Job Description
NTT DATA's Client is seeking a Customer Care Associate to assist 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 (see job requirements)

* 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.

Requirements for this role include:

* 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.

* A quiet, interruption-free workspace. (will be asked to show your home workspace during the interview).

**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.** "