Wipro Off Campus Drive 2022 Associate Analyst

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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

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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

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