributing Company (RNDC) is a family-owned business with roots extending before Prohibition that has evolved into one of the nation&rsquo;s largest wine and spirits wholesalers. Our success is grounded in our core values of Family, Service, Accountability, Honesty, and Professionalism. We offer a vibrant, inclusive culture and workplace experience for individuals who want a career that makes them feel accomplished and engaged. RNDC values the health and well-being of our associates, inside and outside the office, offering dynamic health and wellness benefits that supply exceptional care and value. RNDC is geared toward growing our footprint and our people. Join our team of energetic professionals who believe in many happy hours and are experts in our craft.</p><div><div><div><h2 class="jobSectionHeader"><b>
Summary</b></h2></div><div><p>
RNDC is looking for a collaborative, analytical, and professional State Sales Finance Analyst to join our growing finance team. This role supports the field-based Sales Finance function. Key responsibilities are directly related to supplier relations and analysis of the business results as compared to contractual obligations by performing the following duties.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
In this role, you will</b></h2></div><div><ul><li>
Conducts ROI analysis of sales programs.</li><li>
Ensures successful business workflows; standard of operations; reports; technology solutions; and appropriate recordkeeping for compliance reasons.</li><li>
Assists leadership on achieving goals and budgets in partnership with sales line management and leadership.</li><li>
Assists with key analysis work of the supplier accounts receivable. Conducts gross profit analysis; fund analysis; data quality; costing; federal compliance; and supply chain management, as needed.</li><li>
Compile and provide variance analysis and business insight on business performance. Research variances on financial statements and originate correcting journal entries resulting from analysis.</li><li>
Maintains: validates and distributes all Key Performance Indicators (KPIs) and measure program effectiveness. Creates; maintains; validates; and distributes key periodic reports package including Dashboards, Daily Top Line, Master Planning, and Daily Financials</li><li>
Anticipates problems and develops solutions and plans. Troubleshoots financial issues for solutions with line management.</li><li>
Conducts analysis of profitability and appropriate ROI of supplier incentives. Ensures financial compliance of supplier contracts and ensure proper bill-back percentages for supplier incentives.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What you bring to RNDC</b></h2></div><div><ul><li>
Bachelor&rsquo;s degree from four-year College or university preferred; four or more years related analyst experience, preferably three or more years in an accounting or financial, accounting, economics business environment with an alcoholic beverage wholesaler or supplier and/or training; or equivalent combination of education and experience.</li><li>
Ability to travel up to 10% time.</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What's in it for you</b></h2></div><div><ul><li>
401(k) with company matching</li><li>
Medical, dental and vision benefits*</li><li>
Generous paid time off program &ndash; work your way up to 5 weeks of PTO a year with the ability to carryover unused PTO</li><li>
Paid volunteer time</li><li>
Paid parental leave</li><li>
Paid caregiver leave</li><li>
Fertility benefits</li><li>
Paid training</li><li>
Company paid life insurance, short-term disability, and company-paid holidays</li><li>
Associate resource groups, and diversity, equity, and inclusion programs available for all associates</li><li>Participation in these programs are subject to applicable wait periods and all plan and program terms and eligibility</li></ul>
COVID-19 considerations:<br>
We follow CDC Guidelines and have a fun and safe environment for our teams.</div></div><div><div><h2 class="jobSectionHeader"><b>
Bonus if you bring</b></h2></div></div></div><div></div><p>
Republic National Distributing Company and National Distributing Company are Equal Opportunity/Affirmative Action employers. It is our policy not to discriminate against any Employee or Applicant. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability. This policy of nondiscrimination in employment includes but is not limited to: recruitment, hiring, placement, promotion, transfer, employment advertising or solicitations, compensation, layoff or termination of employment.<br>
<br>
RNDC is committed to providing reasonable accommodation to people with disabilities throughout the job application and interview process, to the point of undue hardship.</p></div>

State Sls Finance Analyst

GEICO

<div>
 <strong>
  At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
  <br/>
  <br/>
 </strong>
 <strong>
  Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers&rsquo; expectations while making a real impact for our company through our shared purpose.
  <br/>
  <br/>
 </strong>
 <strong>
  When you join our company, we want you to feel valued, supported and proud to work here. That&rsquo;s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
  <br/>
  <br/>
 </strong>
 Claims Specialist &ndash; Tampa, Florida
 <br/>
 <br/>
 Salary: $28.29 - $34.24 per hour / $57,000 - $69,000 annually
 <br/>
 <br/>
 Claim your career growth as a Claims Service Specialist at GEICO&rsquo;s Tampa, Florida office and be a part of one of the fastest-growing auto insurers in the United States! If you are motivated, all about solutions, and empathetic to the needs of customers, come grow a fulfilling career with us!
 <br/>
 <br/>
 Through our paid, industry-leading training, you will learn the ins and outs of the claims process and be ready to assist our policyholders when they need us the most &ndash; during an accident. As a Claims Service Specialist, you will collect facts about the accident, investigate claim details, and collect statements from involved parties. Our policyholders will count on your patience, support, and attention to detail to get them back on the road as quickly as possible. GEICO will also give you the space and grace to explore your abilities and learn new ones. So if you are ready to start growing your career, let&rsquo;s talk!
 <br/>
 <br/>
 Many associates see a base salary increase of 10% within their first year as a Claims Specialist. Top associates can see increases up to 15%!
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 <br/>
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  Qualifications &amp; Skills
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 </strong>
 <ul>
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   Experience providing outstanding customer service by showcasing expertise, fostering trust and growing customer satisfaction
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  <li>
   Solid computer multitasking skills
  </li>
  <li>
   Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities
  </li>
  <li>
   Ability to work comfortably and grow in a fast-paced, high-volume call center environment
  </li>
  <li>
   Minimum of high school diploma or equivalent, college degree or currently pursuing preferred
  </li>
  <li>
   Eagerness to explore new skills and openness to different career paths
   <br/>
   <br/>
  </li>
 </ul>
 #geico300
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 <br/>
 At this time, GEICO will not sponsor a new applicant for employment authorization for this position.
 <br/>
 <br/>
 <strong>
  The GEICO Pledge
  <br/>
  <br/>
 </strong>
 <strong>
  Great Company:
 </strong>
 At GEICO, we help our customers through life&rsquo;s twists and turns. Our mission is to protect people when they need it most and we&rsquo;re constantly evolving to stay ahead of their needs.
 <br/>
 <br/>
 We&rsquo;re an iconic brand that thrives on innovation, exceeding our customers&rsquo; expectations and enabling our collective success. From day one, you&rsquo;ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people&rsquo;s lives.
 <br/>
 <br/>
 <strong>
  Great Careers:
 </strong>
 We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career &ndash; and your potential &ndash; in mind. You&rsquo;ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
 <br/>
 <br/>
 <strong>
  Great Culture:
 </strong>
 We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
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 <br/>
 As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
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 <br/>
 <strong>
  Great Rewards:
 </strong>
 We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.
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 <ul>
  <li>
   Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family&rsquo;s overall well-being.
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   Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
  </li>
  <li>
   Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
  </li>
  <li>
   Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.
   <br/>
   <br/>
  </li>
 </ul>
 The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
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 <br/>
 GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
</div>


Claims Service Specialist

PENNYMAC

<div>
 <strong>
  PENNYMAC
  <br/>
  <br/>
 </strong>
 Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integrated business focused on the production and servicing of U.S. mortgage loans and the management of investments related to the U.S. mortgage market.
 <br/>
 <br/>
 At Pennymac, our people are the foundation of our success and at the heart of our dynamic work culture. Together, we work towards a unified goal of helping millions of Americans achieve aspirations of homeownership through the complete mortgage journey.
 <br/>
 <br/>
 <strong>
  A Typical Day
  <br/>
  <br/>
 </strong>
 The
 <strong>
  Home Loan Specialis
 </strong>
 t is an entry level role supporting various Channels. As the
 <strong>
  Home Loan Specialist
 </strong>
 , you will act as a key contributor to facilitate efficient and effective processes that support business and customer service objectives.
 <br/>
 <br/>
 <strong>
  The Home Loan Specialist Will
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Perform routine data entry and validation tasks
  </li>
  <li>
   Initiate third party orders (title, appraisal, hazard, flood cert, credit, etc.)
  </li>
  <li>
   Review and validate loan documents
  </li>
  <li>
   Handle routine calls, emails and/or chat responses
  </li>
  <li>
   Monitor work queues and intervening as needed
  </li>
  <li>
   Perform other related duties as required and assigned
  </li>
  <li>
   Demonstrate behaviors which are aligned with the organization&rsquo;s desired culture and values
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You&rsquo;ll Bring
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Associate&rsquo;s degree or equivalent work experience
  </li>
  <li>
   Proficiency in Microsoft Office
  </li>
  <li>
   Financial Services and, if possible, mortgage industry experience preferred
  </li>
  <li>
   General understanding of applicable Federal, State and Local regulations
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why You Should Join
  <br/>
  <br/>
 </strong>
 As one of the top mortgage lenders in the country, Pennymac has helped over 4 million lifetime homeowners achieve and sustain their aspirations of home. Our vision is to be the most trusted partner for home. Together, 4,000 Pennymac team members across the country are guided by our core values: to be Accountable, Reliable and Ethical in all that we do. Pennymac is committed to conducting a business that makes positive contributions and promotes long-term sustainable growth and to fostering an equitable and inclusive environment, where all employees and customers feel valued, respected and supported.
 <br/>
 <br/>
 <strong>
  Benefits That Bring It Home:
 </strong>
 Whether you're looking for flexible benefits for today, setting up short-term goals for tomorrow, or planning for long-term success and retirement, Pennymac's benefits have you covered. Some key benefits include:
 <br/>
 <br/>
 <ul>
  <li>
   Comprehensive Medical, Dental, and Vision
  </li>
  <li>
   Paid Time Off Programs including vacation, holidays, illness, and parental leave
  </li>
  <li>
   Wellness Programs, Employee Recognition Programs, and onsite gyms and cafe style dining (select locations)
  </li>
  <li>
   Retirement benefits, life insurance, 401k match, and tuition reimbursement
  </li>
  <li>
   Philanthropy Programs including matching gifts, volunteer grants, charitable grants and corporate sponsorships
   <br/>
   <br/>
  </li>
 </ul>
 To learn more about our benefits visit: https://pennymacnews.page.link/benefits
 <br/>
 <br/>
 For residents with state required benefit information, additional information can be found at: https://www.pennymac.com/additional-benefits-information
 <br/>
 <br/>
 <strong>
  Compensation:
 </strong>
 Individual salary may vary based on multiple factors including specific role, geographic location / market data, and skills and experience as defined below:
 <br/>
 <br/>
 <ul>
  <li>
   Lower in range - Building skills and experience in the role
  </li>
  <li>
   Mid-range - Experience and skills align with proficiency in the role
  </li>
  <li>
   Higher in range - Experience and skills add value above typical requirements of the role
   <br/>
   <br/>
  </li>
 </ul>
 Some roles may be eligible for performance-based compensation and/or stock-based incentives awarded to employees based on company and individual performance.
 <br/>
 <br/>
 <strong>
  Salary
  <br/>
  <br/>
 </strong>
 $39,000 - $55,000
 <br/>
 <br/>
 <strong>
  Work Model
  <br/>
  <br/>
 </strong>
 OFFICE
</div>


Home Loan Specialist I

NTT DATA

<div>Company Overview:<br>
Req ID: 360808<br>
NTT DATA 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.<br>
<br>
We are currently seeking a Claims Specialist to join our team and REMOTE. The position is for 6 months and pay rate is $19.25/hour W2<br>
<br>
Job Description:<br>
Claims Specialist<br>
Job Description<br>
The claims Specialist will Identify primary vs. secondary coverage when a member has more than one health plan. Reviewing and updating claims to reflect correct COB rules Applying COB primacy rules (subscriber status, effective dates, plan type, Medicare coordination, etc.) Communicating with members, providers, and other insurers to verify coverage details Correcting overpayments, initiating refunds or reprocessing, and maintaining accurate claim records Working within claims systems and following regulatory and compliance requirements (e.g., HIPAA)<br>
<br>
Job Duties<br>
Duties may include the following responsibilities or functions required to support the claims unit.
<ul><li>Reviews, research, and make necessary updates to claims that may include the following: recalculation of benefits to previously processed claims, the processing of claims edits, or initiation of refund requests, according to contractual benefits or provider reimbursement rules, ultimately providing a high degree of customer satisfaction.</li>
<li>Achieves and maintains a clear understanding of all systems, applications, and procedures necessary to identify denial codes, edits, and processing codes pertaining to all claims (including our coordination with additional coverage plans) to process both coordinated and non-coordinated claims correctly. Requesting medical records may be required.</li>
<li>Communicates, both orally and in writing, with internal and external contacts to provide necessary and accurate information for the establishment of sound claims records. This may include, but is not limited to, the coordination of benefits (COB), medical record requests, etc.</li>
<li>Review quality audits for correction or routing within 48 hours of receipt following departmental and corporate guidelines to ensure accuracy of claims processing and customer satisfaction.</li>
<li>Research, investigates, and determines the correct order of benefits for payment to be made by the applicable plans and makes necessary corrections to COB records. Communicates to appropriate department(s) when Medicare has determined primacy incorrectly and ensures a letter is generated to notify Medicare. Failure to report discrepancy could result in a daily fine up to ***</li>
<li>Analyzes, investigates, resolves problem cases (to include COB records, adjusting previously processed claims and requesting refund of overpaid claims). Reviews of all previously processed claims to ensure consistency in payments to maximize recovery of overpayments following corporate and departmental guidelines to ensure financial stability.</li>
<li>Executes procedures to recover funds from providers, subscribers, or beneficiaries where overpayments have occurred to ensure accuracy of claims processing and financial stability.</li>
<li>Steps in and assists in any other capacity as deemed necessary (i.e., training, implementations, and documentation). May complete special projects as assigned by Management due to internal audit findings, multiple provider status changes, and system errors following corporate and departmental guidelines to ensure financial stability and customer satisfaction.</li>
</ul>Required Skills
<ul><li>2 years in medical claims processing required &bull; Coordination of Benefits (COB) processing experience preferred</li>
<li>Strong analytical ability, that includes strong logical, systemic, and investigates thinking.</li>
<li>Strong oral and written communication skills and human relations skills are necessary.</li>
<li>Working knowledge of relevant PC software.</li>
<li>Ability to prioritize multiple streams of work effectively.</li>
</ul>Education
<ul><li>High School Diploma or equivalent required Work Experience</li>
</ul>
<br>
About NTT DATA:<br>
<br>
NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&amp;D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com<br>
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NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.<br>
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Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $19.25/hour<b>.</b> 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.<br>
This 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&amp;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<i>.</i><br>
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