Note: The job is a remote job and is open to candidates in USA. NTT DATA Services is a provider of IT and business services, including healthcare and business process operations. The Representative II- Medicare role supports Medicare members, prescribers, and providers by processing coverage-related requests through phone and fax channels, setting up and reviewing cases, conducting outreach, documenting activities, and resolving requests according to Medicare and CMS requirements.
Responsibilities
- As a Rep II, Operations, you will support Medicare members, prescribers, and providers by processing coverage-related requests across both phone and fax (offline) channels
- In this role, you will be responsible for accurate case setup, review, outreach, documentation, and timely resolution of requests in accordance with Medicare guidelines, CMS-mandated timelines, and internal quality standards
- Flexibility to work shifts between 7:00am – 8:00pm CST (Monday–Friday) and rotating weekend or holiday coverage as required by business needs
- Overtime and extended hours may be required during peak periods
- Regular and predictable attendance
- Ability to work mandatory overtime or extended workweeks when required
- Ability to sit for extended periods at a computer workstation
- Ability to type and use a mouse throughout the duration of the shift
Skills
- Minimum of 6+ months customer service, healthcare, pharmacy, call center, or related experience
- Flexibility to work shifts between 7:00am – 8:00pm CST (Monday–Friday) and rotating weekend or holiday coverage as required by business needs
- Dedicated, secure, and quiet home workspace required
- Reliable high-speed internet with ability to hard-wire into company equipment (**NO**wireless connection, **NO**hotspots)
- Regular and predictable attendance
- Ability to work mandatory overtime or extended workweeks when required
- Ability to sit for extended periods at a computer workstation
- Ability to type and use a mouse throughout the duration of the shift
- Call center experience
- Experience in a PBM, managed care, or healthcare environment
- Experience handling confidential patient or member information
- Familiarity with multi-system workflows (e.g., claims platforms, case management systems, internal databases)
- Pharmacy Technician Certification (CPhT) or related education
Benefits
- This position is full-time, remote (Work at Home)
- 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.
Company Overview
Company H1B Sponsorship