Customer Service Advisor - Remote in Kentucky

Wipro • Louisville, KY

427d • $20,800 - $20,800 • Remote

About The Position

The Customer Service Advisor position at Wipro Limited is a remote role based in Kentucky, focusing on healthcare customer service within an inbound call center environment. The advisor will handle initial intake of service requests, coordinate with various healthcare professionals, and provide clerical support to clinical staff. This full-time position requires maintaining production and quality standards while delivering excellent customer service.

Requirements

• High School Diploma / GED (or higher)
• 2+ years of combined or related experience in healthcare administration with an understanding of medical terminology
• 1+ year of call center experience
• Proficiency with Microsoft Office Word, Excel, and Outlook
• Typing speed of 35+ WPM
• Ability to follow a script for every call
• Dedicated work area established that is separated from other living areas and provides information privacy in compliance with HIPAA regulations
• High-speed internet with 20mbps upload/download speed
• Ability to work varying shifts to support 24/7 operations.

Nice To Haves

• Associate's Degree (or higher) in a healthcare-related field
• Medical Terminology knowledge
• ICD-9/ICD-10 and CPT Knowledge

Responsibilities

• Managing authorizations/notifications and other service requests received via incoming phone calls, faxes, and portal submission
• Providing excellent customer service, including the ability to handle escalated callers
• Determining authorization or notification requirements
• Preparing authorization cases for Medical Directors, Network Operations Nurses, and Case Managers
• Providing administrative approvals depending on the line of business
• Handling expedited authorizations, authorization updates, and status checks
• Confirming member eligibility
• Outreaches to providers and/or patients to complete authorization requests and prescriptions
• Maintaining knowledge of various health plan partner benefits, networks, CMS regulations, and health plan partner policies
• Utilizing experience and judgment to plan, accomplish goals, and effectively resolve each assigned task
• Performing all other related duties as assigned.

Benefits

• Health Insurance
• Vacation & Paid Time Off
• 401K Plan

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees