NTT DATA North America logo

Customer Service Representative-Healthcare

NTT DATA North America
Department:Call Center
Type:REMOTE
Region:USA
Location:Rhode Island, United States
Experience:Not Applicable
Salary:$42,120 - $42,120
Skills:
CUSTOMER SERVICEHEALTHCARECALL CENTERPHONE SUPPORTFAXMEDICARECLAIMS PROCESSINGCASE MANAGEMENTDATA ENTRYDOCUMENTATIONCOMMUNICATIONPROBLEM SOLVING
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Job Description

Posted on: August 13, 2026

NTT DATA Services currently seeks Medicare Customer Service Reps to join our team for a 1 year remote contract role.  Pay rate $20.25 per hour Start date for this contract role is 10/19/2026. Shift: M-F/Flexibility to work shifts between 7:00am - 8:00pm CST (Monday-Friday) and rotating weekend or holiday coverage as required by business needs.Position Summary: 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. This role integrates responsibilities previously segmented by channel (phone vs. fax) and line of business (Medicare Part D and applicable Medicare Part B processes), reflecting the organization’s modularized training model in which colleagues progressively learn, practice, and apply end‑to‑end skills before fully transitioning to production work.   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. You will demonstrate strong attention to detail, professional verbal and written communication skills, and the ability to problem-solve in a highly regulated, fast-paced environment. Work will be performed through a combination of inbound and outbound phone interactions and fax-based casework.   This role reflects an integrated Rep II model aligned with modularized training. Colleagues are trained across both phone and fax-based workflows and progressively apply learned skills through practice before full production deployment. Channel assignment (phone vs. offline work) and case mix may vary based on business needs, proficiency, and operational demand. Required Qualifications:

  • 6+ months customer service in healthcare or pharmacy
  • 6+ month call center experience

Preferred Qualifications: • 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. NTT DATA provides a reasonable range of compensation for U.S.-based positions. The starting pay range for thisremote role is $20.25 per hour. This range reflects the minimum and maximum targetcompensation for the position across all US locations. Actual compensation will depend on a number of factors,including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. 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.

Originally posted on LinkedIn

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