Wipro · 6 hours ago
Customer Service Representative - CSR
Atlanta, GA
Full-time
Onsite
New Grad, Entry LevelWipro is a leading digital transformation partner, and they are seeking a Healthcare Pre-Auth Specialist to support healthcare providers and members in the authorization verification and clinical case management processes. The role involves managing case intake, coordinating communication, and ensuring compliance with regulatory standards while contributing to operational efficiency in healthcare services.
ConsultingInformation ServicesInformation TechnologySoftware
Responsibilities
Maintain a consistent production output while meeting or exceeding quality, accuracy, and compliance standards set by regulatory bodies and internal protocols
Accurately establish and document cases in the case management system ensuring all necessary information is complete and verifiable
Conduct thorough review and careful research of each case to determine eligibility for prior authorization or the need for advanced clinical review
Employ critical thinking and resourcefulness to resolve complex issues independently, utilizing available tools such as medical policies, operating procedures, and knowledge databases
Conduct timely outbound communications with healthcare providers and members to acquire necessary information regarding authorizations, referrals, or case specifics
Coordinate closely with healthcare providers to arrange treatment schedules for members, ensuring smooth care continuity and member satisfaction
Collaborate with team members, managers, and directors to accommodate additional duties as required, contributing positively to team objectives and organizational goals
Qualification
Required
Maintain a consistent production output while meeting or exceeding quality, accuracy, and compliance standards set by regulatory bodies and internal protocols
Accurately establish and document cases in the case management system ensuring all necessary information is complete and verifiable
Conduct thorough review and careful research of each case to determine eligibility for prior authorization or the need for advanced clinical review
Employ critical thinking and resourcefulness to resolve complex issues independently, utilizing available tools such as medical policies, operating procedures, and knowledge databases
Conduct timely outbound communications with healthcare providers and members to acquire necessary information regarding authorizations, referrals, or case specifics
Coordinate closely with healthcare providers to arrange treatment schedules for members, ensuring smooth care continuity and member satisfaction
Collaborate with team members, managers, and directors to accommodate additional duties as required, contributing positively to team objectives and organizational goals
This role is performance-driven and requires adaptability and strong organizational skills to manage multiple tasks effectively in a fast-paced healthcare environment
Mandatory Skills: Claims_Processing
Preferred
Experience with back-office medical platforms, prior authorization systems, or healthcare information management systems enhances job performance
Knowledge of healthcare industry practices, including familiarity with hospital operations, physician office settings, medical terminology, ICD-10 and CPT coding, Medicare, and Medicaid services is advantageous
Background in clerical or administrative support roles within healthcare contributes positively to managing complex case workloads
Demonstrated ability to rapidly learn and adapt to new computer systems or specialized software applications is highly valuable
Benefits
A 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.
Founded in 1945
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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