Analyst I

at  NTT Data

NTT DATA Services currently seeks a Customer Service Rep-Membership to join our team remotely. Must be able to work 9am-5pm Monday-Friday Mountain time.
Ability to type 60-70 WPM (assessment will be required)
Customer Service Rep/Analyst position would work within the membership of the Behavioral Health Division. Would work closely with Medical Directors, Clinicians and Customer Service to process higher level reviews. The CSR/Analyst would be an integral part of managing our state policies, our NCQA accreditation, and helping our members get the help and documentation that they need.
Role Responsibilities - Provide service to clinical teams in support of optimal care. - Generates administrative and medical necessity denial letters, checking for accuracy and appropriateness. - Makes calls to providers and utilization reviewers to provide results of medical necessity determinations and provides specifics for next steps. - Schedules and coordinates appointments between providers or attending physicians and Healthcare Medical Directors or Consultants. - Collects and provides necessary material for appointments. Calculates deadlines for appointments and monitor cases for timely return. - Complies with state mandated and Healthcare regulations by monitoring documentation

Required Skills/Experience What are the required skills for this role? (3-5 at the most). Points to emphasize

• 2+ years experience in health insurance field and/or
• 2+ years Administrative/ Secretarial experience and/or
• 2+ years Customer service experience within health care or a mental health capacity
• 2+ years experience in using Microsoft Office including Word, Outlook and Excel

Preferences - Good organizational skills - A go-getter who works independently - Excellent communication

EDUCATION-ASSOCIATE DEGREE REQUIRED

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.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $20-$23.50 per hour. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several 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.

• 2+ years experience in health insurance field and/or
• 2+ years Administrative/ Secretarial experience and/or
• 2+ years Customer service experience within health care or a mental health capacity
• 2+ years experience in using Microsoft Office including Word, Outlook and Exce