NTT DATA Services currently seeks **Call Center Agent - Intake (temporary)** to join our team working 100 % remote in the US. **Job Summary:** Supports comprehensive coordination of medical services including intake, screening and referrals to Aetna Medical Services Programs. Promotes/supports quality effectiveness of Healthcare Services. **Duties** : • Performs intake of calls from members or providers regarding services via telephone, fax, EDI. • Utilize Profax, Dynamo and QNXT and other Healthcare systems to build LTSS cases, research and enter member information. • Screens requests for appropriate referral to medical services staff. • Coordination of Medical, LTSS including Care Team intake and outreach, screening and supporting care plans. • Approve services that do not require a medical review in accordance with the benefit plan. • Performs non-medical research including eligibility verification, COB, and benefits verification. • Assists Case Managers with coordination of benefits and services. • Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. • Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g., claim administrators, Plan Sponsors, and third party payers as well as member, family, and health care team members respectively) • Protects the confidentiality of member information and adheres to company policies regarding confidentiality Communicate with Healthcare Case Managers, when processing transactions for members active in this Program • Supports the administration of the precertification process in compliance with various laws and regulations, URAQ and/or NCQA standards, where applicable, while adhering to company policy and procedures. • Places outbound calls to providers to gather additional information for authorizations. • Sedentary work involving significant periods of sitting, talking, hearing and keying. • Work requires visual acuity to perform close inspection of written and computer generated documents as well as a PC monitor. • Working environment includes typical office/ work from home conditions. **Required Qualifications:** • High School Diploma or G.E.D. • 1-3 years Call Center Experience • 1-3 years Healthcare experience **Preferred Qualifications:** Effective communication, telephonic and organization skills. Familiarity with basic medical terminology and concepts used in care management. Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members. Computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word. Ability to effectively participate in a multi-disciplinary team including internal and external participants. Education: High School diploma, G.E.D. or equivalent experience About NTT Data : NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more. NTT DATA 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 20.00 . 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.