Remote Call Center Agent / Intake Coordinator

Wipro is currently in search of experienced call center agents for one of the largest National Insurance Providers.

The Position is remote/work from home

Under the supervision of our Operations Supervisor, this position is responsible for the daily coordination processes in the Intake Call Center. This position serves as the initial intake of pre - service requests, claim reviews and inpatient hospital coordination and diabetic supplies. 

This position is full-time (40 hours/ week) with variable (varying) shifts to support our 24 hour a day, 7 days per week operations. 

Employees must be able to work from 8am-5pm CST M-F during our 6-week training program. Post training shifts may vary. Training will be conducted virtually from your home.

• · 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 (depends on line of business)

• · Handling expedited authorizations, authorization updates and status checks

• · Confirming member eligibility

• · Outreaches to providers and/or Patient 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 judgement to plan, accomplish goals and effectively resolve each assigned task

• · Non-Clinical staff is not responsible for conducting any Network Operations activity that requires interpretation of clinical information.

• · Performs all other related duties as assigned.

•   School Diploma / GED (or higher)

• · 2+ years of combined or related experience in a healthcare, call center, and/or customer service setting using the telephone and computer as the primary instrument to perform job duties

• · Ability to work one of the varying shift to support our 24hr 7 days a week operations

• · Proficiency with Microsoft Office Word (create and maintain documents), Excel (create and maintain spreadsheets) and Outlook(email and calendaring)

• · If you need to enter a work site for any reason, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment.

Preferred Qualifications:

• · Associate’s Degree (or higher) in a healthcare related field
• · Medical Terminology
• · ICD-9/ICD-10 and CPT Knowledge
• Telecommuting Requirements:
• · Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• · Ability to keep all company sensitive documents secure (if applicable)
• · Must live in a location that has approved high-speed internet connection or leverage an existing high-speed internet service

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