NTT DATA Services currently seeks Customer Service Reps-Medicare to join our team remotely for a 9+ month contract role.
As a Medicare Part B Representative, you will work closely with healthcare providers to process Organization Determination (OD) and drug benefit exception requests in a call center environment.
Role Responsibilities
Working incoming cases via fax to process coverage requests from members or prescribers.
- Conducting outreach to patients and providers, and obtaining additional information needed to process requests.
- Researching and correcting any issues found in the overall process.
- Raising issues to Organization Determination Clinical Pharmacists and Management team as needed.
- Reading, analyzing, and interpreting general business correspondence, technical procedures, and governmental regulations.
- Solving practical problems and dealing with multiple concrete variables in standardized situations.
- Performing basic mathematical calculations.
- Ensuring all cases are properly closed
- Ability to interpret a variety of work instructions provided
through multiple mediums
- Ability to anticipate needs and resolve issues with
urgency and to meet quality and production standards
Required Skills/Experience
Preferred Qualifications
- 6+ months of customer service experience
- 6+ months of working in a virtual role where the supervisor is not physically in the same space
- 6+ months of PBM/pharmaceutical OR Medicare related work
Education: Verifiable high school degree or GED required
Hours: 7:00am-8:00pm CST (M-F) and alternate weekends Sat-Sun.
Training hours M-F 8-4:30PM CST
About NTT DATA Services:
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.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $17-$17.75. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.