Intake Call Associate, Remote US

Intake Call Associate I

REMOTE US - East Coast preferred.
Start date: 2/16 and End date: 8/15
MUST show proof of Home Internet Speed (Ethernet cable vs. WIFI).

*Hours and Mandatory Training schedule is approximately four to six weeks starting 2/17/2025 Monday to Friday 8am-4:30pm ET, then schedule will be assigned: Expected shifts to be 8 hours per day, Phone hours are from 9am-7pm ET. Position requires schedule flexibility. Weekend and evening shifts may be required. Permanent schedule to be decided after training.

Position Summary:
The Intake I (IQA) Associate takes in-bound calls from members, providers, providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all requests, and transfers all clinical questions and judgement calls to the nurse or pharmacist. The Intake I (IQA) Associate will also assist with other duties such as outbound calls, monitoring/responding to inquiries in mailboxes and other duties as assigned by the leadership team.

Duties:

• Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
• Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
• Communication with other internal groups regarding determination status and results (nurses, pharmacists, medical staff).

Minimum Job Requirements:
-0-3 years of related work experience.
-1 year of Prior authorization experience / knowledge,
-1 year of data entry,
-1 year of customer service experience with good written and verbal skills,
good phone manner,

Preferred Job Requirements
1.Strong Attention to detail
2. .Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality
3.Proficient computer skills and the ability to navigate in a Windows based environment 4.Ability to follow directions, and adapt in dynamic work environment; ability to adapt to change and remain flexible
5.Ability to work in a high pressure, time sensitive environment
6.Project a professional business image, through phone interaction as well as internal communications
7.Demonstrated problem-solving ability and attention to detail
8.Demonstrated sense of urgency with assignments
9.Strong organizational skills
10.Strong telephone skills
11.Ability to read and understand pharmacy/medical terminology
12.Ability to read, analyze and interpret general business correspondence, technical procedures and governmental regulations.
13.Ability to identify and solve practical problems and deal with a variety of concrete variables in standardized situations. Ability to perform basic mathematic calculations maybe required
14.Ability to interpret a variety of work instructions provided through a variety of mediums 15.Ability to anticipate needs and resolve issues with urgency
16.Ability to consistently meet quality and production standards
17.Displays confidence in the ability to learn complex material
18.Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results

Education:
High School Diploma or GED required.
Associates degree in Business, Accounting or equivalent work experience preferred.

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.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $18.20 . 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.