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Customer Service Representative-Healthcare

Role overview

Qualifications

  • 6+ months customer service in healthcare or pharmacy
  • 6+ month call center experience
  • Experience handling confidential patient or member information
  • Pharmacy Technician Certification (CPhT) or related education

Responsibilities

  • Support Medicare members, prescribers, and providers by processing coverage-related requests across phone and fax channels
  • Perform accurate case setup, review, outreach, documentation, and timely resolution of requests in accordance with Medicare guidelines
  • Demonstrate strong attention to detail and professional communication skills
  • Problem-solve in a highly regulated, fast-paced environment

Key facts

Other skills

  • Customer Service
  • Detail Oriented
  • Non-Verbal Communication
  • Problem Solving

About the company

NTT DATA logo

NTT DATA

IT Services & IT Consulting

NTT DATA – a part of NTT Group – is a trusted global innovator of IT and business services headquartered in Tokyo. We help clients transform through consulting, industry solutions, business process services, digital & IT modernization and managed services. NTT DATA enables them, as well as society, to move confidently into the digital future. We are committed to our clients’ long-term success and combine global reach with local client attention to serve them in over 50 countries around the globe.

Company details

Company typeXLarge
IndustryIT Services & IT Consulting
Company size10001

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Job description

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 this remote role is $20.25 per hour. This range reflects the minimum and maximum target compensation 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.
 

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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