Member Services Representative (Call Center)

Details Below:
POSITION : Member Services Representative (Call Center)
LOCATION : Remote
JOB TYPE : This is a LONG-TERM CONSULTING assignment. Not Direct Hire.
PAY: $17.50 per hour
HOURS: M-F 8:00AM - 8:00PM (8 hour shift assigned) with Rotating Saturday Schedule
START DATE: 11/14/2024.

Customer Service which includes provider's inquiring about current insurance coverage, previous insurance coverage, copays, deductibles, claim questions including claim status, claim payments, claim denials, etc.

• Quality Customer Service- Inquiries to be made primarily by telephone but also through written format (email, mail, fax, etc.)
• Provides accurate information in a helpful, collaborative manner to callers through thorough knowledge of End Client products, policies and procedures.
• Captures and documents customer feedback.
• Receives, resolves, and routes complaints as defined by department policy, procedures, and guidelines.
• Interacts with other End Client staff to resolve customer inquiries, complaints, and problems, particularly in Claims Services, Provider Services, ILR/COB, Payment Processing, the Provider Processing Center, Provider Relations, Provider Contracting, Medical Management, Benefits Administration, Pharmacy Services and the Behavioral Health and High-End Imaging vendors.
• PSRs handles calls regarding claim status, appeal status, eligibility and benefits, referrals, and authorizations.

Qualifications:

• Minimum of 2 years telephonic Healthcare customer service experience in a call center environment.
• Ability to maintain accuracy and production standards.
• Proficiency in Microsoft Excel, Outlook and Microsoft Word.
• Sharp organizational skills with the ability to manage various projects simultaneously.
• Multi systems/multi monitors technical skills.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly rate for this remote role is $17.50. This reflects the target compensation for the position across all US locations. This position may also be eligible for incentive compensation based on individual and/or company performance.
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.