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3.0 - 8.0 years
6 - 11 Lacs
Pune
Work from Office
Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Life Veradigm is here to transform health, insightfully. Veradigm delivers a unique combination of point-of-care clinical and financial solutions, a commitment to open interoperability, a large and diverse healthcare provider footprint, along with industry proven expert insights. We are dedicated to simplifying the complicated healthcare system with next-generation technology and solutions, transforming healthcare from the point-of-patient care to everyday life. For more information, please explore Veradigm.com . What will your job look like: RCM Team Lead ***This is a fully onsite position in Pune, Maharashtra Office.*** Our professional billing experts help organizations ensure accurate billing and coding, and partner with them at every step of the revenue cycle. Dedicated account managers deliver a comprehensive approach for improving the financial health of any practice. Job Summary Responsible to know and facilitate specific accounts and their unique attributes in order to successfully provide customized Our organizations RCS for each account. This is a dual position with its own workload along with oversight to train, audit and monitor the group for accurate procedures and turnaround. Ensure workflow, including collecting payments stays current and on track with regards to insurance carriers, patients, clients and internal interactions. Supports the overall Operations and Client Services by efficiently and effectively providing and reviewing account data needed for the Revenue Cycle process and delivering results. What you will contribute: Strong customer service skills for client satisfaction, health of client AR and guidance for RCS team members Answers client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally. Acts as initial point person for team regarding technical work questions/processes/procedures to provide training/guidance. Escalates issues to RCS Management related to clients and staff. Trains individuals on systems and workflow in order to ensure protocols are followed. Reviews and work all unpaid and denied insurance correspondence, both phone appeals and written appeals; confirm all patient demographics and insurance is current and up to date. Runs, reviews and works unpaid patient balance reports for payment by reading current notes and place for past due letters and phone calls. Prepares insurance/patient correspondence for coworkers by reviewing and batching for further attention and review. Prepares and sends uncollected patient payments to collections by writing up forms for the doctors to review. Reviews and works insurance and patient overpayments, prepare refund request and send to doctors office. Answers phone calls from insurances and patients. Organizes, identifies and improves workflow with team members/Management through daily and weekly productivity reports and reports challenges and concerns and requests need for assistance to RCS Management. Ability to perform the duties of the Payment Entry Specialist, Charge Entry Specialist, AR Specialist and RCM Specialist roles. Keeps manager informed of progress, achievements and issues; assist staff with processes, information and workload. Achieve goals set by management and compliance requirements. Follows, and models adherence to all policies, procedures and processes. Other duties as assigned. An Ideal Candidate will have: Job Requirements 3+ years relevant work experience (Preferred) Compliance Job responsibilities include fostering the Company s compliance with all applicable laws and regulations, adherence to the Code of Conduct and Compliance Program requirements, policies and procedures. Compliance is everyone s responsibility. Knowledge, Skills and Abilities Knowledgeable of CPT and ICD coding and medical terminology Extensive knowledge with email, search engines, Internet, ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as NextGen, Pro, Epic and others Knowledge of CPT, ICD10 and modifiers. Experience in specialties such as Psychiatry, Internal Medicine, Orthopedics, General Surgery Familiar with HMO and IPAs, Medicare Fee for Service Plans and Commercial Payers Strong communication skills Work Shift Timing: US Shift timings (Evening 7:30 PM to 4:30 AM IST) Benefits Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish. Quarterly Company-Wide Recharge Days Flexible Work Environment (Remote/Hybrid Options) Peer-based incentive Cheer awards All in to Win bonus Program Tuition Reimbursement Program To know more about the benefits and culture at Veradigm, please visit the links mentioned below: - https: / / veradigm.com / about-veradigm / careers / benefits / https: / / veradigm.com / about-veradigm / careers / culture / Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. Thank you for reviewing this opportunity! Does this look like a great match for your skill set? If so, please scroll down and tell us more about yourself!
Posted 2 weeks ago
5.0 - 10.0 years
7 - 10 Lacs
Chennai
Work from Office
Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. SME in Denial Management Should identfy and work on AR automation to simply the process and ensure it provide quality results Provide trend analysis of issues with their appropriate solutions to the respective supervisor. Review remittance and action the claim for solution towards payment. Respond to customer requests by phone and/or in writing to ensure timely resolution of unpaid and denied claims. Adhere to SOP guidelines within established productivity standards. Report changes identified on payer adjudication guidelines. Knowledge on appeals management. Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials. Ensure complete adherence to TAT and SLA s as defined by the customer Maintaining patient confidentiality. Required Skills for this role include: 5+ years of experience working on Revenue Cycle Management regarding medical billing. Expertise on Revenue cycle management and End to End resolution guidelines. Expertise with Windows PC applications that required you to use a keyboard, MS office, navigate screens, and learn new software tools. Ability to work regularly from office scheduled shifts from Monday-Friday 5:30 pm to 3:30 pm IST.
Posted 2 weeks ago
1.0 - 6.0 years
1 - 3 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)
Posted 2 weeks ago
3.0 - 8.0 years
2 - 4 Lacs
Chennai
Work from Office
Roles and Responsibilities Manage litigation matters related to income tax, service tax, excise, customs, and other indirect taxes at various levels such as DRT, CESTAT, HIGH COURT, ITAT, NCLT, and tribunals. Provide advisory services on legal issues pertaining to direct and indirect taxes. Handle appeals before appellate authorities like Income Tax Appellate Tribunal (ITAT) and National Company Law Tribunal (NCLT). Conduct research on laws governing different industries and sectors to provide expert opinions on complex legal matters. Collaborate with clients to understand their business needs and develop strategies for resolving disputes through negotiation or litigation. Desired Candidate Profile 3-8 years of experience in advocacy work with a focus on indirect taxes (GST, Service Tax & Excise). Strong knowledge of laws governing various industries such as manufacturing, pharmaceuticals etc. Excellent communication skills with ability to present cases effectively before courts/tribunals. Ability to analyze complex legal issues quickly and provide practical solutions.
Posted 2 weeks ago
1.0 - 3.0 years
2 - 5 Lacs
Navi Mumbai, Mumbai (All Areas)
Work from Office
Job description: Good communication skills with RCM knowledge Knowledge of Insurance AR follow up, Denial management, Appeal creation. Minimum 1 year of experience in AR follow up & denials is a must Ok with Night shift Ok with Work from office - Location: Navi Mumbai
Posted 2 weeks ago
0.0 - 2.0 years
2 - 4 Lacs
Pune
Work from Office
Job Responsibilities : Ensure that the quality and production are met as per expectations Responsible for calling insurance companies in the US and following-up on outstanding accounts receivable Knowledge of HIPAA, Insurances and their Plans, Workers Comp, No-Fault Good oral and written communication skills (English) Ability to multi-task Understanding of appeals, denials and denial reasons and obtain resolution from carriers Claim submission Electronic, Paper or Direct Data Entry (DDE) Behavioural Attributes Required Team Player Logical thinking Problem solving Customer focus Domain/Functional Attributes Denial management Knowledge of US healthcare domain Knowledge of AR follow-up and denial management Calling etiquettes Educational Requirements: Undergraduate or any Graduate or Postgraduate degree
Posted 2 weeks ago
7.0 - 10.0 years
10 - 20 Lacs
Mumbai
Work from Office
Knowledge of Income Tax, ITR Appeal Draft notice reply Tax filing.Overall expert in Direct Taxation part Company-CA partnership firm ( National/international Taxation of client) 2nd & 4th SAT off , 100+ employees , Head off in Gujarat ,2 HR manager
Posted 2 weeks ago
1.0 - 4.0 years
2 - 3 Lacs
Bengaluru
Work from Office
Responsibilities: * Manage accounts receivable calls: denial management, appeals, eligibility verification. * Handle RCM processes: authorization, payment posting, revenue cycle management. Health insurance Provident fund
Posted 2 weeks ago
1.0 - 3.0 years
1 - 5 Lacs
Bengaluru
Work from Office
About Plum Plum is an employee insurance and health benefits platform focused on making health insurance simple, accessible and inclusive for modern organizations. Healthcare in India is seeing a phenomenal shift with inflation in healthcare costs 3x that of general inflation. A majority of Indians are unable to afford health insurance on their own; and so as many as 600mn Indians will likely have to depend on employer-sponsored insurance. Plum is on a mission to provide the highest quality insurance and healthcare to 10 million lives by FY2030, through companies that care. Plum is backed by Tiger Global and Peak XV Partners. Why join us? In the past year, our team has undergone significant expansion, doubling in size and achieving a remarkable tenfold increase in numbers. Joining us means stepping into an environment where you can engage with CXOs who are shaping the next Google or Facebook, becoming their trusted advisor. About the role: Your primary role as a sales associate is to engage with corporates and startups, promoting Plum's innovative solutions - you will be joining a dynamic team focused on high-velocity sales. This is a quota carrying role (re: you will have sales targets) Your mission is clear: convert qualified leads into valued clients, maximising revenue potential. Under the guidance of industry & sales experts, you'll acquire all the skills needed to excel in the competitive world of insurtech sales. Your charter would include: Building & managing a pipeline of prospective clients through internal & external sources Presenting Plum s products to clients in pitch meetings Navigating a complex sales cycle for a technical product Maintaining high levels of engagement with the client throughout the sales cycle Proactively source new leads and new business opportunities, with the support of the sales development & marketing functions and client referrals Owning the end-to-end sales cycle for assigned clients The ideal candidate: Preferred candidates with 1 - 3 years of experience Has stellar written & verbal communication skills Is highly professional and results-driven Has a high degree of coachability, learning mindset and great listening skills Can present themselves as highly credible and articulate face-to-face, over the phone, and via email to clients Plum believes in playing fast & long, and everyone in our team is highly entrepreneurial + high on energy. We offer extreme autonomy and growth to all our team members. If that appeals to you, you will fit right in!
Posted 2 weeks ago
0.0 - 5.0 years
0 Lacs
coimbatore, tamil nadu
On-site
As a Direct Tax Consultant at our leading Audit and Tax Advisory firm, you will be responsible for handling routine and non-routine advisories on various corporate direct tax issues. This includes managing corporate tax assessments, audits, appeals, and penalty proceedings by preparing replies, compiling details, and representing the firm before tax authorities. Your role will also involve managing client relationships to understand their requirements, address queries, and resolve concerns effectively. Additionally, you will assist in creating presentations for prospective client meetings and oversee the income-tax assessment proceedings before the Tax officer. Collaboration with clients, statutory and tax auditors, as well as counsels on various direct tax matters will be a key aspect of your responsibilities. To excel in this role, you should be a CA with 0-5 years of experience in Direct Tax, preferably with exposure to Direct Tax Audits during articleship. The ability to navigate audit and taxation processes effectively is essential, along with a proactive approach to problem-solving and client engagement. This is a full-time position based in Coimbatore, Tamil Nadu. The role offers benefits such as internet reimbursement and follows a morning shift schedule. Candidates must have completed or be pursuing CA and possess at least 3 years of experience in audit and taxation. If you are a dynamic professional looking to leverage your direct tax expertise in a challenging environment, we encourage you to apply for this opportunity and be part of our dedicated team.,
Posted 3 weeks ago
2.0 - 6.0 years
0 Lacs
haryana
On-site
You are invited to join our team as an AR Caller or Senior AR Caller in the US Healthcare sector, based in Gurgaon at MG Road with the requirement to work from the office. With a minimum of 2 to 4 years of experience in the field, candidates with an Accounting/Finance background are advised not to apply for this position. Your role will involve a comprehensive understanding of Revenue Cycle Management in US Medical Billing for Providers/Hospitals. Key responsibilities include interacting with insurance companies in the USA on behalf of healthcare professionals to follow up on outstanding accounts receivables. Additionally, you should have a strong grasp of HIPPA, CPT codes, ICD9/10, Appeals, denial management, and exposure in denial management. To excel in this role, excellent English communication skills, both verbal and written, are essential. Additionally, proficiency in computer skills, along with the ability to work under pressure, quick learning capabilities, and strong decision-making skills are required. Interpersonal skills are also crucial for successful interaction with various stakeholders. Eligibility criteria for this position include being above 18 years of age, a graduate with fluent English communication abilities, comfortable with night shifts, and willing to work from the office. Immediate joining is preferred. In return, we offer the opportunity to work in US shift timings with fixed shifts and weekends off, providing an excellent growth trajectory for motivated candidates.,
Posted 3 weeks ago
1.0 - 4.0 years
2 - 5 Lacs
Hyderabad, Navi Mumbai, Chennai
Work from Office
Hiring for AR Callers & Prior Authorization Process Hyderabad, Chennai & Mumbai Role: AR Caller / Prior Authorization Executive Experience: Minimum 1+ Year in AR Calling & Prior Authorization Process Work Mode: Work from Office Locations: Hyderabad | Chennai | Mumbai Notice Period: Immediate Joiners Preferred (Relieving Letter Not Mandatory) Shift: Night Shift (US Healthcare Process) Package: Up to 40,000 Take-home Incentives 2-Way Cab Facility Qualification: Intermediate & Above Job Description: We are hiring experienced professionals in AR Calling and Prior Authorization with a strong understanding of the US healthcare process. Candidates must have at least one year of relevant experience and be ready to work from office locations. Perks: Competitive Salary Performance-based Incentives Cab Facility Quick Onboarding for Immediate Joiners Interested Candidates can share their resumes to: Email: harshithaaxis5@gmail.com Contact: HR Harshitha – 7207444236
Posted 3 weeks ago
0.0 - 5.0 years
0 - 0 Lacs
Chennai
Work from Office
Both Male and Female candidates preferred. Both fresher and experienced professionals can apply.
Posted 3 weeks ago
1.0 - 5.0 years
1 - 5 Lacs
Chennai
Work from Office
Minimum 1 Year of experience in AR calling (Denial) Looking for Immediate joiner - WFO Salary - Best in industry Two Way cab facility Walk in Interview - Chennai Regards, Dinesh Hr 9345717910 / 9361304375 Nona Hr services Dinesh@nonahrservices.com
Posted 3 weeks ago
1.0 - 6.0 years
3 - 8 Lacs
Chennai
Work from Office
Experience: Minimum 1 Year Shift: Day Shift Job Summary: We are seeking an experienced Medical Coder specializing in denials management for Radiology and Pathology to join our RCM team. The ideal candidate will be responsible for analyzing denied claims, identifying root causes, and accurately re-coding or appealing based on payer guidelines. Key Responsibilities: Review and analyze denied claims specifically in Radiology and Pathology specialties. Identify coding-related denial reasons and rework claims accordingly. Apply accurate CPT, ICD-10, and HCPCS codes based on medical documentation. Prepare and submit coding appeals with appropriate justifications and references. Collaborate with AR and billing teams for resolution of complex denials. Ensure adherence to compliance standards and payer-specific guidelines. Maintain productivity and quality benchmarks as per company standards. Required Skills: Strong knowledge of Radiology and Pathology coding. Experience handling denials and appeals in a US Healthcare RCM environment. Proficiency with coding tools and systems (e.g., EncoderPro, Optum360, or similar). Familiarity with payer-specific policies and LCD/NCD guidelines. Strong analytical, written, and verbal communication skills.
Posted 3 weeks ago
2.0 - 7.0 years
4 - 8 Lacs
Noida, Bengaluru
Work from Office
Minimum 2 years of Medical Coding Experience. Proficient knowledge of medical terminology with excellent Coding skills. Strong Knowledge on coding appropriate ICD s, CPT s and HCPC Codes. Knowledge of picking right Modifiers while coding the encounter related to Ancillary. Familiar with coding right diagnosis related to Ancillary coding. Maintaining a quality threshold of 97% and meeting the client s expectations. Maintaining 100% production from day 1 (per ramp) Familiar with reading the operative report and arriving at appropriate CPT(s) and Diagnosis(es) Key Responsibilities: Utilize ICD-10, CPT, and HCPCS coding systems to ensure accurate coding and billing practices. Collaborate with healthcare providers to clarify documentation and ensure compliance with coding guidelines and regulations. Maintain up-to-date knowledge of coding standards, regulations, and payer requirements to ensure accurate billing and reimbursement. Assist in the resolution of coding discrepancies and denials by providing necessary documentation and support. Participate in coding audits and quality assurance processes to ensure coding accuracy and compliance. Provide training and support to staff on coding practices and documentation requirements. Stay informed about changes in healthcare laws, regulations, and coding practices that may impact billing and reimbursement. Ancillary & Radiology Coding: Review medical records and documentation for Ancillary (eg, lab, physical therapy) and Radiology services. Assign accurate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS. Ensure coding compliance with federal regulations and payer-specific guidelines. Collaborate with clinical staff to clarify documentation and ensure coding accuracy. Denials Management: Analyze and resolve coding-related denials and rejections. Prepare and submit appeals with supporting documentation. Identify denial trends and recommend process improvements. Work with billing and revenue cycle teams to reduce future denials
Posted 3 weeks ago
2.0 - 7.0 years
5 - 6 Lacs
Bengaluru
Work from Office
Join our team as the expert you are now and create your future. As a Billing Analyst, you will be involved in the full lifecycle of RCM. Responsibilities include working in RCM functions like EOB review, Payment Posting, Correspondence review, Bad Debt, Appeals process, Denial management and Account receivables. Strong analytical skills and typing speed is a must. Daily productivity targets to be met. Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role. JOB DETAILS: Good comm skills with neutral accent Good English Written and Listening skills Willing to work in US shift timings Net typing speed of 30 words per min & above with an accuracy rate of 90% + Good knowledge about MS Office tools Solve complex scope wise problems with little or no supervision from lead Interact with key stakeholders Develop in-depth knowledge of business processes facilitated by our software products Develop in-depth knowledge of operational processes around the scope of work. Troubleshoot deployment and environmental issues, resolve issues in a timely manner across multiple projects. QUALIFICATIONS: 2+ years of industry experience 2+ year Experience in relevant billing functions is a must Proficiency in Excel and typing is a must. Familiarity with Cerner applications and other related applications Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem solving and quantitative abilities. Solid verbal and written communication skills are required. Graduate in Commerce, computer applications . Education/Certifications: Graduate Position Level Senior Analyst Country India
Posted 3 weeks ago
8.0 - 12.0 years
15 - 20 Lacs
Ahmedabad
Work from Office
Handle matters which have search / seizure history at various levels such as Before Investigation wing, Central Circle, CIT(A) level etc. Conduct block assessments, scrutiny assessments in respect of search cases, etc. Assist in drafting legal documents such as agreements, petitions, appeals etc.Role & responsibilities
Posted 3 weeks ago
0.0 - 2.0 years
5 - 9 Lacs
Mumbai, Pune, Bengaluru
Work from Office
Location City Bengaluru, Mumbai, Pune Department Business Tax Experience Salary - INR Designation Article Clerk Total Position 1 Employee Type Articled Clerk Job Description What are we looking for Bright Article Clerks, keen to embark on their journey of becoming industrious Chartered Accountants by initiating their professional experience with an impactful Articleship in any of the below functions/practices: 1 . Indirect Taxation - Mumbai , Pune, Bengaluru : Preparing monthly, quarterly and annual compliances and reconciliations under GST law. Support clients on Export, inverted duty structure refunds prescribed under GST law, erstwhile Excise and Service Tax laws, litigation matters & during audits and investigation Providing tax solutions to clients under the GST, Customs laws and Foreign Trade Policy 2. Business Tax - Mumbai, Pune: Understanding the documents provided and getting the required documents for determining appropriate tax rate; Preparation and filing of TDS/TCS returns (24Q, 26Q, 26Q, 27EQ), corrections of TDS/TCS returns 3. Transfer Pricing - Mumbai, Pune : T ransfer Pricing Audits, compiling documentation, Issuing CA Certificate (Form 3CEB) Assessments and appeals relating to Transfer Pricing Research & Article Writing 4. International Tax - Mumbai, Pune: Understanding the documents provided and getting the required documents for determining appropriate tax rate; Preparation and filing of TDS/TCS returns (24Q, 26Q, 26Q, 27EQ), corrections of TDS/TCS returns How to apply Interested candidates can share their Cvs on careers. skpco@skparekh. com We will contact you for the next steps.
Posted 3 weeks ago
2.0 - 5.0 years
3 - 4 Lacs
Kochi
Remote
We are seeking a skilled Accounts Receivable (AR) Caller experienced with Athena billing software to join our team and help drive efficient claims resolution. Key Responsibilitie: Initiate outbound calls to insurance companies to follow up on outstanding claims (unpaid / underpaid) using Athena billing software. Review claims status, identify reasons for non-payment, and take appropriate action to resolve denials or delays. Accurately document call details, action taken, and next steps in Athena and client systems. Coordinate with internal teams to escalate issues as needed for prompt resolution. Meet daily, weekly, and monthly productivity and quality targets. Stay updated on payer-specific guidelines, denial codes, and reimbursement policies. Respond promptly to payer inquiries and provide requested information to expedite payment. Communicate effectively with supervisors and team members to report trends and potential process improvements. Required Skills & Qualifications Minimum 2-5 years of experience as an AR Caller in US healthcare revenue cycle management Strong working knowledge of Athena billing software. Familiarity with medical terminology, CPT/ICD codes, and insurance denial resolution. Excellent verbal communication skills in English. Proficient in MS Office (Excel, Word) and email correspondence. Ability to meet targets under pressure with strong attention to detail. Flexibility to work in US time zones. Preferred: Experience handling multi-specialty practices or large billing volumes. Prior exposure to other practice management systems is a plus.
Posted 3 weeks ago
1.0 - 4.0 years
2 - 5 Lacs
Chennai, Coimbatore, Bengaluru
Work from Office
Excellent Opportunity for AR Caller / Sr.Caller / Specialist Candidate must have minimum 12 months experience in Denial Management 2 Ways Cab will be Provided Salary - Upto 40TH Interested candidate - Pls call Nandhini 9176457453
Posted 3 weeks ago
4.0 - 9.0 years
6 - 11 Lacs
Mumbai
Work from Office
Job Responsibilities: Team Management: Drive high levels of employee engagement (include Daily, weekly, monthly team connects) to enable high retention and satisfaction rates. Help manage team work life balance through efforts on leave planning and rostering. Communicate effectively within & with team members & escalate issues to the management for timely resolution. Continuously manage performance through timely and effective feedback and coaching. Partner with Recruiting and Training functions to help improve the quality of incoming talent. Operations & Delivery: Manage team production and conduct process Quality monitoring. Manage work assignment allocation & review of work list. Encourage & engage team members for continuous improvement / process optimization / automation ideas. Manage Business Intelligence through reports & MIS for internal / client use. Determine validity of move to client , either send back instruction to Rep or approve & move to client. Review coding review requests & quantify preventable issues. Communicate to AR, PP or Coding teams as applicable. Scenario findings to all staff for examples that were not valid coding review needs. Work with Coding on responses that can be used in appeals when coded correctly . Review denial adjustments for validity - quantify preventable issues. Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances. Manage up review AR findings and feedback. Create QA & Tip for week from client, payer, and account assessment scenarios. Manage Global Issues impacting team performance / client business and share inputs with Quality & Training teams. Compliance: Ensure highest levels of Organization and Healthcare related compliance requirements are adhered to. Ensure adherence to maintaining all necessary process documentation as per the QMS.
Posted 3 weeks ago
7.0 - 10.0 years
13 - 15 Lacs
Chennai
Work from Office
Chart Industries is a leading global manufacturer of highly engineered equipment and solutions serving multiple applications in the Energy, Industrial, and Industrial Gas end markets. In March 2023 Chart Industries acquired the Howden Group, and the combined group is now represented in over 40 countries worldwide with over 11,700 employees. Our vision is to enable the vital processes of our customers and thereby promote a more sustainable world via our Nexus of Clean strategy. The combination of Chart and Howden furthers our global leadership position in process technologies with products and services in applications such as hydrogen, carbon capture, energy recovery, nuclear, water treatment, mining, and LNG to name a few. Together with customer-focused service solutions including an extensive service network and market-leading digital diagnostics, we support our customers through the complete lifecycle of their assets. At Chart we have a strong corporate identity and a clear purpose - you will be a member of our team shaping the future of the company and participating in helping our customers and the world tackle some of the planets most pressing issues What Will You Do Project coordination in terms of time, cost and deliverables. Order booking in the system after receipt from Marketing and Circulation of Purchase Order and order documents to Design, Planning, Production, Finance and Q.C. departments after verification of required commercial and technical details availability. Submission and obtaining approval for GA drawing, QAP etc. from customer. Submission of ODCs, quotations for transport as and when required Conducting periodical progress review meeting with internal departments. Preparation and submission of monthly progress reports to customers. Raising inspecting calls & Inspection coordination with customer, production and QC departments Commercial coordination with customer, internal despatch and commercial team regarding despatch instruction, road permit, transporters detail and despatch clearance etc. Recording of customer side delays and use for LD appeals. Making on time delivery status reports, Claims for LDs. Submission of Fan Quality report and O & M Manual by coordinating with QC , Engineering and Service Departments Your Physical Work Environment Will Require Travel to site and supplier places depends on the need Your Experience Should Be... BE- Mechanical with 7 to 10 years of Experience in Project Management / Contracts in Manufacturing / EPC Environment Good in Customer interactions. Must have a passion to achieve. Should possess good written/oral communication skills, analytical skills, interpersonal skills. Good in commercial terms and conditions. Initiative and Proactive. PERSONAL ATTRIBUTES Should have skills in working with individuals and as an integral part of a Team. Must have an ear to the ground vis- -vis market intelligence and able to communicate relevant information in all directions. Must be conversant in both English and local languages and be able to effectively communicate. Skills in Process Management, team building and motivation. Excellent customer service skills and flexibility to create and maintain a positive working relationship across all internal departments. Good understanding of project execution issues and ability to prioritize. Ability to present information and respond to groups
Posted 3 weeks ago
3.0 - 5.0 years
10 - 14 Lacs
Kalyani, Pune
Work from Office
Basic Function The Data Service Business Intelligence Analyst ( Business Intelligence Analyst ) for Wolters Kluwer, Fulfillment Center of Excellence will be responsible for performing the quality assurance testing for the Legal Bill Analysis Center of Excellence (LBACOE). The Legal Bill Analysis ( LBA ) process involves the prompt, accurate and efficient auditing of electronically submitted legal fee and expense invoices submitted by law firms and vendors of our clients. The Business Intelligence Analyst provides guidance and expert feedback to business unit and other internal partners, especially the CIOx Data Science Team, on a variety of bill review scenarios. Specifically, they will be considered a subject matter expert in various practice areas and legal billing best practices. The ultimate goal of Legal Functional Associate III is to fully leverage their robust legal knowledge base to assist in building accurate, high-quality artificial intelligence models that aid the legal bill review. The Business Intelligence Analyst extracts core legal concepts at the heart of the invoice, analyzing the full legal context of the invoice in line with our clients billing guidelines and communicating this analysis with recommendations to internal partners. This role also reviews LBA Data Service AI outputs, participates in team discussions for AI logic calibration and solutioning. This role may also support sales and guideline benchmarking as necessary. Essential Responsibilities Core Legal Bill Review Responsibilities Drive the results of the LBACOE quality assurance process, as follows: Conduct review invoice lines, applying specialized legal subject matter expert knowledge to context of legal invoice line items. Verify the compliance to legal billing guidelines by law firms and vendor submitting invoices. Verify the accuracy of the UTBMS task codes (Fee, Activity and Expense codes) applied to invoice line items. Independently adjust invoice line items as necessary based on his or her assessment of the legal context of the invoice while utilizing specialized his or her legal subject matter expert knowledge to extract core critical legal terminology and concepts. Document reasons for any additional adjustments made to invoice line items, identifying the billing guideline violated and the rationale for the amount adjusted. Forward the audited and peer-reviewed legal invoice through the review chain as required. Promptly and professionally resolve law firm appeals, as follows: Address law firm requests for reconsideration of adjusted amounts while utilizing careful judgment, legal knowledge and utmost professionalism while upholding integrity of the legal billing process. Work with law firms in a professional manner via legal expert-to-expert written communications to carefully resolve disputed adjusted invoice line items using sound independent discretion and vast legal knowledge base. Efficiently and accurately review appealed legal invoice entries Data Service Responsibilities Perform the invoice review analysis, specifically, but not limited to the Data Service initiative within the Legal Bill Analysis Center of Excellence (LBACOE). Provide expert assessment of the legal context and terminology in invoices and data files and assigned Data Service AI output. Heavy team collaboration and solutioning in team review and analysis through strong understanding of LBA Data Service AI. Review and analyze more complex LBA Data Service data outputs to determine AI accuracy, precision, recall and general performance Strong understanding of Artificial Intelligence and its working in legal bill review scenario. Create AI cognitive logic and develop pattern-based rules with minimum guidance Develop domain expertise for artificial intellig ence Understand AI logic, interpret, analyze, and communicate the findings with Data Service AI team. Additional Responsibilities and Skills: Support internal management in documenting performance metrics for internal use and use with clients and law firms. Strong understanding of legal terminology and claims legal situations, multijurisdictional exposure preferred. Quick learner, especially with bill review and data service principles. Needs to be detail oriented & excellent with research abilities Critical thinking skills and ability to creatively solution problems Using sound discretion and legal expertise, analyze and condense legal service agreements to produce effective operational outputs meeting and in some cases exceeding customer expectations. Self-motivated & Proactive with an ability to work independently and with very limited supervision after training. Excellent computer skills with the ability to learn the electronic legal bill submission and auditing software Sound command of the English language-- grammar, syntax and style -- including an understanding of the conventions of punctuation and capitalization Excellent spelling and proofreading skills Effective communication skills - ability to obtain information from others and deliver information to others orally and in written form Organizational skills, including the ability to organize work in an orderly fashion conducive to the prompt, efficient review of an appropriate number of legal invoices in a given day or time period Familiarity with common business math and possess appropriate business telephone skills Ability to carry out detailed written or verbal instructions; ability to respond to requests effectively and efficiently Minimum Experience : Relevant Bachelors or higher or 3-5 years equivalent industry (bill review/legal): Experience with legal billing processes is an advantage, but not necessary Familiarity of the federal and/or state rules of civil procedure. Strong understanding of legal terminologies. Experience with law firm is also preferred. Required Competencies: Communications: Strong arbitration and organizational skills are critical to being successful in this role. Strong communications skills and the ability to organize and motivate team members in a matrix environment are essential. Team Work: Must work collaboratively with people within LBACOE and throughout the entire WK organization, while providing constructive feedback to LBACOE from the BUs. Problem Solving: Capable of independent thinking and rendering sound decisions. Astute at identifying and engaging the necessary resources to help in decision making. Takes quick actions to identify and resolve the cause of any problem. Proactive in nature. Leadership: Exhibits individual control over day to day responsibilities as well as the ability to work collaboratively with other BUs to produce results. Planning and Organizing: Must be able to implement plans with the purpose of achieving short and long term goals. Must be able to prioritize in order to accomplish these goals in a given time period. Technology: Has the ability to partner with experts in the technology field to identify technology gaps and requirements necessary to develop position and impactful solutions. Learning: Ability to acquire new or modify existing knowledge to support a changing market place and workforce. Can demonstrate a capability to learn by study, experience, or instruction. Initiative and Enterprise: Is self-directed and has the ability to translate ideas into action and get things done. Tools: Knowledge Microsoft Office Suite ( Word, Excel, PowerPoint, Outlook) is preferred.
Posted 3 weeks ago
0.0 - 2.0 years
0 Lacs
Mumbai
Work from Office
Role Overview We are inviting applications from motivated and career-oriented CA Inter (IPCC/New Course) pass-outs for CA Internship opportunities at InCorp Advisory. The role offers a well-rounded exposure across different practice areas and real client assignments. Departments: Assurance (Statutory/Internal Audit) Direct Tax FEMA & International Taxation Locations: Nariman Point | Sion | Vashi (Mumbai) (Final location will be allocated based on department need and candidate preference, subject to availability) Key Responsibilities 1. Assurance (Statutory / Internal Audit): Assist in conducting audits for listed and unlisted companies, including fieldwork and documentation. Perform analytical procedures and substantive testing. Prepare working papers, audit reports, and financial statements. Coordinate with clients for data and follow-ups. 2. Direct Tax: Assist in computation of total income and tax liabilities for individuals, firms, and corporates. Preparation and filing of income tax returns, TDS returns, and advance tax calculations. Drafting replies to notices and assisting in assessments, appeals, and scrutiny cases. Research on tax case laws and recent amendments. 3. FEMA & International Taxation: Support in handling foreign remittance certifications and related compliance (Form 15CA/CB, etc.). Assist in transfer pricing documentation and filings. Work on FEMA compliance and advisory assignments. Drafting opinions, client notes, and regulatory correspondence. Qualifications Cleared CA Intermediate (either both groups or one group) Completed IT & Orientation (ICITSS) training Eligible to register articleship as per ICAI norms Strong communication and analytical skills Basic knowledge of MS Office and accounting concepts Department Taxation, Assurance, FEMA CA Intern
Posted 3 weeks ago
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