Specialist I - Revenue Cycle

Overview

Specialist - Revenue Cycle

(1 to 3 Years of experience)

At Wipfli, people count, our people are core to everything we do the catalyst behind our ability to create exceptional impact and extraordinary results. We believe in flexibility. We focus on relationships. We encourage everyone to follow their own path. And we seek feedback openly, from all. People matter here and they feel it. 

We value curiosity. Curious is more than a personality trait. It’s a way of thinking.

Of learning. Of working. There’s purpose in this wonder. It makes us better. It makes us Wipfli.  If you want to be in an environment where you can make a difference and make a professional home Wipfli is the place for you.

Check out our Glassdoor Reviews to hear what people are saying about employment at Wipfli India!

Primary Roles & Responsibility:

• Prior experience in Family practice, multiple specialties.
• Hospital billing knowledge.
• Eligibility and benefit verification understanding.
• Charge Posting to Payers (Medicare, Medicaid, Managed Care).
• Cash/Payment Posting
• Pre-authorization process and authorization verification.
• Prepare and review claims, appeals, and reconciliations.
• Ensure accurate coding and billing practices in coordination with relevant teams.
• Track reimbursement trends and flag discrepancies or delays.
• Month End Close.
• Accounts Receivable and Aging Analysis for all payers (Medicare, Medicaid, Managed Care, commercial).
• EFT/ERA Enrollments via clearing house.
• Payer portal registration.
• Insurance Calling.

Preferred Skills and Knowledge :

• Certification in Healthcare Compliance (CHC) or Revenue Cycle Management (CRCR) is preferred.
• Competent knowledge of computer software programs with special emphasis on MS Excel Spreadsheet, MS Outlook, MS word.
• Strong analytical, research, written/Verbal communication skills.
• Billing and Collection experience in US Healthcare industry is preferred.
• Team player and Self-motivated who can work independently.
• Experienced in US healthcare Revenue Cycle Management (RCM) process
• Multi-tasking, Detail Orientated, Quick Learner, Open to New ideas, Positive Attitude,
• Easily Adaptive to New Situations

Qualifications:

• Graduate or Post-Graduate (Preferably Science Background) with good command over written and spoken English.