Driven by Innovation and built on Trust, rockITdata is a unique SDVOSB services company that partners with leading commercial healthcare/life sciences organizations on cutting edge innovations - think AI, automation and data transformation. We then bring those commercially tested solutions to government entities to deliver predictable, measurable impact for the American taxpayer and consumer. rockITdata is seeking a Contact Center Specialist to serve as front-line support in assisting active duty service members, National Guard members, reservists, veterans and retirees who need access to mental health care when relocating, transitioning, or are in need of a new mental health provider for the first time. Key Responsibilities: - Serve as front line support for referrals, inbound/outbound engagement, intakes, PHRC support, coach scheduling, and case documentation. - Execute contact center procedures for case tracking, routing, escalation, and warm handoffs to coaches or escalations. Required Skills: - A minimum of one year of experience in a medical/hospital call center - A minimum of one year experience in triage, care management, motivational interviewing, and crisis counseling - Fluent in English and/or Spanish, both oral and written - Ability to handle inquiries and requests in a courteous and professional manner - Ability to listen to and empathize with Service members, Veterans, and others and acknowledge their concerns - Ability to gather information to determine a Service member, Veteran, or family member’s needs, as well as apply problem-solving skills, and resolve the inquiry/request effectively - Ability to communicate information clearly, accurately, and completely - Ability to record all pertinent information accurately and efficiently - Ability to handle crisis and abusive calls in a professional and effective manner - Ability to control the pace and flow of the inquiry/request and manage call time effectively #LIREMOTE Here at rockITdata, we are committed to following our 10 Guiding Principles. Our Guiding Principles define our culture. They’re who we are, how we work, and what inspires us to be the best. We empower our people to be themselves and encourage an entrepreneurial way of thinking. In our challenging, fast-paced environment, no day is the same. Know the Why. Value People Above All Else. Transparency to a Fault. Progress, Not Perfection. Be Good by Doing Good. Smart People Can Disagree. Bend but Don’t Break. Represent Your Brand. Think Differently. Be Amazing, Be Fearless, Smile, Have Fun! Interested in joining something unique? Join us on our rockIT ship as we begin to blast off to the next chapter in our organization! rockITdata has become aware of a recruitment scam where unauthorized individuals are impersonating rockITdata recruiters, issuing fake job offers, and attempting to setup payment for the job seeker’s new hire costs. No one is ever required to complete any monetary transactions before starting employment with rockITdata. Legitimate rockITdata communications only come from @rockitdata.com email addresses and our official Applicant Tracking system, JazzHR (@applytojob.com email addresses). Please refer to our official Careers page at www.rockitdata.com/careers to accurately submit your application with us. You may also verify any suspicious communication by contacting our recruitment team directly through our official email, dreamjob@rockitdata.com. rockITdata is an equal opportunity employer and is committed to non-discrimination in all employment practices and decisions. All qualified applicants will receive consideration for employment without regard to disability status, veteran status or any characteristic protected by Federal, state, or local law. rockITdata wants all interested and qualified candidates to be able to use our career site to review and apply for employment opportunities. If you have a disability and need an accommodation to access the application process, please contact us for assistance at dreamjob@rockitdata.com.

The job profile for this position is Eligibility Representative, which is a Band 1 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. As an Eligibility Representative in Patient Access for Accredo, you’ll be part of a dedicated team which helps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions such as HIV, rheumatoid arthritis, and cancer.  This role is on the front lines with patients and doctors' offices, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy.  Patient access starts with clarity, accuracy, and persistence. As an Eligibility Representative, you help remove insurance barriers so care can move forward without unnecessary delays. This role is built for professionals with healthcare insurance experience who take pride in detailed work and understand the importance of getting it right the first time. You will be part of a team that is ambitious in outcomes, compassionate in approach, and committed to continuous learning while supporting patients with complex coverage needs. - Responsibilities - Support the insurance clearance process by verifying pharmacy and medical benefits to enable timely access to specialty medications. - Review and interpret insurance eligibility, coverage details, and benefit limitations to determine clearance requirements. - Initiate outbound communication with insurance plans and third‑party payers to obtain benefit details, resolve coverage questions, and confirm authorization requirements. - Navigate prior authorization processes by gathering required information and ensuring payer criteria are met accurately. - Document benefit findings, authorization outcomes, and clearance decisions thoroughly and consistently within internal systems. - Manage multiple cases at various stages of clearance while meeting productivity and turnaround expectations. - Identify coverage discrepancies or access barriers and take ownership of resolution to keep cases progressing. - Apply feedback and payer knowledge to continuously improve accuracy, efficiency, and overall clearance quality. - Required Qualifications - Minimum of 1 year of experience in a healthcare or health insurance setting performing eligibility verification, benefits investigation, prior authorizations, or patient access support. - Direct experience working with insurance plans or payers, including outbound calls to obtain or clarify coverage information. - Working knowledge of pharmacy (PBM) benefits and medical benefits, with the ability to interpret plan details accurately. - Experience documenting insurance and authorization information with a high level of accuracy and attention to detail. - Ability to manage detailed, repetitive work in a structured environment while maintaining consistency and quality. - Strong written and verbal communication skills appropriate for professional interactions with payer representatives. - High School Diploma or equivalent. - Must live and work remotely in one the following states: Alabama, Indiana, South Carolina, or Tennessee. - Preferred Qualifications - Experience supporting specialty medications, infusion therapies, or high‑cost treatments. - Familiarity with insurance clearance workflows across commercial, Medicare, or Medicaid plans. - Experience using healthcare systems or platforms to track eligibility, authorizations, and case status. Why you’ll love working here · Fun, friendly, and unique culture – Bring your whole self to work every day! · Choice of unique medical plans · Prescription Drug, Dental, Vision, and Life Insurance · Employee contributions for HRA and HSA accounts · 401K with Company Match · Paid Time Off and Paid Holidays · Tuition Assistance If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor contracts and processing any adjustments as required. This representative reports to the Manager/Supervisor of Denials Management. REMOTE/WORK FROM HOME Qualifications - H.S. Diploma or General Education Degree (GED) Required - 2 years of prior related healthcare Revenue Cycle experience, preferably within A/R Follow Up or denials/underpayments Required - Prior experience using Epic Preferred - None Required Company Description - Business Unit: Company Name - Piedmont Healthcare Corporate

Req ID: 362142 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 Call Center Senior Representative to join our team in Chicago, Illinois (US-IL), United States (US). General Duties and Tasks - Serve as the primary point of contact for customers seeking assistance via inbound telephone calls or email correspondence. - Respond to customer inquiries through an Automatic Call Distribution (ACD) system and an email routing platform in a timely, professional, and efficient manner. - Educate and assist customers with account and billing-related questions, concerns, and service requests. - Accurately identify customer needs and provide appropriate resolutions in full compliance with established Policies, Procedures, and Protocols. - Research and analyze customer inquiries, taking appropriate and timely action to resolve billing and service-related matters. - Foster positive customer relationships while consistently demonstrating the highest standards of ethics, quality, and professionalism. - Provide application support and navigational guidance for customer-facing technologies. - Escalate unresolved issues to the appropriate next level of support in accordance with established escalation protocols and business guidelines. - Deliver accurate information and guidance related to first-level business processes and requirements. - Document all customer interactions by entering detailed, accurate, and complete account notes in accordance with Account Note Maintenance Guidelines. - Demonstrate consistent adherence to the CARE Framework, including Compliance, Attendance, Results, and Excellence. - Uphold EDGE Framework standards by meeting Quality Assurance requirements and positively contributing to Customer Feedback survey outcomes. - Must remain fully engaged in the role by staying current on all project and team communications, regularly reviewing email and internal updates, and communicating clearly and effectively with all project stakeholders. - Must consistently meet required performance standards for Availability, Responsiveness, and Average Handle Time (AHT). - Must consistently meet all zero-tolerance, business-critical Service Reliability Evaluation (SRE) standards and scored quality requirements. Minimum Requirements - Minimum of 3 +years of experience in a contact center and/or customer service environment, including demonstrated familiarity with performance metrics related to Availability, Call Handling, and Quality Assurance. - High school diploma or GED required. - Language Requirement: Fluency in English (written and verbal). Preferred Qualifications - Completion of continuous vocational training, college coursework, or attainment of a college degree preferred. - Strong verbal communication skills with the ability to demonstrate a clear, professional tone and articulate speaking ability. - Proficient computer and keyboarding skills, including the ability to efficiently navigate multiple systems, screens, and applications simultaneously. - Demonstrated customer-focused demeanor with strong service orientation and the ability to deliver exceptional customer service in a dynamic and fast-paced environment. Work Location & Onsite Requirements - The official project work location is 2 N. LaSalle St., downtown Chicago. - The Voice CSR role may be eligible for remote work only if the individual meets and continuously maintains all Remote Workplace and Technology Requirements outlined below. - Remote work status is conditional and subject to ongoing compliance. Remote eligibility is not guaranteed and may be revoked at any time based on performance, compliance, or technology requirements, with reassignment to onsite work at 2 N. LaSalle St., Chicago. - All newly hired remote employees are required to report to the downtown Chicago office after hire to pick up company-issued equipment and complete one (1) day of mandatory in-person training. Travel to the onsite location is a condition of employment. - Remote employees may be required to report onsite at any time for business needs, including but not limited to equipment replacement, equipment repair, retraining, performance remediation, compliance review, or operational requirements. Remote Workplace and Technology Requirements Remote work is a privilege, not an entitlement. Individuals must meet and continuously maintain all Remote Workplace and Technology Requirements. Failure to do so may result in immediate reassignment to onsite work at 2 N. LaSalle St., downtown Chicago. Technology Requirements - NTT DATA will provide a company-issued computer and headset. New employees may temporarily use a personal computer to attend virtual training until company equipment is deployed. - Employees are fully responsible for the care, protection, and security of all company-issued equipment and must return all equipment immediately upon separation in accordance with company protocols. - Failure to return equipment may result in collection actions and/or additional administrative consequences. - Employees must provide and maintain high-speed internet service with minimum speeds of 50 Mbps or greater. Internet performance must consistently support uninterrupted business operations. - A hard-wired Ethernet connection is strictly required: - Wi-Fi connections are not permitted. - Mobile hotspots, wireless broadband, satellite connections, and public internet connections are strictly prohibited. - Working from internet connections outside of the employee’s personal residence is not permitted. Stable, reliable, wired internet connectivity is a business-critical requirement and is non-negotiable. Technical Performance and Issue Management - Management actively monitors technical performance, downtime, and system availability. - Remote employees must adhere to all technical support procedures, troubleshooting protocols, and escalation processes without exception. - Chronic connectivity issues, recurring internet instability, repeated technical disruptions, or excessive downtime that interfere with job performance will result in corrective action. - If remote technical reliability does not meet operational standards, remote work privileges may be revoked and the employee will be reassigned to full-time onsite work. Remote Workspace Requirements - Employees must maintain a dedicated, professional workspace capable of supporting uninterrupted, business-grade customer service. - The workspace must be a permanent, fixed location used daily for work duties. - Employees must work in an environment free from distractions that interfere with service delivery. - Background noise, interruptions from individuals or pets, and environmental disruptions must be minimized. - Employees must work from the same approved location consistently unless prior management approval is obtained. - Any change in work location requires advance approval, and the new location must fully meet all Remote Workplace and Technology Requirements. Remote Reliability Standard - Remote employees must maintain the same level of operational reliability, performance consistency, and service quality as onsite staff. - Employees must consistently meet required performance standards for Availability, Responsiveness, Average Handle Time (AHT), and all zero-tolerance, business-critical Service Reliability Evaluation (SRE) standards. - Repeated internet outages, unstable connections, technology failures, excessive downtime, or workspace disruptions are not acceptable. - If management determines that remote reliability or performance standards are not consistently met, remote eligibility may be revoked and the employee might be reassigned to full-time onsite work at 2 N. LaSalle St., downtown Chicago. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $27,502 – $ 40,611. 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 may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, 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. About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us. NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.