Customer Service Representative - Healthcare Claims at Wipro
Atlanta, GA 30341, USA -
Full Time


Start Date

Immediate

Expiry Date

18 Jun, 25

Salary

17.0

Posted On

13 Jun, 25

Experience

1 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Vision Insurance, Health Insurance, Dental Insurance, Hipaa, Medical Terminology, Excel

Industry

Insurance

Description

Here we grow again!!!! Wipro, Ltd (NYSE: WIT) is a leading, publicly traded, global IT solutions and services company with over 250,000 dedicated employees serving clients across multiple continents with over 130 locations in more than sixty-five 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.
Location: 2858 Woodcock Blvd (Davidson Building) Atlanta, GA 303
Hybrid: Fulltime employment, onsite and work from home
Relocation: None
Work authorization: US Citizen or US Green Card
Position Summary The Customer Service Representative (CSR) is responsible for processing and reviewing claims to determine eligibility.

QUALIFICATIONS

  • HS Diploma/GED (will be verified) Minimum 1 year’ of work experience preferred.
  • Data Entry or backend processing work experience preferred.
  • Prior Claims processing/Customer Service experience helpful but not required.
  • Must have good reading and analytical/problem solving capabilities.
  • PC proficiency, MS Office including Word and Excel.
  • Must be computer literate with basic understanding of connecting cables/USB functionalities.
  • Good communication and written skills
  • Typing speed of min 30 wpm with 90% accuracy
  • Must be able to furnish all paperwork/documentation on background check.
  • Should be organized, maintain high quality work and detail-oriented.
  • Ability to think independently, make decisions, and be productive while adhering to company standards and guidelines.
  • Must be driven and motivated to exceed individual and team goals.
  • Should always maintain professional email/chat etiquettes. Professional behavior with courteous, polite, and energetic qualities
  • Required overtime where applicable (no exceptions)
  • Satisfactory attendance is a must - First 90 days no time missed.
    Job Type: Full-time
    Pay: $17.00 per hour
    Expected hours: 40 per week

Benefits:

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • On-the-job training
  • Paid time off
  • Referral program
  • Vision insurance
  • Work from home

Shift:

  • Day shift

Application Question(s):

  • Do you require future sponsorship or letter(s) in order to keep working in the USA? Yes or No.

Education:

  • High school or equivalent (Required)

Experience:

  • CSR/claims healthcare: 2 years (Preferred)
  • HIPAA: 1 year (Required)
  • Medical terminology: 1 year (Required)
  • ICD coding: 1 year (Preferred)

Ability to Commute:

  • Atlanta, GA 30341 (Required)

Work Location: Hybrid remote in Atlanta, GA 3034

Responsibilities

RESPONSIBILITIES/ RESPONSIBLE FOR REVIEWING AND PROCESSING CLAIM APPLICATIONS AND

Duties resolve errors in the system in the form of edits, determining eligibility, processing member maintenance tasks and any required changes before claims are closed by the respective team.

  • Documenting required information into the system where applicable and follow the SOP for resolution of errors in claims
  • Meeting production and quality standards consistently while in an office and/or remote environment is required.
  • Work in a team environment and in collaboration with client partners
  • Multiple job tasks may be assigned at times.

The role will be remote working/hybrid (basis business needs)

  • High commitment to report and work at scheduled shift time and always staying in communication with Supervisor/Team Leader.
  • Ability to work flexible schedules (Monday – Sunday ie 5 work days)
  • Must be able to react quickly and proactively in a rapidly changing and dynamic work environment.
  • Background checks and documentation should be passed
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