TEMP BPO Associate

NTT
United States
Workplace: OnsiteFull timeFunction: Product ManagementExperience: 1+ yearsEducation: high_schoolSkills: ["Attention to detail","Communication","Problem-solving","Documentation","Collaboration"]

Support Medicare members, prescribers, and providers by processing coverage-related requests across phone and fax channels. Accurately set up, review, document, and timely resolve cases in line with Medicare/CMS requirements and internal quality standards. Conduct outbound calls to collect missing information, analyze correspondence and regulations, and escalate complex issues to clinical pharmacists or management. Complete cases within productivity and quality expectations through modular training before full production.

Loading

Loading job details...

Preparing the role view and application actions.

FursaFursa
NTT
NTT
2 weeks ago

TEMP BPO Associate

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 1 hour agoStatus: Live
Reposted: similar role first listed 2 weeks ago

Job Summary

Support Medicare members, prescribers, and providers by processing coverage-related requests across phone and fax channels. Accurately set up, review, document, and timely resolve cases in line with Medicare/CMS requirements and internal quality standards. Conduct outbound calls to collect missing information, analyze correspondence and regulations, and escalate complex issues to clinical pharmacists or management. Complete cases within productivity and quality expectations through modular training before full production.
Location: United States
Workplace: Onsite
Employment Type: Full time
Job Function: Product Management
Seniority: Entry level

Key Responsibilities

  • •Process incoming coverage-related requests (e.g., prior authorizations, coverage determinations, drug benefit exceptions, appeals) via phone and fax.
  • •Accurately set up cases, review documentation, and follow work instructions to ensure correct and timely processing.
  • •Analyze correspondence and Medicare regulations to support decision-making and case actions.
  • •Make outbound calls to members and providers to gather missing or additional information.
  • •Document case activity and ensure proper case closure within CMS timelines, productivity expectations, and quality standards; escalate complex issues as needed.

Key Requirements

  • •1+ years working in a healthcare or pharmacy customer service-focused role.
  • •1+ years of customer service experience, with call center experience being a plus.
  • •2+ years of MS Office experience in an office environment.
  • •Ability to read, analyze, and interpret correspondence, procedures, and Medicare regulations.
  • •High school diploma or GED required.
Experience:1+ yearsHealthcarePharmacyCall center
Education:High School
Skills:Attention to detailCommunicationProblem-solvingDocumentationCollaboration
Tech Stack:MS OfficePhoneFaxMedicareCMS

Company Brief

NTT
Dimension Data, operating under NTT Ltd, provides managed IT services, cloud and data center solutions, networking, cybersecurity, and digital transformation services to enterprise customers worldwide.
Industry: Professional Services
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Established Company
Valuation: Public Company (Market Cap in USD)
Headquarters: London, United Kingdom
Founded: 1983
WebsiteLinkedIn