Call Center Provider Claims & Billing Representative
NTT DATA - REMOTE (local to New Albany, OH)
Full time, temporary (6+ months)
Start date: August 16, 2021
Pay rate: $16.50/hour
Hours: M-F 7:00 am - 6:00 pm EST (must be flexible)
NTT DATA Services currently seeks a call center provider claims & billing representative to join our team. If you feel you are qualified by the description below, please apply for a chance to interview and discuss your skills & qualifications.
The selected candidate will work closely with providers to process prior authorization (PA), and drug benefit exception requests on behalf of the health plan as the client and in accordance with Medicare Part D CMS Regulations. Must apply information to the plan criteria defined through work instruction. Research and conduct outreach via phone to requesting providers to obtain additional information to process coverage requests and complete all necessary actions to close cases. Responsible for research and correction of any issues found in the overall process. Phone assistance is required to initiate and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals clinical pharmacists and management team as needed. Must maintain compliance at all times with CMS and department standards. Position requires schedule flexibility including rotations through nights, weekend and holiday coverage.
This is a call center role that focuses on only Provider Claims and Billing.
REMOTE but must be LOCAL TO SITE LOCATION
Experience working from home in the past is preferred
Needs to be able to work independently and be computer savvy
Recent Provider Claims or Medical Billing experience
2+ recent years in a High Volume Call Center
High speed internet in home and dedicated home office
High School Diploma or GED required
NO DRUG SCREEN REQUIRED
NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.