NTT DATA's Client is seeking a Customer Care Associate with 1-3 years of service oriented experience or call center experience to assist providers inquiring about current insurance coverage, previous insurance coverage, co-pays, claims questions, etc.
Evaluate basis of their quality (as measured by the monitoring of recorded calls), their productivity, their accuracy of information and their attendance and punctuality.
Responsible for compliance with all laws and regulations related to the conduct of our business, including following all HIPAA guidelines and procedures.
Quality Customer Service
Provides accurate information in a helpful, collaborative manner to callers through thorough knowledge of End Client products, policies and procedures.
Inquiries to be made primarily by telephone but also through written format (email, mail, fax, etc).
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, elibility and benefits, referral and authorizations.
Requirements for this role include:
1-3 years experience in Provider Service/Customer Service
At least 1 year of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
Ability to communicate (oral/written) effectively to exchange information with our client.
High Speed/Reliable internet
Private, secure work place distraction free limited interruptions equal availability at home as at the office
**Required schedule availability for this position is Monday-Friday (07:00am to 04:00pm CST). The shift timings can be changed as per client requirements.
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.
Careers at NTT DATA