Sr. Associate

7 days ago

Pune, India WNS Full time
Greetings from WNSCompany Overview:WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation allows us to deliver customized solutions that drive operational excellence and future-ready business outcomes.

Subject:

Job Opportunity: Sr. Associate - RCM at WNS, Pune

Location:

PuneEmployment Type:

Full-time

Position Overview:We are looking for an

Sr Associate

with strong RCM experience to join our team. The ideal candidate should have Serves as the liaison for all insurance questions regarding appropriate plan codes to use and how to accurately update a patient’s account and resubmission of claims Should have hands on experience on Professional Billing concepts like, CMS1500, Medical Coding, Appeals & Denials etc. Requests documentation from providers to acquire prior authorization for services. Works on payor correspondence. Perform timely claim follow up to ensure reimbursement for services. Effectively work on insurance denials and appeals with knowledge of payor policies/guidelines. Calling Insurance carriers on claims submitted over 31 days. They review acceptance and denial reports from carriers and follow up to obtain current status. Work with the insurance carrier and the physician’s office to secure any medical records that are needed for the insurance company to complete its review Review all medical records on file and are able to discuss with carrier or file an appeal Review and work EOBs, mail and checks making the correct determination as to the next step Work with patients to obtain any needed information as well as to request patient’s help in appealing a denial. Request a peer to peer review as well as contact the Medical Case Managers to discuss medical necessity. There are instances where they will be contacting the actual Medical Director to discuss Appeal accounts that have been denied both over the phone and through letters. Review payments to make sure they are accurate and balance bill patients appropriately. They will also make any needed financial adjustments to the file at that time Update any new benefit information, insurance information as well as secondary insurance information as needed and obtained. Identify discrepancies in cash posting. Completing A/R research request forms when needed. Review Payor reports as well as individual accounts for payment and denial trends Maintain the highest level of quality standards while maintaining the required volume of work production to meet and exceed departmental goals. Advise management of any and all inter and intra-departmental concerns and issues.

Qualifications:Candidate should have minimum 1 to 2 years of experience in US Healthcare AR Follow Up, Denials and Collections domain Excellent communication skills – written and verbal Good knowledge of MS Office and computer skills Permanent US shift timings and 100% work from office Education Qualification: Minimum Graduate (in any stream)Good analytical skills

Interested candidates can revert ti with the below details,

Name:Total ExpRelevant Exp in RCM:Education:Current Location:Current Company:Current Designation:Current CTC (Fixed + Variable) :Expected CTC:NP:

Thanks,

  • Sr. Associate

    3 weeks ago

    pune, India WNS Full time

    Greetings from WNS!Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation...

  • India - Associate / Sr. Associate- Ops - Customer Service Voice

    3 weeks ago

    Pune, Maharashtra, India WNS Global Services Full time

    Job Title: Associate / Sr. Associate- Ops - Customer Service VoiceWe are seeking a highly motivated and customer-focused individual to join our team as an Associate / Sr. Associate- Ops - Customer Service Voice. In this role, you will be responsible for handling travel-related calls, providing solutions to customer queries, and demonstrating empathy while...

  • Sr. associate

    3 weeks ago

    Pune, India WNS Full time

    Greetings from WNS! Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital...

  • Sr. Associate

    3 days ago

    pune, India WNS Full time

    Greetings from WNS!Company Overview:WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation...

  • Sr. associate

    2 weeks ago

    Pune, India WNS Full time

    Greetings from WNS! Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital...

  • Sr. Associate

    2 days ago

    pune, India WNS Full time

    Greetings from WNS!Company Overview:WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation...

  • Sr. Associate

    13 hours ago

    pune, India WNS Full time

    Greetings from WNS! Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation...

  • Sr. Associate

    3 weeks ago

    Pune, India WNS Full time

    Greetings from WNS! Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital...

  • Sr. Associate

    4 weeks ago

    pune, India WNS Full time

    Greetings from WNS!Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation...

  • Sr. Associate

    4 weeks ago

    Pune, India WNS Full time

    Greetings from WNS!Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation...

  • Sr. Associate

    14 hours ago

    pune, India WNS Full time

    Greetings from WNS! Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital...

  • Sr. Associate

    4 weeks ago

    Pune, India WNS Full time

    Greetings from WNS!Company Overview: WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation...

  • Data Analyst Sr. Associate

    3 weeks ago

    Pune, Maharashtra, India Acuity Knowledge Partners Full time

    Data Management ExpertiseWe are seeking a highly skilled Sr. Associate to join our team at Acuity Knowledge Partners. The ideal candidate will have a strong background in database management best practices and experience with ETL processes against large datasets.Key ResponsibilitiesPerform ETL processes to assess client datasets, identify nulls or errors,...

  • High Salary: Sr. Associate

    4 days ago

    Pune, India WNS Full time

    Greetings from WNS!Company Overview:WNS (Holdings) Limited (NYSE: WNS) is a global leader in Business Process Management (BPM). With over 44,000 employees, we partner with 400+ clients across industries like Travel, Insurance, Banking, Manufacturing, Retail, Healthcare, Utilities, and more. Our expertise in technology, analytics, and digital transformation...

  • Associate Talent Sourcer

    3 weeks ago

    Pune, Maharashtra, India Braves Technologies Full time

    About the RoleWe are seeking a highly motivated and organized Associate Talent Sourcer to join our team at Braves Technologies. As an Associate Talent Sourcer, you will play a critical role in ensuring the delivery of required support to our Lead/Sr. Sourcers.Key ResponsibilitiesManage the Talent pipeline efficiently, ensuring timely delivery of required...

  • Sr ASSOCIATE DEVELOPER BI Tools

    5 months ago

    Pune, India Radical Technologies Full time

    Sr ASSOCIATE DEVELOPER The Sr Associate Developer – BI will be a member of the BI support group in the Medline Operations department, whose primary purpose will be – to ensure the availability, accuracy, and efficiency of Operations application/repository data and their dependent reporting and application processes. – to develop UI and Data...

  • Fraud Analyst

    1 week ago

    Pune, Maharashtra, India Fiserv Full time

    Job Title: Sr Associate, Fraud AnalysisJob Summary:Acts as the primary Chargeback contact and provides support of Fiserv clients’ card portfolio chargeback programs (debit, credit, prepaid)Effectively communicates appropriate dispute resolution processing for Visa or MasterCard debit clients in efforts to deepen Fiserv product penetrationPerforms analysis...

  • Senior Associate

    2 weeks ago

    Pune, Maharashtra, India WNS Global Services Full time

    Job SummaryAs a Senior Associate at WNS Global Services, you will be responsible for delivering high-quality services to internal and external customers. Your key objectives will include adherence to regulatory bodies in Australia, achievement of performance targets, and delivery of service agreements.Key ResponsibilitiesEnsure productivity, recovery, and...

  • Associate Talent Sourcer

    4 days ago

    Pune, Maharashtra, India Braves Technologies Full time

    About the Role:As an Associate Talent Sourcer at Braves Technologies, you will work closely with our Lead/Sr. Sourcers to deliver exceptional support in managing the Talent pipeline, ensuring efficient messaging cadence, and providing insightful reports to meet SLA expectations.Key Responsibilities:Talent Pipeline Management: Ensure seamless management of...

  • Senior Associate

    2 weeks ago

    Pune, Maharashtra, India WNS Global Services Full time

    Job SummaryWe are seeking a highly skilled Business Operations Associate to join our team at WNS Global Services. The ideal candidate will have a strong background in insurance processes and excellent communication skills.Key ResponsibilitiesEnsure adherence to all regulatory bodies in AustraliaAchieve agreed performance targets set by the businessDeliver...