Plano, Texas, United States · Remote OK
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Claims Processing, Insurance Validation, Data Entry, Medical Claim Scrutiny, Healthcare Insurance Knowledge
Plano, Texas, United States · On-site
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Insurance Claims Processing, Data Entry, Claims Validation, Healthcare Insurance Knowledge, Medical Document Scrutiny
Plano, Texas, United States · On-site
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Insurance Claims Processing, Data Entry, Medical Claim Scrutiny, Healthcare Insurance Knowledge, Claims Administration
Plano, Texas, United States · On-site
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Insurance Claims Processing, Data Entry, Medical Claim Scrutiny, Claims Administration, Windows PC Applications
Plano, Texas, United States · On-site
Description . This full-time, on-site position presents an excellent opportunity for those looking to make a significant impact in the medical practice industry. As a Radiologist, you will play a crucial role in diagnosi…
Skills: Medical Imaging Interpretation, X-ray Analysis, MRI Analysis, CT Scan Analysis, Interventional Procedures
Plano, Texas, United States · On-site
NTT Data Services is Hiring! Grade 3 - HC & Insurance Operations Sr Rep Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our em…
Skills: Insurance Claims Processing, Claims Validation, Data Entry, Medical Claim Scrutiny, Healthcare Insurance Knowledge
Plano, Texas, United States · Remote Solely
CLINICAL PRODUCT OWNER (PRIOR AUTHORIZATIONS SME) COMPANY OVERVIEW Glint Tech Solutions is a women-owned global staffing and IT recruiting firm dedicated to connecting exceptional talent with industry-leading opportuniti…
Skills: Clinical Prior Authorizations, FACETS, 278 Transactions, Claims Processing, GuidingCare
Plano, Texas, United States · On-site
About Legent Health At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust phys…
Skills: Pre-operative Screening, Post-Anesthetic Care, Patient Assessment, Medication Administration, EKG Performance
Plano, Texas, United States · On-site
$35/hr–$42/hr
About Legent Health At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust phys…
Skills: Sterile Technique, Aseptic Technique, Surgical Instrumentation, Sterile Processing, Patient Safety
Plano, Texas, United States · On-site
Join Our Team as a Laundry Staff Member Ensure Clean, Comfortable, and Well-Maintained Laundry Services We are seeking a Laundry Staff Member to join our growing team! This role is essential in providing residents with c…
Skills: Laundry Equipment Operation, Linen Organization, Chemical Safety, Infection Control, Multitasking
Plano, Texas, United States · On-site
$35/hr–$45/hr
Envision Imaging is looking for a Full Time CT/X-Ray Technologist to join our team in Plano! Monday, Tuesday, Wednesday 7:00 AM - 7:30 PM | Position Pay Range $35.35 - $45.57 Summary/Objective: The CT/X-Ray Technologist …
Skills: Computed Tomography, X-Ray Procedures, Patient Positioning, Contrast Media Administration, Patient Care
Plano, Texas, United States · On-site
LPN/LVN Career Opportunity Embark on Your Compassionate LPN/LVN Journey at Encompass Health Are you in search of a fulfilling healthcare career close to your heart and home? Encompass Health welcomes you warmly, offering…
Skills: Direct Patient Care, Vital Signs Monitoring, Patient Observation, Care Plan Execution, Patient Relationship Management
Plano, Texas, United States · On-site
At Henderson, we're about more than just buildings We're about the people, experiences, and longevity of a building. We’re a company of problem-solvers and innovators known for our technical excellence and ability …
Skills: Project Management, Program Management, Budgeting, Client Relationship Management, Contract Development
Plano, Texas, United States · On-site
$13/hr–$20/hr
Job DetailsJob Location: Dallas Addiction Center - Plano, TX 75093Position Type: Per DiemEducation Level: High School Diploma or EquivalentSalary Range: $13.00 - $20.00 HourlyTravel Percentage: NoneJob Shift: AnyPOSITION…
Skills: Food Preparation, Knife Skills, Kitchen Sanitation, Ingredient Measurement, Basic Cooking
Plano, Texas, United States · On-site
$61k–$123k/yr
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnost…
Skills: Full Life Cycle Recruiting, Candidate Sourcing, Interviewing, Offer Negotiation, Stakeholder Management
Plano, Texas, United States · On-site
$18/hr–$25/hr
Ready to start a rewarding career in healthcare? At Indigo Dental Staffing, we connect you with top dental practices across Texas. Picture yourself in a clean, professional environment, wearing stylish scrubs, helping pa…
Skills: Patient Care, X-ray Imaging, Sterilization, Patient Scheduling, Communication
Plano, Texas, United States · On-site
$13/hr–$16/hr
Overview We create communities where employees thrive in their work, helping our residents thrive in their homes. Atria Senior Living’s family of brands has openings for individuals looking for a career with outstanding …
Skills: Telephone Etiquette, Customer Service, Clerical Support, Office Administration, Scheduling
Plano, Texas, United States · On-site
Job DetailsJob Location: HeartPlace - Plano 15th HCA - Plano, TX 75075Position Type: Full TimeEducation Level: High School Diploma/GEDTravel Percentage: NoneJob Shift: DayJob Category: Other PositionsUS Heart and Vascula…
Skills: Patient Interviewing, Vital Signs Measurement, EKG Operation, Treadmill Testing, Prescription Management
Plano, Texas, United States · On-site
Job DetailsJob Location: HeartPlace - Plano 15th HCA - Plano, TX 75075Position Type: Full TimeEducation Level: High School Diploma/GEDTravel Percentage: NoneJob Shift: DayJob Category: Other PositionsUS Heart and Vascula…
Skills: Surgery Scheduling, Insurance Authorization, Patient Coordination, Medical Billing Eligibility, Healthcare Administration
Plano, Texas, United States · On-site
We are hiring immediately for full time COOK positions. Location: Texas Health Presbyterian Hospital Plano - 6200 West Parker Road, Plano, TX 75093. Note: online applications accepted only. Schedule: Full time schedule; …
Skills: Food Preparation, Recipe Adherence, Portion Control, Temperature Monitoring, Kitchen Cleanliness
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Review and process insurance claims by validating member and provider information according to policy guidelines. Maintain productivity and quality standards while resolving complex healthcare insurance situations.
Requires a university degree and at least 6 months of experience in applying business rules, data entry, and using Windows PC applications. Candidates must be able to prioritize workloads to meet deadlines.
NTT Data Services is Hiring!
Grade 3 - HC & Insurance Operations Sr Rep
Position's Overview
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA, Inc. currently seeks an “BPO HC & Insurance Operations Sr Rep” to join our team in “Coimbatore”.
Client's business problem to solve?
Our Client is one of Leading Health Plan in US providing services in Florida state, NTT are getting into contract with Client to manage End to End Claims Administration services. Our NTT Business Process Outsourcing (BPO) team has implemented the processes and technologies for our clients bring about real transformation for customers of all sizes. Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction
Position's General Duties and Tasks
In these roles you will be responsible for:
• Review and process insurance claims.
• Validate Member, Provider and other Claim’s information.
• Determine accurate payment criteria for clearing pending claims based on defined Policy and Procedure.
• Coordination of Claim Benefits based on the Policy & Procedure.
• Maintain productivity goals, quality standards and aging timeframes.
• Scrutinizing Medical Claim Documents and settlements.
• Organizing and completing tasks per assigned priorities.
• Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
• Resolving complex situations following pre-established guidelines
Requirements for this role include:
• University degree or equivalent that required formal studies of the English language and basic Math
• 6+ months of experience where you had to apply business rules to varying fact situations and make appropriate decisions
• 6+ months of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
• 6+ months of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
• 6+ months of experience that required prioritizing your workload to meet deadlines
Preferences: - Optional (nice-to-have’s)
• Ability to communicate (oral/written) effectively to exchange information with our client.
• Commerce graduate with English as a compulsory subject
Required schedule availability for this position is Monday-Friday (06:00pm to 04:00am IST). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.
NTT DATA, Inc. is a trusted global innovator of business and technology services. We're committed to helping clients innovate, optimize and transform for long-term success. Our R&D investments help organizations and society move confidently and sustainably into the digital future. 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.
Offices: 7950 Legacy Drive, Suite 900, Plano, Texas 75024, US · 18 S End Road, Bengaluru, Karnataka 560004, IN
There are currently 692 open healthcare positions in Plano, TX listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Texas Health Resources, CHILDREN'S HEALTH SYSTEM OF TEXAS, Baylor Scott & White Health, Highpoint Health with Ascension Saint Thomas, NTT DATA North America, among others. Browse the listings above to see every active employer.
Yes — 95 of the 692 open healthcare positions offer remote or hybrid work (31 remote, 64 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
