Remote Medicare Coverage Determination Rep I

NTT DATA, Inc.; Rhode Island; Remote; USD 28,000 - 41,000; Full time

Job summary

NTT DATA Services is seeking a Coverage Determination Rep I to join our team working 100% remote in the US. The role involves reviewing Medicare Prior Authorization cases across multiple systems and meeting government timelines.

The ideal candidate has at least 1 year of medical insurance experience, a high school diploma or GED, and the ability to handle data entry with accuracy. Shift includes training hours and rotating coverage, with long-term opportunities.

Qualifications

• 1 year minimum, medical insurance background
• Experience with Medicare/Medicaid guidance is a plus
• Ability to manage multiple software systems for case reviews

Responsibilities

• Review Fax documents and forward to proper queues
• Maintain knowledge of relevant regulations and clinical material
• Assist or guide in partnership with learning and innovation
• Participate in developmental discussions with supervisor

Skills

Medicare

Prior Authorization

Data entry

Regulatory knowledge

Education

High School diploma or GED

Job description

NTT DATA Services is seeking a Coverage Determination Rep I to join our team working 100% remote in the US. The role involves reviewing Medicare Prior Authorization cases across multiple systems and meeting government timelines.

The ideal candidate has at least 1 year of medical insurance experience, a high school diploma or GED, and the ability to handle data entry with accuracy. Shift includes training hours and rotating coverage, with long-term opportunities.