Customer Service Representative Job at NTT DATA Services (formerly Dell Services)
Customer Service Representative - Prior Authorizations
NTT DATA - Fully REMOTE
Full time, temporary (3+ months)
Pay rate: hourly payrate TBD
Hours: M-F, 40 hours/week; 8 hour shift between 7am - 8pm
NTT DATA Services currently seeks a Customer Service 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.
Job Description:
You will work closely with providers to process prior authorization (PA), and drug benefit exception requests on behalf of our client in accordance with Medicare Part D CMS Regulations. Must apply information [provided through multiple channels] 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.
Experience:
High School Diploma or GED required
Job Types: Full-time, Temporary
Pay: $17.00 - $20.00 per hour
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: Remote
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