The Role :
- Before a claim is created, patient insurance must be verified—and that starts with you.
- You are the first checkpoint in the revenue cycle, where accuracy drives downstream success.
- In the Day Shift, you use portals and APIs to verify coverage at scale with precision.
- No assumptions—every chart is validated before moving forward.
What You Will Own – Your Responsibilities :
- Portal & API-based eligibility verification — validating demographics, insurance status, network participation, and date-of-service requirements
- Chart classification — marking charts as Approved, Held, or Denied based on verification outcomes
- Historical data review — analyzing prior coverage and identifying discrepancies before escalation
- Assignment coordination — handing off unresolved or complex cases to Night Shift with complete documentation
Non-Negotiable Metric :
FIRST-PASS VERIFICATION ACCURACY · TARGET: ≥ 98%
Percentage of charts verified correctly without requiring rework or escalation.
The Fight: What You will Fight:
- The incomplete submission. A file that looks ready — until it gets denied.
- You fight the assumption that “this is enough” — the missing document that was overlooked, the HCPCS code that wasn’t fully validated, the checklist that was not followed end-to-end.
- On the Day Shift — nothing is sent forward unless it is complete, accurate, and submission-ready.
WHO THRIVES HERE :
- You verify — you do not assume — Every chart is checked, every time, without exception
- You work with structured precision — You follow process, document outcomes, and maintain consistency at scale
- You think ahead — You identify issues early and ensure Night Shift receives complete, actionable cases
THE WWS PERKS :
- Full training in eligibility verification, payer portals, and workflows
- Clear Day Shift structure with defined responsibilities
- Exposure to the foundational step of the revenue cycle
- Coordinated team model with Night Shift execution support
- A culture that values accuracy at the first step
Qualifications:
- Experience: 1+ years of experience in any field
- Education: Bachelor’s degree in any discipline
- Knowledge: Basic understanding of healthcare / insurance processes (preferred)
- Attention to Detail: High accuracy in data validation and verification
- Communication: Clear documentation and coordination skills
Contact us on jobs@wonderws.co/ 9047477375
To Apply: https://careers.wonderws.com
