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
