Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients’ most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.
Job Description
Provider Contract Analyst
Location: Remote
Work authorization: US Citizen or US Green Card only
Hours: Mon- Fri 8:00am- 5:00pm EST
Compensation: $20.00- $21.00/hr.
Position Summary: The Contract Analyst is a member of a cross functional team of business experts tasked to work independently and collectively to manage the professional and institutional reimbursement of contractual language for medical and dental provider contracts. The analyst will play a key role in contract methodologies, analyzing requirements, pricing, configuring the system components and validating the configuration with the Business owners to ensure requirements and quality goals are met.
Additional Job Duties:
- Provides analysis and documentation that supports pricing requirements, contract design and contract configuration to accurately apply reimbursement allowances.
- Provides pricing analyzed for claims in accordance to the contract reimbursement language.
- Interpreting medical/insurance codes such for procedure and diagnosis.
- Support testing and audit requirements.
- Update customer specific documentation and reference materials.
- Participates in client meetings representing our team for full understanding of client intent.
- Participates and facilitates meetings to support decision making, enhancements, problem solving and process improvement.
- Answers inquiries from clients, claims and customer service.
- Documents policy and procedures.
- Contributes towards daily departmental performance and service level guarantees and achieves individual performance goals around accuracy and timeliness.
Requirements:
- High School Diploma or GED is required.
- 3-5 years of experience in insurance industry.
- Strong understanding of pricing methodologies for professional and institutional medical insurance claims.
- Strong CPT/HCPCS Procedure code, revenue code and ICD 10 knowledge.
- High aptitude for working with numbers.
- Ability to coordinate activities with team members.
- Ability to multi-task, adapt to change, manage shifting priorities and meet timelines.
The expected compensation for this role ranges from $20.00- $21.00 per hour.
Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro’s standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.
Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.
Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.
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