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6.0 - 8.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Role: COTS Application Support Specialist Experience: 6 - 8 years Work Location: Chennai Job Summary: We are seeking a COTS Application Support Specialist with strong technical and analytical expertise to support and maintain healthcare and CRM-based commercial off-the-shelf (COTS) applications. The ideal candidate will have hands-on experience with Electronic Health Records (EHR), Revenue Cycle Management (RCM), and Customer Relationship Management (CRM) systems. This role requires proficiency in SQL scripting, ETL processes, and configuration management, ensuring smooth system performance, data integrity, and compliance with healthcare data standards. Key Responsibilities: Provide applicat...
Posted 1 week ago
8.0 - 10.0 years
0 Lacs
navi mumbai, maharashtra, india
On-site
About IKS Health IKS Health enables the enhanced delivery of exceptional healthcare for today's practicing clinicians, medical groups and health systems. Supporting healthcare providers through every function of the patient visit, IKS Health is a go-to resource for organizations looking to effectively scale, improve quality and achieve cost savings through integrated technology and forward-thinking solutions. Founded in 2007, we have grown a global workforce of 14,000 employees serving over 150,000 clinicians in many of the largest hospitals, health systems, and specialty groups in the United States. IKS Health revitalizes the clinician-patient relationship while empowering healthcare organi...
Posted 2 weeks ago
4.0 - 8.0 years
0 Lacs
chennai, all india
On-site
As a COTS Application Support Specialist, your role will involve providing support and maintenance for healthcare and CRM-based commercial off-the-shelf (COTS) applications. Your responsibilities will include: - Providing application support for EHR, RCM, and CRM systems like Epic, Cerner, Allscripts, or Salesforce Health Cloud. - Performing advanced SQL scripting for data correction, extraction, and validation. - Managing and troubleshooting ETL or SSIS data processing workflows. - Overseeing configuration management to ensure system consistency and accuracy. - Identifying, analyzing, and resolving application issues promptly. - Collaborating with business users, technical teams, and vendor...
Posted 4 weeks ago
3.0 - 7.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Quality Analyst, your role involves supporting quality auditing, analysis, reporting, and developing plans to achieve positive outcomes. You will work on risk identification, diagnosing issues, identifying process improvement solutions, and implementing improvement methods. Continuous engagement and collaboration with the Operations and Training Team is essential for success. Key Responsibilities: - Ensure that project-related quality processes are followed by denials analyst and that client-specific and internal metrics are achieved - Prepare detailed reports on audit findings and understand quality requirements from both process and target perspectives, delivering reports in a timely ...
Posted 1 month ago
0.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Key Responsibilities: Provide application support and maintenance for EHR, RCM, and CRM systems such as Epic, Cerner, Allscripts, or Salesforce Health Cloud. Perform advanced SQL scripting for data correction, extraction, and validation. Manage and troubleshoot ETL or SSIS data processing workflows. Oversee configuration management to ensure system consistency and accuracy. Identify, analyze, and resolve application issues, ensuring timely incident resolution and minimal downtime. Collaborate with business users, technical teams, and vendors to address system and data-related problems. Document support processes, issue resolutions, and contribute to internal knowledgebase creation. Ensure co...
Posted 1 month ago
0.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Key Responsibilities: Provide application support and maintenance for EHR, RCM, and CRM systems such as Epic, Cerner, Allscripts, or Salesforce Health Cloud. Perform advanced SQL scripting for data correction, extraction, and validation. Manage and troubleshoot ETL or SSIS data processing workflows. Oversee configuration management to ensure system consistency and accuracy. Identify, analyze, and resolve application issues, ensuring timely incident resolution and minimal downtime. Collaborate with business users, technical teams, and vendors to address system and data-related problems. Document support processes, issue resolutions, and contribute to internal knowledgebase creation. Ensure co...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
noida, uttar pradesh
On-site
As a Billing Executive at our company in Noida, Uttar Pradesh, India, you will play a crucial role in the Revenue Cycle Services department. You will be responsible for working through the book of Accounts Receivable, ensuring proper coverage on all accounts. Your key responsibilities will include: - Developing a plan to maintain proper coverage on all accounts - Reviewing aged accounts, tracing, and appealing unpaid or denied accounts - Working on denials and rejections, researching previous steps taken and taking additional action as needed - Reviewing and correcting claim rejections received from clearinghouse - Verifying eligibility, coverage, and claim status online through insurance po...
Posted 1 month ago
9.0 - 14.0 years
25 - 30 Lacs
hyderabad, pune, chennai
Work from Office
Greetings, This is Manasa Jampala from Cerebra Consulting Inc ; we are hiring for below Full-time position. Please send your latest resume at Manasa.jampala@cerebra-consulting.com or call me directly at +91 8143307905. Role Summary: We are looking for a Clinical Domain Subject Matter Expert (SME) to support a strategic data warehouse initiative. The SME will be responsible for guiding the ingestion and modeling of data from leading EHR systems, focusing on clinical and patient intake workflows. Key Responsibilities: Serve as the domain expert for data related to: Clinical workflows: Clinical orders, surgeries, allergies, assessments, and scoring etc. Patient intake workflows: Scheduling, app...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
noida, uttar pradesh
On-site
You will be responsible for working through a book of Accounts Receivable (AR) and developing a plan to maintain proper coverage on all accounts. This includes reviewing aged accounts, tracing, and appealing unpaid or erroneously paid/denied accounts. You will work on all denials and rejections received by researching steps previously taken and taking additional action as necessary to resolve the claim. Additionally, you will review and correct claim rejections received from the clearinghouse, verify eligibility, coverage, and claim status online through insurance portals, and resubmit insurance claims that have received no response or are not on file. Furthermore, you will transfer outstand...
Posted 4 months ago
2.0 - 6.0 years
0 Lacs
thrissur, kerala
On-site
As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting ...
Posted 4 months ago
2.0 - 3.0 years
4 - 5 Lacs
Kochi, Ernakulam, Thrissur
Work from Office
Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...
Posted 5 months ago
8.0 - 12.0 years
8 - 12 Lacs
Bengaluru
Work from Office
Location: Coimbatore Job Type: Full-Time, Onsite (Night Shift) Experience Required: 10+ years Shift Timings: US Shift 6:30 PM to 3:30 AM Notice Period: Immediate to 30 Days About LogixHealth LogixHealth is a physician-founded company delivering cutting-edge revenue cycle management services to healthcare providers nationwide. With a commitment to driving better healthcare outcomes, we combine advanced technology, clinical insight, and unmatched service excellence. Since the 1990s, we have expanded across 40 states, providing innovative coding, billing, and business intelligence solutions that allow providers to focus on patient care while we ensure financial success. Discover more about us a...
Posted 6 months ago
10.0 - 14.0 years
8 - 12 Lacs
Coimbatore
Work from Office
Location: Coimbatore Job Type: Full-Time, Onsite (Night Shift) Experience Required: 10+ years Shift Timings: US Shift 6:30 PM to 3:30 AM Notice Period: Immediate to 30 Days About LogixHealth LogixHealth is a physician-founded company delivering cutting-edge revenue cycle management services to healthcare providers nationwide. With a commitment to driving better healthcare outcomes, we combine advanced technology, clinical insight, and unmatched service excellence. Since the 1990s, we have expanded across 40 states, providing innovative coding, billing, and business intelligence solutions that allow providers to focus on patient care while we ensure financial success. Discover more about us a...
Posted 6 months ago
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