Claims Processing Clerk, Sr. jobs in Alabama

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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Claims Adjuster- Auto Damage
  • Claims Adjuster Resource LLC
  • Stockton, AL PART_TIME
  • As an auto damage claims adjuster, you'll serve as point of contact with customers - directing and making decisions regarding the repair process from beginning to end. Managing your own inventory whil...
  • 16 Days Ago

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AL - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Birmingham, AL FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 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...
  • 13 Days Ago

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Sandy Sansing CDJR Foley - Accounting Clerk
  • Sandy Sansing CDJR Foley - Accounting Clerk
  • Foley, AL FULL_TIME
  • Sandy Sansing CDJR Foley is currently looking for an Accounting Clerk. We are looking for a professional, team oriented and high energy individual with a positive attitude. If you have a great attitud...
  • 13 Days Ago

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Aerie - Sr Brand Ambassador (Sr Sales Associate) - US
  • Sr Brand Ambassador (Sr Sales Associate) - US - American Eagle Outfitters Careers
  • United States, AL FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As a part-time Sr Brand Ambassador, you bring our brand to life every day! Your goal is to provide everyone who comes in the store with an amazing shopping experien...
  • 1 Month Ago

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Litigation Secretary
  • Rivkind, Margulies & Rivkind, P.A.
  • Miami, FL
  • Rivkind Margulies & Rivkind, P.A. is seeking to hire a litigation assistant to join our team. This position is responsib...
  • 4/24/2024 12:00:00 AM

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Order Processing Billing Clerk 2904 (QuickBooks)
  • Ultimate Staffing
  • Ontario, CA
  • Job Title: Order Processing and Billing Clerk 2904 Compensation: $23-$26 per hour Schedule: Monday-Friday, 8:30 AM to 5:...
  • 4/24/2024 12:00:00 AM

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Medical Receptionist
  • Insight Global
  • Orlando, FL
  • Required Skills and Experience * High School Diploma or GED required 2 years of experience in a physician’s clinic, hosp...
  • 4/24/2024 12:00:00 AM

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Human Resources Director
  • TATRO
  • Colorado Springs, CO
  • The Human Resources Director will oversee all aspects of the Human Resources Department and ensure that TATRO stays in c...
  • 4/24/2024 12:00:00 AM

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Group Administration Clerk
  • Delta Dental Plan Of Michigan Inc
  • McKinney, TX
  • Job TitleGroup Administration Clerk LocationDelta Dental MI-Okemos-DDPM Location SpecificsThis is a remote position. Req...
  • 4/24/2024 12:00:00 AM

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PEIMS/SHARS Clerk-Special Education
  • New Braunfels
  • New Braunfels, TX
  • Primary Purpose: Support Special Education office by maintaining PEIMS data, special education electronic data managemen...
  • 4/24/2024 12:00:00 AM

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Courtesy Clerk $16.00/hr -$16.78/hr
  • Vallarta Supermarkets
  • Simi Valley, CA
  • Description: California Minimum Wage is $16.00/hr effective 1/1/2024 Some Cities have higher Minimum Wages (LA City curr...
  • 4/24/2024 12:00:00 AM

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Warranty Claims Processing Clerk
  • Active Staffing Services
  • Riverdale, NJ
  • Job Description Job Description A dynamic and growing Warranty Claims company is looking to expand its office team in Ri...
  • 4/22/2024 12:00:00 AM

Alabama (/ˌæləˈbæmə/) is a state in the southeastern region of the United States. It is bordered by Tennessee to the north, Georgia to the east, Florida and the Gulf of Mexico to the south, and Mississippi to the west. Alabama is the 30th largest by area and the 24th-most populous of the U.S. states. With a total of 1,500 miles (2,400 km) of inland waterways, Alabama has among the most of any state. Alabama is nicknamed the Yellowhammer State, after the state bird. Alabama is also known as the "Heart of Dixie" and the "Cotton State". The state tree is the longleaf pine, and the state flower is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$44,139 to $54,442

Claims Processing Clerk, Sr. in Dallas, TX
Get full salary data for Insurance Claims and Policy Processing Clerk, including data for your industry, geographic region or metro area and employer size.
January 17, 2020
Claims Processing Clerk, Sr. in Moline, IL
Claims or legal experience is preferred, but not mandatory.
January 27, 2020
Claims Processing Clerk, Sr. in Lawrence, MA
These professionals handle much of the paperwork required when issuing and processing insurance policies and claims.
November 28, 2019