Specialist - Revenue Cycle

Posted 7 Days Ago
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Ahmedabad, Gujarat
Hybrid
Junior
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
We are curious, inventive, perceptive and approachable.
The Role
The role involves managing billing, payment processing, claims preparation, and ensuring compliance in the healthcare revenue cycle.
Summary Generated by Built In
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.

Top Skills

Excel
Ms Outlook
Ms Word

What the Team is Saying

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The Company
HQ: Milwaukee, WI
3,000 Employees
Year Founded: 1930

What We Do

Wipfli is an advisory firm that delivers holistic solutions to help clients navigate the modern marketplace, optimize performance and drive growth. Our more than 3,000 full-time associates deliver digital, people, strategy, risk, financial and outsourcing solutions to 54,000+ clients.

"Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services. Wipfli LLP and Wipfli Advisory LLC (and its respective subsidiary entities) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. Wipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Wipfli Advisory LLC and its subsidiary entities are not licensed CPA firms.

Why Work With Us

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 each individual to follow their own path. And we seek feedback openly, from all.

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About our Teams

Wipfli Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Freedom to work from anywhere! Wipfli takes a flexible approach in allowing employees to choose to be remote, hybrid, or in-office.

Typical time on-site: Not Specified
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