Medicaid Claims Data Entry & Resolutions Specialist

Wipro; Jefferson City (MO); On-site; USD 22,000 - 23,000; Part time

Benefits offered by this job

Medical benefits

Dental benefits

Paid time off

Job summary

Wipro is hiring a Date Entry/Resolutions Contractor in Jefferson City, MO to maintain accuracy of Medicaid claims processing within eMMIS. You will resolve suspended MO HealthNet claims and attachments, review exceptions, and document resolutions with clear communication to providers.

Strong analytical thinking and meticulous data entry are essential as you collaborate with cross-functional teams to ensure timely and compliant claims adjudication in a fast-paced healthcare environment.

Qualifications

• Strong analytical skills and attention to detail.
• Ability to review Medicaid claims accurately and enter data precisely.

Responsibilities

• Resolve suspended MO HealthNet claims and attachments with accuracy.
• Coordinate with medical consultants to stage claims requiring clinical judgment.
• Explain determinations to healthcare providers and document resolutions in eMMIS.

Job description

Wipro is hiring a Date Entry/Resolutions Contractor in Jefferson City, MO to maintain accuracy of Medicaid claims processing within eMMIS. You will resolve suspended MO HealthNet claims and attachments, review exceptions, and document resolutions with clear communication to providers.

Strong analytical thinking and meticulous data entry are essential as you collaborate with cross-functional teams to ensure timely and compliant claims adjudication in a fast-paced healthcare environment.