Claims and Authorizations Specialist

3 days ago


Quezon City, National Capital Region, Philippines NTT Data Full time

NTT Data is seeking an experienced Claims and Authorizations Specialist to join our team.

About the Position

In this role, you will be responsible for managing claims and authorizations, resolving discrepancies, and collaborating with the Claims Team.

Main Responsibilities
  1. Process authorizations and exception requests for healthcare providers.
  2. Work closely with the Claims Team to resolve claims discrepancies and educate providers on remittance advice interpretation and reimbursement.
  3. Provide excellent customer service to healthcare providers, addressing their queries and concerns in a timely and professional manner.

The successful candidate will possess excellent analytical skills, attention to detail, and the ability to work in a fast-paced environment.

Key Requirements
  • Excellent analytical skills, with the ability to analyze complex claims data.
  • Strong communication skills, with the ability to communicate effectively with healthcare providers.
  • University degree or equivalent that required formal studies of the English language.


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