Job Description

Production Agent L1

Wipro Limited is a leading technology services and consulting company focused on building innovative solutions that address clients' most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world.

We are seeking an experienced and dedicated Wellness Coordinator to join our team at Wipro LLC. In this role, you will be the first point of contact for healthcare providers and members, efficiently managing queue-based incoming calls. Your primary responsibility will be to identify the specific assistance required, such as benefits and eligibility inquiries, authorization for treatments, provider referrals, and resource identification. You will play a crucial role in gathering clinical information that licensed staff utilize to make informed decisions aligned with clinical policies.

This position requires a professional with a minimum of a High School Diploma or GED and at least two years of experience in healthcare, complemented by two years of call center experience and at least one year of working remotely. A reliable internet connection with a minimum speed of 30 Mbps for both download and upload is necessary to ensure seamless communication and data handling. Preferred candidates will have experience working within medical or behavioral health settings such as hospitals, managed care organizations, or joint medical/behavioral outpatient practices. Familiarity with coordinating multiple benefit groups and leveraging various patient resources, as well as a working knowledge of community-based resources and services, would be highly beneficial.

Key Responsibilities:

• Resolve queries on the first call by expertly navigating complex computer systems to ascertain request statuses and provide accurate information.
• Communicate confidently to facilitate positive outcomes with healthcare providers and members, maintaining professionalism in all interactions.
• Document all call interactions thoroughly and simultaneously, ensuring accuracy in real-time.
• Act as a Subject Matter Expert or resource person for team members and internal clients, supporting their information needs effectively.
• Initiate outbound calls to families with children diagnosed with Autism to discuss provider referrals and behavioral health requirements.
• Collect data from providers and input information accurately across multiple documentation systems.
• Engage with providers to clarify information related to benefits and authorizations, assisting with comprehensive care coordination.
• Coordinate and provide clinical information to relevant clinical team members.
• Perform triage for submission of clinical information, establish cases to ensure timely review, and complete administrative follow-ups as necessary.

This role offers an opportunity to be part of a supportive, innovative environment focused on delivering outstanding service and improving health outcomes. If you thrive in a dynamic setting, have a passion for healthcare coordination, and enjoy assisting both providers and members, we encourage you to apply.

Mandatory Skills: Claims_Processing. The expected compensation for this role ranges from $30,000 to $35,000. Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.

Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.

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