Role Description NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for: - Processing of Professional claim forms files by provider - Reviewing the policies and benefits - Complying with company regulations regarding HIPAA, confidentiality, and PHI - Abiding by the timelines to complete compliance training of NTT Data/Client - Working independently to research, review and act on the claims - Prioritizing work and adjudicating claims as per turnaround time/SLAs - Ensuring claims are adjudicated as per clients defined workflows, guidelines - Sustaining and meeting the client productivity/quality targets to avoid penalties - Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA - Timely response and resolution of claims received via emails as priority work - Correctly calculating claims payable amount using applicable methodology/fee schedule Qualifications - 3 year(s) hands-on experience in Healthcare Claims Processing - 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools - High school diploma or GED - Previously performing – in P&Q work environment; work from queue; remotely - Key board skills and computer familiarity - Toggling back and forth between screens/can you navigate multiple systems - Working knowledge of MS office products – Outlook, MS Word and MS-Excel Requirements - Amisys - Ability to communicate (oral/written) effectively in a professional office setting - Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities - Time management with the ability to cope in a complex, changing environment

About ComPsych ComPsychⓇ is the worldwide leader in organizational mental health, well-being, and absence management, dedicated to igniting human potential in workplaces across the globe. For over 40 years, we have combined the best in technology with unmatched human expertise to help individuals and their organizations thrive. Our GuidanceResourcesⓇ and AbsenceResourcesⓇ solutions deliver end-to-end mental health, well-being, work-life, health navigation, and absence support to more than 75,000 customers worldwide, touching more than 160 million lives across 200 countries. Visit compsych.com to find out why 40% of the Fortune 500 choose ComPsych for their mental health and absence management needs. Job Summary As a Bilingual Absence Claims Specialists you are responsible for processing medical certifications in a high production environment while answering emails and corresponding with customers. This individual will report to a Claims Team Lead and must have strong attention to detail, clerical/administrative experience, and commitment to quality. Primary Responsibilities - Review the Family Medical Leave Act (FMLA), state, company and other absence certifications as mandated by state and federal guidelines and in coordination with our customer’s policies - Provide accurate, professional, and timely responses to communications from internal and external partners - Contact medical providers to obtain or clarify medical facts supporting the need for a leave of absence - Maintain complete and accurate documentation of leaves within our proprietary database - Correspond with clients regarding leave status and assist with decision making - Process reports for clients and short term disability partners - Input and analyze data - Demonstrate respect, sensitivity, and confidentiality, while maintaining professionalism at all times. - Meet and adhere to production and quality goals as well as performance metrics. - Responsible and accountable for maintaining and protecting personal, confidential claimant health information. Must maintain a high level of confidentiality and abide by HIPAA rules and regulations. - Engage in ongoing education and training around laws, policies and service delivery. - Support management with special projects as necessary - Other duties as assigned Job Qualifications - Bachelor’s Degree preferred, High School Degree or equivalent required - 1+ years of human resource, claim management or leave and disability experience - Exceptional verbal and written communication skills, with a strong focus on customer service - Proficiency in Microsoft Office Suite - Quick thinking, high energy, positive, and professional with demonstrated multi-tasking and critical thinking skills - Strong time management and deliverable ownership - Ability to work independently - Strong attention to detail - Good analytical skills - Bilingual Spanish is a plus - High-speed internet and a professional workspace that is free from distraction, disruption or outside noise Benefits and Perks - Full benefits package, including Paid Time Off (PTO), medical, dental, vision, 401(k) with match, robust EAP, wellness program, and much more - The starting pay for this position is up to $17.35/hour. The pay represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, and scheduled hours. EEO ComPsych is an equal opportunity employer. All applicants will be considered for employment regardless of race, color, age, genetics, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status and any other characteristic protected by federal, state or local laws. ComPsych Corporation maintains a drug free workplace. ComPsych Corporation and its affiliates is committed to the responsible and transparent handling of your personal data. Information collected during the recruitment process will be used to assess your application and, where applicable, to prepare and administer an offer of employment. Your personal data will be processed in accordance with the privacy laws applicable in your country or jurisdiction of residence, which may include the California Consumer Privacy Act (CCPA), the EU General Data Protection Regulation (GDPR), Canada's Personal Information Protection and Electronic Documents Act (PIPEDA) and applicable provincial privacy legislation, and other applicable national or local privacy laws. For full details on what personal data we collect, how we use it, your rights as an Applicant, and how to contact us with privacy-related questions, please review the relevant Applicant Data Privacy Notices: US Applicant Data Privacy Notice & Canada Applicant Data Privacy Notice.

As a global leader in health technology, ResMed has long pioneered cloud-connected medical devices and digital solutions that support people with sleep apnea, COPD, and other chronic conditions. Today, the company extends that expertise through Brightree's Residential Care Software (RCS), a dedicated partner helping post-acute care organizations strengthen financial performance and operational efficiency. With specialized teams, industry-leading workflows, and technology-enabled processes that manage every stage of the revenue cycle, our Residential Care Software empowers home- and facility-based providers to reduce administrative burden, accelerate reimbursement, and maintain compliance. Together with ResMed’s broader digital health ecosystem, RCS is transforming how care organizations sustain and grow their business. Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance. Let's talk about Responsibilities: As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes - Managing billing procedures - Resolving complex claims - Staying abreast of regulatory changes to maintain compliance. - Engaging with internal and external stakeholders to streamline processes and optimize revenue outcomes. - Collaborating with cross-functional teams to achieve service and sales goals. Let’s talk about Qualifications and Experience - Minimum of 2 years of home infusion billing experience. - 2 years of experience in maintaining HIPAA standards. - Proficient in using computers and Microsoft products (Excel and Word). - Strong motivation in billing, claims, and document management. - Effective communication skills and problem-solving abilities. - High school diploma required; equivalent education and experience considered. - Broad knowledge of routines and procedures. - Proven track record of working towards and exceeding metrics. We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members. Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills. At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: 16.48 - 24.72 USD Hourly. For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills. Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.

As a global leader in health technology, ResMed has long pioneered cloud-connected medical devices and digital solutions that support people with sleep apnea, COPD, and other chronic conditions. Today, the company extends that expertise through Brightree's Residential Care Software (RCS), a dedicated partner helping post-acute care organizations strengthen financial performance and operational efficiency. With specialized teams, industry-leading workflows, and technology-enabled processes that manage every stage of the revenue cycle, our Residential Care Software empowers home- and facility-based providers to reduce administrative burden, accelerate reimbursement, and maintain compliance. Together with ResMed’s broader digital health ecosystem, RCS is transforming how care organizations sustain and grow their business. Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance. Let's talk about Responsibilities: As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes - Managing billing procedures - Resolving complex claims - Staying abreast of regulatory changes to maintain compliance. - Engaging with internal and external stakeholders to streamline processes and optimize revenue outcomes. - Collaborating with cross-functional teams to achieve service and sales goals. Let’s talk about Qualifications and Experience - Minimum of 2 years of home infusion billing experience. - 2 years of experience in maintaining HIPAA standards. - Proficient in using computers and Microsoft products (Excel and Word). - Strong motivation in billing, claims, and document management. - Effective communication skills and problem-solving abilities. - High school diploma required; equivalent education and experience considered. - Broad knowledge of routines and procedures. - Proven track record of working towards and exceeding metrics. We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members. Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills. At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: 16.48 - 24.72 USD Hourly. For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills. Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.