SERVICES |
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AWARDS & RECOGNITION |
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Information Technology Enabled (ITe) |
At WOW Global Corporation, we use our flexible STAFF AUGMENTATION model to deploy highly skilled, experienced staff with faster turnaround time & cost effective manner. From our pool of resources we provide staff augmentation for our client on contract, contract -to- hire or permanent hire basis in a wide range of practices, be it inbound/outbound services, claims processing, transcription,
paralegal services, etc.
DATA CONVERSION
Does your company have a difficult business data conversion project that you would like to get completed quickly and cost effectively through consultants?
WOW Global can manage your business data conversion project, while minimizing interruption to your current operation through its consultants who are hired by the internal recruiters at WOW Global. Our expert data conversion consulting services include bar code and color-coded labeling conversions, top-tab to side-tab filing conversions, and data consolidation/data merging of multiple records into one centralized data storage system.
WOW Global consultants’ success in delivering exceptional Data Conversion services is based on a structured approach to each engagement that provides a strong framework for addressing the client’s individual business needs and achieving desired outcomes.
Work specifics include but are not limited to:
- Data entry from written text, i.e., books, papers, etc.
- Data entry of e-books
- E-publishing through data entry
- Data capturing and collection
- Indexing of data using cut, copy, and paste, editing and sorting functions.
- Data entry from image files into any other format
- Data entry of specific functional areas like sales/ payroll.
- Data entry for preparation of mailing lists
- Conversion from page maker to .pdf format
- Conversion from MS word to html format
- Conversion of data in specified MS Office formats.
CLAIMS PROCESSING
WOW Global consultants have a proven delivery competence in the claims processing domain and includes the following activities:
1. Scanning and OCR the claims.
2. Electronic indexing and filing
3. Notes review
4. Demographic data entry
5. Claims data entry
6. Bill reviews
The consultants’ job positions in claims processing can be of medical claims processor, claims examiner, quality analyst, data entry operator for demographical entries of the claimants, etc.
Medical Claims Examiner
Work specifics include but are not limited to:
- Process medical claims in accordance with contract provisions, using established policies and procedures up to a designated payment authority level.
- Analyzing and researching the claims to determine correct payment, pending or denial determination is included in the process.
- Also included are verifying eligibility, assigning claim numbers, applying appropriate coding, etc.
- Attempt to obtain missing or incomplete information to pay a claim by contacting providers of service, suppliers, etc. Outreach may be over the phone or in writing.
- Refer claims when needed to appropriate positions within the Service Center according to claims referral policies.
- Review and understand all claims reference materials, and review and understand updates made to reference materials available in paper and/or electronic formats.
Medical Claims Processor
Work specifics include but are not limited to:
- Coding and processing claim forms
- Reviewing claims for complete information
- Correcting and completing forms as needed
- Accessing information and translating data into acceptable claims processing requirements
- Preparing rejected claims for re-submission
- Processing claims in accordance with contracts and policies.
- Maintaining claims files
- Following up on suspended claims
- Assisting, identifying, researching and resolving coordination of benefits
- Subrogation
- General inquiry issues
- Preparing formal history reviews
MEDICAL BILLING
Medical Billers
Consultant medical billers being recruited by WOW Global are responsible for submitting patient claims to insurance companies for coverage, or for billing patients who are uninsured for services they have received from a physician or other health care provider. Electronic billing programs are greatly simplifying the duties of consultant medical billers in this regard.
In addition, some medical billers, such as medical claims specialists, rewrite doctors' notes, which detail the treatments each patient has received, into a universally accepted medical short-script. This process is called "coding." While not all coders are medical billers, coders may work in healthcare clinics, insurance companies or research organizations, many medical billers are also familiar with coding.
Work specifics include but are not limited to:
- Protecting patient health information and to maintain highly accurate records so that insurance companies will not deny patient claims for coverage.
- Collecting and analyzing data that doctors and nurses use to treat patients, as well as maintaining current and accurate medical records.
- Locating medical codes such as CPT and ICD-9 codes, obtaining insurance referrals, processing insurance claim forms, billing third-party payers and patients, tracking insurance claims and writing appeals on claims.
- Processing billing for Medicare/Medicaid patients, resolving any prior errors and postings, reconciliation, and cleaning up accounts receivable/aging.
MEDICAL TRANSCRIPTION
With WOW Global’s consulting services, you get a trusted partner in finding highly experienced, efficient, and dedicated MT Consultants who work onto the Transcription Process thus providing expert analysis and implementation of tools and techniques that allow clients to gain a full understanding of your transcription expenses. At a time when every healthcare dollar counts, clients need a reliable expert in the healthcare information management industry to help them maximize their transcription investment - and better their bottom line.
Key Benefits and Features
- Provides benchmark for transcription performance.
- Increases knowledge of transcription program costs.
- Validates line counting and billing methodologies.
- Employs consistent, repeatable and verifiable reporting tools.
- Defines and measures the quality of transcription services using an “industry-standard” review program.
- Improves the operational performance of current transcription services and leverages technology investments.
- Results in unbiased recommendations, implementation considerations and alternatives.
Medical Transcriptionists
Duties are to protect patients’ health information and to maintain highly accurate records so that insurance companies will not deny patients’ claims for coverage. As part of a team of healthcare professionals, duties may include collecting and analyzing data that physicians and nurses use to treat patients, as well as maintaining current and accurate medical records.
Work specifics include but are not limited to:
- Transcribes medical dictation from physicians and nurse practitioners using dictaphones and computer software.
- Ensures that correct format and appearance are maintained as well as the appropriate resource books.
- Proofreads all work to ensure that name, account number, patient complaints, exams, diagnosis, treatment plans, and all other necessary information is accurate; files transcription in appropriate location.
- Ensures that document screens are printed for productivity information and that final copy is posted on patient chart.
- Skill sets required:
- Excellent knowledge of medical terms in a wide range of fields, in medical specialties ranging from Orthopedics to Ophthalmology.
- Knowledge of dictating equipment, computer, and appropriate computer software, such as MS Office and creation of daily reports using MS Excel.
- Knowledge of use of standard reference books such as medical dictionaries, online support, drug dictionaries, etc.
- Excellent spelling/grammar skills.
- Ability to accurately type 60-70 words per minute.
- Ability to decipher difficult dictations.
- Medical transcriptionists are employed in physicians' offices, medical transcription services, hospitals, and some home-based offices.
Legal transcription or LT as it may be called, basically involves conversion of court proceedings, hearings, judgments and petitions into text form. The voice data is digitally converted and analyzed in the form of written reports or electronic documents. These are stored in the form of hard copy or on a disk for record and future references. The transcribed text contents are sent back to the person concerned, department, agency or firm through floppy disk, e-mail, fax or printed copies. The professionals involved in the task of transcription of legal proceedings or data are called legal transcriptionists.
Legal transcriptionists
Work specifics include but are not limited to:
- Preparing legal documents from the dictated or verbal information provided by the attorneys, judges and legal experts.
- Drafting of important legal documents, preparing back-up files or electronic data for future reference.
- Assisting attorneys in preparing arguments by providing them relevant facts and information from the previous lawsuits and judgments stored in their computers.
- Organizes documents and reference materials with the help of specialized software.
The legal transcriptionist usually works in a typical hierarchy, depending upon the level of expertise and experience they gain. The job begins as a trainee, then senior transcriptionist, after that proof-readers, then sub-editors, editors and finally supervisors.
WOW Global’s staff augmentation services in the field of Information Technology enabled services also include providing consultants in the other fields such as General Transcription, Inbound/Outbound Call Services, E-mail & Chat Support Services, Inbound/Outbound Call Services, E-mail & Chat Support Services, Sales & Market Data Research, Clinical Trials, Paralegal Services, Transaction Processing, Credit Card Fraud Management, Research Analysis, Third-party Collections, and 3D/Animation Support, the job positions of whom can vary from organization to organization and per the clients’ needs.
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