Job Description

The Role

  • Every claim represents care that was already delivered — but not every claim gets paid on time.
  • When a claim is delayed, denied, or ignored, it becomes your responsibility.
  • In the Night Shift, you are the execution engine of recovery. You take the structured insights built by the Day Shift and turn them into action — calling payers, pushing for answers, resolving denials, and ensuring no claim is left behind.
  • Same mission — recovery.
  • Different role — execution.

What You Will Own – Your Responsibilities

  • Payer follow-up calls — contacting insurance companies to resolve outstanding claims
  • Denial management — identifying rejection reasons and initiating corrections or appeals
  • Appeal tracking — following up on submitted appeals until final resolution
  • Partial payment resolution — validating discrepancies highlighted by Day Shift and taking corrective action
  • Documentation — accurately logging call outcomes, updates, and next steps in the system

Core Metric

  • CLAIMS OVER 90 DAYS
  • TARGET: ↓ 15–20% ANNUALLY
  • This is the number that defines success — fewer aged claims, more recovered revenue.

The Fight: What You will Fight:

  • The unresponsive payer.
  • The claim is one missed call away from becoming a write-off.
  • The silence after a submitted claim
  • The delay in payer response
  • The denial that keeps repeating without resolution
  • The risk of revenue loss due to missed follow-ups

On the ARM team — the follow-up always happens.

WHO THRIVES HERE : Three Traits We Cannot Teach

  • You finish what you start — A pending claim stays with you until it is resolved
  • You stay persistent under pressure — You do not drop off when a payer delays or deflects
  • You communicate clearly — Professional, structured, and precise in every payer interaction and system update

The Wws Perks

  • Claims are consistently followed up within defined SLA timelines
  • High success rate in payer interactions and claim resolutions
  • Appeals are tracked and closed without leakage
  • Documentation is clear, accurate, and audit-ready
  • Minimal claims transition into write-off due to missed follow-ups

Qualifications

  • Experience: 1+ years in any field (Preferred Night Shift)
  • Education: Bachelor’s degree in any discipline
  • Communication: Good verbal & written skills
  • Analytical Skills: Basic ability to understand claim status and issues
  • Technical Skills: Basic MS Excel
  • Attention to Detail: High accuracy in documentation and follow-up tracking

Contact us on opportunities@wonderws.co / 9047477375

To Apply: https://careers.wonderws.com


Job Details

Role Level: Entry-Level Work Type: Full-Time
Country: India City: Vellore ,Tamil Nadu
Company Website: http://www.wonderws.com Job Function: Business Development
Company Industry/
Sector:
Hospitals and Health Care

What We Offer


About the Company

Searching, interviewing and hiring are all part of the professional life. The TALENTMATE Portal idea is to fill and help professionals doing one of them by bringing together the requisites under One Roof. Whether you're hunting for your Next Job Opportunity or Looking for Potential Employers, we're here to lend you a Helping Hand.

Report

Disclaimer: talentmate.com is only a platform to bring jobseekers & employers together. Applicants are advised to research the bonafides of the prospective employer independently. We do NOT endorse any requests for money payments and strictly advice against sharing personal or bank related information. We also recommend you visit Security Advice for more information. If you suspect any fraud or malpractice, email us at abuse@talentmate.com.


Recent Jobs
View More Jobs
Talentmate Instagram Talentmate Facebook Talentmate YouTube Talentmate LinkedIn