Job title: Associate
Company: Wipro
Job description: Job Description:
Job description
Roles and Responsibilities :-
- Perform pre-call analysis and check status by calling payer or using IVR or web portal services
- Maintain adequate documentation in the client software based on interaction with payer reps (Or based on Web status)
- Record after-call actions and perform post call analysis for the claim follow-up
- Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at high priority
- Provide accurate claim information to payer rep, research available documentation including authorization, nursing notes, medical documentation on client’s systems, interpret explanation of benefits received etc. prior to making call
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
Desired Candidate Profile :-
- Fluent communication abilities / call center expertise
- Knowledge on Denials management and A/R fundamentals will be preferred
- Willingness to work continuously in IST night shifts (US shift time)
- Prior experience of working in RCM company and use of medical billing software will be considered as added advantage
- Knowledge of Healthcare terminology and ICD/CPT codes
- Ability to understand AR and Denials
Perks and Benefits
-Shift Allowances
– Cab Facility
Roles & Responsibilities:
- Perform pre-call analysis and check status by calling payer or using IVR or web portal services
- Maintain adequate documentation in the client software based on interaction with payer reps (Or based on Web status)
- Record after-call actions and perform post call analysis for the claim follow-up
- Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at high priority
- Provide accurate claim information to payer rep, research available documentation including authorization, nursing notes, medical documentation on client’s systems, interpret explanation of benefits received etc. prior to making call
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
Qualifications:
- Gaduates and Under Graduates can apply.
Expected salary:
Location: Noida, Uttar Pradesh
Job date: Fri, 18 Feb 2022 02:24:06 GMT
Apply for the job now!
