Wipro · 9 hours ago
Provider Communications CSR
Jefferson City, MO
Full-time
Onsite
Entry Level
$37K/yr - $39K/yr
2+ years expWipro Limited is a leading technology services and consulting company focused on innovative solutions for digital transformation. The Provider Communications CSR role involves ensuring efficient communication between healthcare providers and the organization, interpreting complex healthcare claims data, and contributing to operational efficiency in provider relations.
ConsultingInformation ServicesInformation TechnologySoftware
Responsibilities
Ensure seamless, supportive, and efficient communication between MO HealthNet healthcare providers and our organization
Serve as a key point of contact, managing inquiries through multiple communication platforms, including phone calls, emails, and postal correspondence
Interpret and articulate complex healthcare claims data, policies, and coding guidelines, particularly ICD-10, guaranteeing providers receive clear, accurate, and comprehensive information
Research provider questions thoroughly and provide timely, policy-compliant responses
Contribute insights and recommendations to optimize communication workflows and facilitate claims resolution processes
Qualification
Required
Mastery of healthcare claims systems such as MMIS, eMOMED, along with detailed Provider Manuals
Ability to balance multitasking under deadlines while maintaining exceptional quality standards
Ability to contribute insights and recommendations to optimize communication workflows and facilitate claims resolution processes
Provider-Focused Engagement: Consistently prioritize provider needs by building trustful, empathetic relationships that foster collaboration and mutual understanding
Results-Oriented Mindset: Exhibit dedication to achieving and surpassing departmental objectives, enhancing overall provider experience and service quality
Detail-Oriented Execution: Demonstrate precision and rigor in managing communications and claims information to uphold high standards of accuracy and productivity
Team Collaboration: Proactively contribute to team efforts, sharing knowledge and fostering a supportive workplace culture that promotes continuous improvement
Adaptability and Learning Agility: Quickly integrate emerging knowledge about healthcare regulations, coding updates, and claims processing technologies into daily workflows
Analytical Problem Solving: Employ critical thinking to evaluate complex provider inquiries, ensuring solutions align with regulatory policies and enhance communication clarity
Clear and Professional Communication: Articulate information effectively and respectfully through spoken and written communication to diverse provider audiences and stakeholders
Preferred
A minimum of two years' experience delivering telephone-based customer service, ideally within healthcare or insurance sectors
Experience managing provider or patient relations, medical billing, or claims processing
Proficiency with healthcare provider relations, demonstrating the ability to navigate complex provider networks and communication challenges
Experience in patient relations or customer service within healthcare settings, showing sensitivity to patient confidentiality and provider support needs
Strong background in insurance claims processing, familiar with procedural workflows and dispute resolution strategies
Hands-on knowledge of medical billing systems and practices, with an emphasis on accuracy and regulatory compliance
In-depth understanding of medical diagnostic and procedural coding principles, especially ICD-10 classification
Demonstrated ability to maintain composure and professionalism under pressure
Benefits
Full range of medical and dental benefits options
Disability insurance
Paid time off (inclusive of sick leave)
Other paid and unpaid leave options
Company
Wipro
Wipro is a technology services and consulting company focused on building solutions that address clients’ digital transformation needs.
10001+ employees
H1B Sponsorship
Wipro has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2251)
2024 (2251)
2023 (2845)
2022 (2422)
2021 (2837)
2020 (2468)
Funding
Current Stage
Public CompanyTotal Funding
$2.29BKey Investors
Hasham TradersPremji InvestSociete Generale
2025-06-09Post Ipo Secondary· $590.71M
2024-11-08Post Ipo Secondary· $563.71M
2022-11-22Post Ipo Secondary· $31.65M
Leadership Team
Omkar Nisal
CEO, Europe and Member of Wipro Executive Board
Srini Pallia
CEO and Managing Director
Recent News
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