Demo

Healthcare Customer Service Representative-Hybrid

NTT DATA
Franklin, TN Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 4/28/2025
Healthcare Customer Service Representative-(7 months or longer temporary assignment) Hours: Mon-Fri 8:00-5:00 CST Hybrid, will work onsite and from home. Location: Franklin, TN Rate: 16.78 per hour 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 Services currently seeks Healthcare Customer Service Representative to join our team for a seven month or longer temporary assignment with the possibility of being hired permanently. If you feel you are qualified by the description below, please apply for a chance to interview and discuss your skills & qualifications. You'll join and work with a team of talented people who enjoy solving tough problems and improving the healthcare industry. They believe in supporting both personal and professional growth. That means, they pay attention to goals, celebrate milestones and highly encourage learning opportunities.

Position Summary: Work with a team of specialists dedicated to one of our manufacturer partners to provide reimbursement support services. Have direct interaction with the manufacturer client to provide case statuses and updates.

Job Responsibilities
  • Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing.
  • Ability to work in a fast paced environment, handling both inbound and outbound calls.
  • Knowledge of Medicare benefits, enrollments and LIS assistance.
  • Plans and organizes work assignments, set priorities and completes work with a minimum of supervision. Adheres to the service policy and principles of the company, as well as the program guidelines set by the department.
  • Participates in cross-training to perform all roles within the department.
  • Communicates effectively and professionally with our program partners to assure the best possible service for our patients and partners.
Job Qualifications
  • 2 years of healthcare customer service experience
  • 2 years working with PDM experience
  • 1 years prior authorization and appeals experience
  • Associates degree or equivalent experience is required
Other duties as assigned. Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day. May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required. May need to lift up to twenty-five (25) pounds on occasion. Visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus. Must be able to hear normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role. Work Environment: Work in a climate-controlled, smoke-free internal environment.

About NTT Data :

NTT DATA 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 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.

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