Healthcare Insurance Representative

At NTT DATA we know that with the right people on board anything is possible. The quality integrity and commitment of our employees have been key factors in our companys growth and market presence. By hiring the best people and helping them grow both professionally and personally we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA Services currently seeks a Healthcare Coverage Determination Representative to join our team for a HYBRID role in San Antonio TX. 2-3 days in office.

Hours: Training 9am-5pm EST (approx 8 weeks). After training hours: 8am-8pm (assigned 8 hour shift) with a possible weekend rotation.
Pay rate: $18.97 per hour
Project duration: 1 year with start date of 11/16/2026
**Will be required to be on camera during training and other meetings as required by supervisor**

The Customer Service/Coverage Determination/Appeals Service Representative is responsible for working and triaging in the data entry related fax queues. The Representatives primary responsibilities will be to review each document with accuracy and place the case in the proper queues. Further responsibilities include researching reports maintaining complete timely and accurate documentation of Coverage Determination/Appeal requests and escalating issues to the Coverage Determination/Appeal pharmacists or management staff as needed.

Responsibilities
1. Review Fax documents appropriately and forward to appropriate queues
2. Update and maintain knowledge of relevant process regulation and clinical material.
assistance or guidance in partnership with learning and innovation when needed
in developmental discussions receiving feedback with Supervisor

Required Experience:

• 1 years experience in the medical insurance field
• 1 year experience using MS Office on a daily basis

Education: Verifiable High School Diploma or GED Required

NTT DATA provides a reasonable range of compensation for U.S.-based positions. The starting pay range for this role is $18.97 per hour. Actual compensation will depend on a number of factors including the candidates relevant experience technical skills and other qualifications.
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.