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
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• 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 have a 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.
This is a multi-skilled position and you will up-trained as determined by management.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $15.50 . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.
This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits