Req ID: 324837
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a TEMP BPO Associate to join our team in Orlando, Florida (US-FL), United States (US).
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In this role, you will be responsible for:
• This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based prior authorization process.
• Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
• The Tech I will also assist with other duties as needed to include but not limited to: outbound calls, reviewing and processing Prior Authorizations received via fax and ePA, monitoring and responding to inquiries via department mailboxes and other duties as assigned by the leadership team.
PRIMARY DUTIES AND RESPONSIBILITIES:
1. Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon established standards.
2. Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
3. Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc.).
4. Identify and elevate clinical inquiries to the pharmacist team as appropriate.
About NTT DATA
NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com
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