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    Customer Service Representative, Pharmacy - Franklin, United States - NTT DATA

    NTT DATA
    NTT DATA Franklin, United States

    3 weeks ago

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    Description
    Customer ServiceHours: 8 am - 5 pm
    Pharmacy Healthcare Services
    1021 Reams Fleming Blvd. Franklin, TN 37064

    Call Center, In office opportunityPosition Summary:
    The primary responsibilities are to verify insurance coverage for potential and new clients. Additionally, this person will re-verify insurance coverage for existing patients to answer questions about benefits, coverage, billing and payments.


    Job Duties:

    • Effective delivery of company products and services
    • Responds to telephone inquiries from new policyholders, tenured policyholders, agents and their representatives
    • Provides information coverage and benefits, billing and payments and field general questions. Determines the best method for providing services.
    • Verifies insurance and/or payments
    • May perform data entry.
    • May assist with the processing of billing paperwork.
    • Accurately maintains files of all patient account profile information and referral source data.
    • Resolves patient complaints by identifying the root cause of opportunities and coordinating appropriate corrective action

    Minimum Qualifications/Requirements:

    • Minimum of 1 year in a customer service or call center environment (call center type environments preferred, of Dr. Office/hospital with heavy call volume).
    • Must have 6 months of medical or healthcare experience.
    • Must have typing speed WPM of 35 minimum
    • 1 year of Computer experience is required with proficiency in Microsoft Outlook, Word and Excel

    Preferred Requirements:

    • Knowledge of Medicare and 3rd party insurance vendors is a plus.
    • Ability to demonstrate excellent customer services to members, agents and their representatives.
    • Must demonstrate strong attention to detail and proven analytic and problem solving.
    • This role will require an understanding of insurance concepts, including governmental plans, ancillary plan benefits, and other coverages.
    • Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members.
    • Basic alpha number data entry skills with attention to accuracy and quality is essential.
    • Intermediate math skills are required with attention to detail and quality essential.
    • Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and thirdparty terms and medical terminology.
    • Ability to work with people in a team environment while meeting individual performance goals.
    • Must be able to read and interpret policies, procedures and instructions.
    • Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential

    Education:
    Verifyable High School diploma or GED required.

    About NTT Data Services:

    NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas.

    As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers.

    We are committed to our clients' long-term success. Visit or LinkedIn to learn more.

    NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law.

    We are committed to creating a diverse and inclusive environment for all employees.

    If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

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