NTT DATA, Inc.
Location
Quincy, MA | United States
Job description
Basic Qualifications:
• 1 year of Customer Service in a medical office or hospital
• 1 year of computer experience with Windows PC apps
• 1 year of work from home experience
Requirements:
Job Role includes provider’s inquiring about current insurance coverage, previous insurance coverage, copays, deductibles, claim questions including claim status, claim payments, claim denials, 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, eligibility and benefits, referral and authorizations.
• 1-3 years’ experience in Customer Service within a medical office/hospital setting
• 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.
• Must have high-speed, reliable internet (40 MBPS min.) plus must hardwired connection due to HIPAA.
• A quiet, interruption-free workspace. (will be asked to show your home workspace during the interview).
• Ability to communicate (oral/written) effectively to exchange information with our client.).
**Required schedule availability for this position is Monday-Friday 7:00 a.m. to 4:00 p.m. CST. The shift timings can be changed as per client requirements.**
**This is currently a work from home position but may require to be in office as determined by management.**
**This is a multi-skilled position and you will up-trained as determined by management.**
Job tags
Salary
