Here we grow again! New Year and New Client! More opportunity for advancement too!
Wipro is seeking individuals who combine excellent claims analyst, customer service and problem-solving skills with the ability to function effectively both as part of a team or on an individual basis to bring their talent to our team.
Wipro is a leading, publicly traded, global IT solutions and services company with over 200,000 dedicated employees serving clients across multiple continents and sixty countries.
We offer a strong compensation package that includes competitive hourly pay, the ability to earn overtime, and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.
The Claims Analyst position responsible for processing medical, dental and vision claims. This position is looking for someone to work in the Canfield Ohio office. Upon completion of training and satisfactory meeting quality and production goals. You will be eligible to participate in our corporate hybrid policy that allows you to work part of the week at home and part of the week in the office. " Training is on site for approximately 12 months. Once successfully completed all training this position is eligible for hybrid remote and in office.
Roles & Responsibilities:
Review and process medical claims according to Plan guidelines within established turnaround time frames.
Interpret medical plan to assure system is coded correctly.
Review claims for legitimacy and accuracy
Meet production and quality standards set for examiners.
Work Customer Service inquiries related to claim questions.
Review correspondence submitted by members and providers and adjust all related claims if the additional documentation submitted warrants adjustment.
Other duties as assigned.
Desired Skills and Background:
Minimum High School/GED required.
Claims Examiner experience in healthcare for medical, dental, vision, prescription, etc. is required. Demonstrate skills in problem solving and benefit plan interpretation.
Must have knowledge of CPT codes, ICD9/ICD10 codes and/or medical terminology.
Ability to work independently.
PC proficiency, MS Office including Word and Excel.
Experience with Medicare, Medicaid and Affordable Care Act (ACA) is a plus.
Don't delay...Apply today!
Job Type: Full-time
Pay: $14.00 - $15.00 per hour
Expected hours: No less than 40 per week
Benefits:
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
Application Question(s):
- Do you require future sponsorship to continue working in the USA?
Education:
- High school or equivalent (Required)
Experience:
- CPT coding: 1 year (Preferred)
- ICD coding: 1 year (Preferred)
- Medical terminology: 1 year (Preferred)
- medical claims analysis: 1 year (Required)
Ability to Commute:
- Canfield, OH 44406 (Required)
Work Location: Hybrid remote in Canfield, OH 44406