Associate - Operations Medical Data Entry

Company Description

WNS (Holdings) Limited (NYSE: WNS) is a leading Business Process Management (BPM) company. We combine our deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across 10 industries.

Job Description

Requirements of Position

• Ability to read and type at a skilled level
• Understanding of how to use cloud-based web applications and mainframe web applications
• Ability to read member notes and interpret correctly to determine what needs to be done with a DCN or claim
• Ability to determine appropriate claim type, based on the image provided
• Ability to adapt to change with fluidity and clarity, without error
• Organizational skills
• Ability to maintain quality and productivity scores effectively and consistently
• Detail-orientation
• Understanding, acknowledgement and practice of all HIPAA law

Responsibilities of Position

• Member eligibility inquiries, including location by member ID and/or by member name and DOB
• Accurate data entry of all member information
• Accurate navigation between queues, and accurate movement of claims to the appropriate queue
• Evaluation of member details and claim history for determination of what needs to be done with a claim
• Turn-around-time adherence
• Accurate data entry of all claim information, whether provided by the member, client, or pharmacy
• Maintenance of one’s quality and productivity scores to ensure all client expectations are clearly met
• Evaluation of claims processed previously—with corrections where necessary—for quality, validity of rejections, or additional required information that may need entering
• Additional duties as assigned by manager

Qualifications

High school Graduate/GED

0–2 years of experience in claims processing or healthcare industry

Strong communication skills – Verbal & Written

Eye for details Good investigative / problem solving skills

Good typing skills – 35 wpm

Additional Information

Benefits(based on individual elections)

• Competitive Salary based on experience
• Medical/Dental/Vision
• Employer Paid Life Insurance and Short/Long term disability insurance
• 401(k) with Employer Match
• Generous PTO (15 days in your first year!)

• Working Hours: Monday – Friday 8:00pm – 5:00pm