[FULL TIME Remote] Customer Service Advisor - Remote in Alabama

Remote Full-time
Position at a Glance:Location: RemoteStart Date: Immediate openings availableCompensation: a competitive salaryCompany: WorkwarpPosition: Customer Service Advisor - Remote  Remote Healthcare Customer Service Intake Call Center.

Wipro is seeking individuals with exceptional problem-solving skills and a strong customer service background. Wipro is a leading global IT solutions and services company with over 240,000 dedicated employees serving clients across multiple continents and 66 countries. We offer a strong compensation package that includes competitive pay and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.

As a Health Insurance Customer Service Advocate, you will work with members and health providers for Prior Auth creation and review pending statuses. This position helps to enroll our members into CMC programs such as cancer, kidney, artificial hearts, ortho etc. You will review if the member's policy have access, review qualifications, inform what program are available for them and set up appointments with providers.

The position is remote but does require you to be available to work 8 hours per day - Monday thru Friday 7am-7pm CST.

Primary Responsibilities:
• This is a call center production role for Inbound Calls and you will have the responsibility to meet production, quality and regulatory expectations
• Ensure case is set up correctly and document required information
• Review, research and determine if case can be decisioned or if it requires additional clinical review
• Demonstrate proficiency and decision making by solving complex problems using available resources (documents, medical policy, standard operating procedure, etc.)
• As needed, make outbound calls to providers and/or members to obtain information regarding a case
• As needed, make occasional outbound calls to providers to coordinate provider availability in treating members
• Other duties as assigned by manager and/or director
• Required Qualifications:
• High School Diploma / GED (or higher) - Will be required to provide documentation for verification
• 2+ years of combined or related experience in a healthcare adminstration with understanding of medical terminology
• 1+ year of call center experience
• Proficiency with Microsoft Office Word (create and maintain documents), Excel (create and maintain spreadsheets) and Outlook(email and calendaring)
• Should have typing speed 35+ WPM.
• Ability to follow a script for every call
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy in compliance with HIppa regulations
• Highspeed internet with 20mbps upload/download speed.
• Ability to work one of the varying shift to support our 24hr 7 days a week operations

Preferred Qualifications:
• Associate’s Degree (or higher) in a healthcare related field
• Medical Terminology
• ICD-9/ICD-10 and CPT Knowledge

Provider Inbound Apply Job! Ready to Apply?If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.

Apply Now
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Healthcare Data Analyst

Remote Full-time

Housekeeper- Part-Time weekend Days

Remote Full-time

[Remote] Offshore -Power BI Developer- Mid-Level

Remote Full-time

Certified Medical Assistant (Remote)

Remote Full-time

Walgreen (Data Entry Remote Jobs) $75000/Yearly

Remote Full-time

**Experienced Virtual Customer Care Chat Professional – Deliver Exceptional Customer Service Remotely at blithequark**

Remote Full-time

**Experienced Virtual Medical Assistant / Receptionist – Remote Healthcare Support Specialist**

Remote Full-time

Practice Test Content Editor, History/Social Studies (Contract)

Remote Full-time

Aviation Maintenance Advisor (Aviation)

Remote Full-time

Data Engineer (m/f/d) — Germany / Remote-first (DE & US) at Transparent Hiring

Remote Full-time
← Back to Home