Operations Representative II

1 week ago


Providence, Rhode Island, United States NTT DATA Full time
Job Summary

NTT DATA Services is seeking a skilled Operations Representative II to join our team for a 1-year contract role. As a key member of our team, you will be responsible for providing exceptional customer service and support to our clients.

Key Responsibilities
  • Manage inbound calls from providers, pharmacies, and members, providing professional and courteous phone assistance through the prior authorization process.
  • Maintain accurate and timely documentation of reviews.
  • Transfer clinical questions, escalations, and judgment calls to the pharmacist team.
  • Assist with other duties as needed, including outbound calls, reviewing and processing prior authorizations, and monitoring and responding to inquiries.
Requirements
  • 3+ years of experience in a customer service or call center environment, managing 75+ calls per day.
  • 3+ years of Medicare experience.
  • 3+ years of healthcare prior authorization experience.
Benefits

As an Operations Representative II at NTT DATA Services, you will enjoy a competitive hourly rate of $17.75 per hour. You will also be eligible for company benefits, including 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 401(k) program with company match, and additional voluntary or legally required benefits.



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