Claims Processing Clerk, Sr. jobs in Montgomery, AL

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Claims Processing and Management Services Project Manager
  • NTT DATA, Inc.
  • Montgomery, AL FULL_TIME
  • Req ID:273266

    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 Claims Processing and Management Services Project Manager to join our team in Montgomery, Alabama (US-AL), United States (US).

    Working in collaboration with project leadership, she/he will actively participate in project management activities as well as the delivery of tasks/activities and deliverables associated with the CPMS effort. Ensure state staff and system vendors share a common understanding of program, technical and business requirements as well as desired outcomes. Serve as subject matter expert and consulting resource for the organization. Collaborate internally and with state/customer staff to communicate business rules and technical changes to external stakeholders. In collaboration with other NTT DATA GCA consultants, the selected candidate will work directly with state staff and vendors to support the analysis, planning, design, implementation and evaluation of key system changes and processes to help the client achieve organizational goals.
    Job Responsibilities Include:
    * Experience monitoring procurement, DDI and day-to-day operations of an MMIS module and software/ system maintenance and changes. * Ability to identify, articulate and fully document risks and issues.
    * Expert level knowledge in creating, managing, and maintaining project schedules.
    * Must be forward-thinking while managing the project.
    * Analytical skills required to review operations reports to detect inconsistencies or errors and to ensure SLAs, KPIs and metrics are being met.
    * Excellent verbal and written communications and presentation skills
    Basic Qualifications:
    * Minimum 8 years of experience managing multiple concurrent projects.
    *Minimum 6 years of experience managing implementation and operations of Medicaid or Major Health Care Payer projects.
    *Minimum 6 years of experience managing multi-contractor projects, or similar complex integration efforts.
    *Minimum 4 years of experience managing Claims Processing and Management Services projects.
    *Bachelor's degree in computer science, information systems, business, or a related field; or equivalent work experience.
    *Project Management Institute (PMI) Project Management Professional (PMP) or equivalent certification

    Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $84,000 - 140,000. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of 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.
    This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&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.

    About NTT DATA Services

    NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

    NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.


    NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.

     

  • 1 Month Ago

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Sr. Complex Litigation Claims Specialist - Heavy Trucking Experience
  • North American Risk Services, Inc. (NARS)
  • Montgomery, AL FULL_TIME
  • Sr. Complex Litigation Claims Specialist – Heavy Trucking Experience Needed Work-From-HomeComprehensive Benefits Package• Medical, Dental, Life Insurance Effective on Start Date – no waiting period Se...
  • 8 Days Ago

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Processing technician
  • Octapharma
  • Montgomery, AL FULL_TIME
  • GENERAL DONOR CENTER ENTRY-LEVEL Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. You can,...
  • 1 Month Ago

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Claims Adjuster
  • County Risk Services, Inc.
  • Montgomery, AL FULL_TIME
  • Job titleLiability Insurance Claims AnalystSalary Band$55,000.00 - $75,000.00 per yearJob TypeFull-timeJob descriptionCounty Risk Services, Inc., a captive third-party administrator for a public entit...
  • 25 Days Ago

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Intern, Sample Processing - Sample Processing Services
  • LabConnect
  • Johnson, TN INTERN
  • Overview The Sample Processing department at LabConnect is looking for a highly motivated intern, who is eager to learn and passionate about making a difference, to join our team this summer. What you...
  • 8 Days Ago

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Processing Technician Part-Time
  • Octapharma Plasma, Inc.
  • Montgomery, AL PART_TIME
  • GENERAL DONOR CENTER — ENTRY-LEVEL Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You c...
  • 4 Days Ago

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0 Claims Processing Clerk, Sr. jobs found in Montgomery, AL area

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Remote Sales Agent
  • C Miller Agency
  • Montgomery, AL
  • Job Description Job Description REMOTE POSITION - work from home virtually | WILL TRAIN THE RIGHT PERSON The Mortgage Pr...
  • 4/19/2024 12:00:00 AM

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Disability Financial Underwriter
  • Humana
  • Montgomery, AL
  • Become a part of our caring community and help us put health first The Disability Financial Underwriter computes rates f...
  • 4/19/2024 12:00:00 AM

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Loss control/Insurance Field Inspector - Montgomery, AL
  • InsurSolv,LLC
  • Montgomery, AL
  • About the job Loss control/Insurance Field Inspector - Montgomery, AL Commercialand Residential Independent Contractor f...
  • 4/19/2024 12:00:00 AM

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Life Insurance Broker
  • PRT Financial
  • Montgomery, AL
  • GET MORE OUT OF YOUR CAREER Choose a career where changing someone else's life for the better is also life-changing for ...
  • 4/19/2024 12:00:00 AM

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TRANSPORTATION ASSISTANT (PERSONAL PROPERTY INSPECTOR)
  • Air Education and Training Command
  • Montgomery, AL
  • Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
  • 4/18/2024 12:00:00 AM

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Insurance Claims/Billing Specialist
  • Job Konnections
  • Montgomery, AL
  • Position: Insurance Claims/Billing Specialist Working Hours: Monday - Friday 8:00am - 5:00pm Location: In-Office (Call C...
  • 4/17/2024 12:00:00 AM

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Licensed Insurance Agent
  • Millennium Recruiting
  • Montgomery, AL
  • Job Description Job Description Our company has served working class families since 1951 with life, accident, and supple...
  • 4/16/2024 12:00:00 AM

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Insurance Sales Representative
  • WoodmenLife
  • Montgomery, AL
  • Job Description Job Description We are seeking an Insurance Sales Agent to join our team! As a WoodmenLife Representativ...
  • 4/15/2024 12:00:00 AM

Montgomery is the capital city of the U.S. state of Alabama and the county seat of Montgomery County. Named for Richard Montgomery, it stands beside the Alabama River, on the coastal Plain of the Gulf of Mexico. In the 2010 Census, Montgomery's population was 205,764. It is the second most populous city in Alabama, after Birmingham, and is the 118th most populous in the United States. The Montgomery Metropolitan Statistical Area's population in 2010 was estimated at 374,536; it is the fourth largest in the state and 136th among United States metropolitan areas. The city was incorporated in 18...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$42,650 to $52,605
Montgomery, Alabama area prices
were up 1.3% from a year ago

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Claims Processing Clerk, Sr. in Asheville, NC
When you’re in the beginning stages of writing your insurance claims processing clerk job description, you’ll need to review common qualifications for this job.
January 12, 2020