Associate

  Medical Coding

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!

LEAVE A COMMENT