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1.0 - 3.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai
Posted 4 weeks ago
1.0 - 3.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai
Posted 4 weeks ago
1.0 - 3.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST) Work from Office- Mumbai
Posted 4 weeks ago
1.0 - 3.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
Primary Functions Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Additional Job Description Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST) Work from Office- Mumbai
Posted 4 weeks ago
10.0 - 15.0 years
6 - 8 Lacs
Gurgaon
On-site
Role Overview We are seeking a highly skilled and experienced Data Manager to lead the development, governance, and utilization of enterprise data systems. This is a strategic leadership role focused on ensuring seamless and secure flow of data across our platforms and teams, enabling timely and accurate access to actionable insights. The ideal candidate brings a strong foundation in data architecture, governance, and cloud-native systems, combined with hands-on experience managing cross-functional teams and implementing scalable, secure, and cost-efficient data solutions. Your Objectives Optimize data systems and infrastructure to support business intelligence and analytics. Implement best-in-class data governance, quality, and security frameworks. Lead a team of data and software engineers to develop, scale, and maintain cloud-native platforms. Support data-driven decision-making across the enterprise Key Responsibilities Develop and enforce policies for effective and ethical data management. Design and implement secure, efficient processes for data collection, storage, analysis, and sharing. Monitor and enhance data quality, consistency, and lineage. Oversee integration of data from multiple systems and business units. Partner with internal stakeholders to support data needs, dashboards, and ad hoc reporting. Maintain compliance with regulatory frameworks such as GDPR and HIPAA. Troubleshoot data-related issues and implement sustainable resolutions. Ensure digital data systems are secure from breaches and data loss. Evaluate and recommend new data tools, architectures, and technologies. Support documentation using Atlassian tools and develop architectural diagrams. Automate cloud operations using infrastructure as code (e.g., Terraform) and DevOps practices. Facilitate inter-team communication to improve data infrastructure and eliminate silos. Leadership & Strategic Duties Manage, mentor, and grow a high-performing data engineering team. Lead cross-functional collaboration with backend engineers, architects, and product teams. Facilitate partnerships with cloud providers (e.g., AWS) to leverage cutting-edge technologies. Conduct architecture reviews, PR reviews, and drive engineering best practices. Collaborate with business, product, legal, and compliance teams to align data operations with enterprise goals. Required Qualifications Bachelor’s or Master’s degree in Computer Science, Engineering, or related field. 10–15 years of experience in enterprise data architecture, governance, or data platform development. Expertise in SQL, data modelling, and modern data tools (e.g., Snowflake, dbt, Fivetran). Deep understanding of AWS cloud services (Lambda, ECS, RDS, DynamoDB, S3, SQS). Proficient in scripting (Python, Bash) and CI/CD pipelines. Demonstrated experience with ETL/ELT orchestration (e.g., Airflow, Prefect). Strong understanding of DevOps, Terraform, containerization, and serverless computing. Solid grasp of data security, compliance, and regulatory requirements Preferred Experience (Healthcare Focused) Experience working in healthcare analytics or data environments. Familiarity with EHR/EMR systems such as Epic, Cerner, Meditech, or Allscripts. Deep understanding of healthcare data privacy, patient information handling, and clinical workflows Soft Skills & Team Fit Strong leadership and mentoring mindset. Ability to manage ambiguity and work effectively in dynamic environments. Excellent verbal and written communication skills with technical and non-technical teams. Passionate about people development, knowledge sharing, and continuous learning. Resilient, empathetic, and strategically focused. What We Offer Competitive compensation with performance-based bonuses. Hybrid and flexible work environment. Career development programs and learning support. A diverse and collaborative culture driven by innovation and impact.
Posted 1 month ago
3.0 - 5.0 years
7 Lacs
India
On-site
WE'RE HIRING Job Title: IPDRG Coder (Inpatient DRG Coder) Department: CODER Location: Chennai Job Type: Full-time Key Responsibilities: ● Review inpatient medical records to assign ICD-10-CM, ICD-10-PCS, and MS-DRG/AP-DRG codes. ● Ensure codes accurately reflect the patient's diagnosis, procedures, severity of illness (SOI), and risk of mortality (ROM). ● Validate and ensure appropriate DRG assignment based on coding guidelines and documentation. ● Work with Clinical Documentation Improvement (CDI) teams to clarify documentation when needed. ● Maintain compliance with official coding guidelines, CMS regulations, and payer requirements. ● Meet productivity and accuracy benchmarks set by the organisation. ● Stay updated on coding changes, CMS guidelines, and payer policies. ● Participate in internal and external audits as required. Ensure data confidentiality and compliance with HIPAA regulations. Qualifications: Education: ● Associate or Bachelor’s degree in Health Information Management, Nursing, or a related field (preferred) Certifications: ● CCS (Certified Coding Specialist) – AHIMA (Required) Experience: ● Minimum 3–5 years of inpatient coding experience in US healthcare settings. ● Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG/AP-DRG coding. ● Experience using EMR/EHR and coding software (e.g., 3M, Epic, Cerner, TruCode). Contact: Praveen - 9840511540; Karthik - 9600474540; Sasi - 96004 74540; Kiran - 95004 52540. Email: tag@scraesservices.com. Job Types: Full-time, Permanent Pay: Up to ₹720,000.00 per year Benefits: Flexible schedule Health insurance Internet reimbursement Provident Fund Schedule: Monday to Friday Supplemental Pay: Overtime pay Performance bonus Yearly bonus Experience: IPDRG coding: 3 years (Preferred) License/Certification: CCS (Preferred) Work Location: In person
Posted 1 month ago
5.0 years
4 - 9 Lacs
Coimbatore
On-site
Job Summary: We are seeking a highly organized and experienced Health Care Billing Manager to oversee our medical billing operations. The ideal candidate will be responsible for managing the billing team, ensuring accurate and timely submission of claims, handling billing compliance, and coordinating with insurance companies to resolve claim issues efficiently. Key Responsibilities: Oversee the daily operations of the healthcare billing department. Ensure accurate and timely submission of medical claims to insurance providers. Monitor and manage accounts receivable and collections. Supervise billing team members, assign tasks, and ensure targets are met. Analyze billing and coding trends; identify and correct recurring errors. Implement billing policies and procedures to maximize reimbursement and minimize denials. Coordinate with physicians, coders, and insurance companies to resolve billing discrepancies. Conduct audits to ensure billing compliance with healthcare regulations and payer policies. Prepare regular financial and operational reports for senior management. Handle escalations and provide training to staff as needed. Stay updated with changes in billing regulations, coding systems (CPT, ICD-10), and insurance guidelines. Requirements: Bachelor’s degree in Healthcare Administration, Finance, Business, or related field. Minimum of 5 years’ experience in healthcare/medical billing. At least 2 years in a leadership or managerial capacity. Strong knowledge of insurance claims processing, denials, and appeals. Familiarity with CPT, ICD-10, HCPCS codes, and HIPAA regulations. Proficient in billing software and MS Office (especially Excel). Excellent analytical, leadership, and communication skills. Ability to manage multiple tasks in a fast-paced environment. Preferred Qualifications: Certification in Medical Billing (e.g., CMRS, CPB). Experience working with EMR/EHR systems like Epic, Cerner, or Medisoft. Knowledge of Medicare, Medicaid, and private insurance billing. Job Types: Full-time, Permanent, Fresher Pay: ₹40,000.00 - ₹80,000.00 per month Benefits: Health insurance Life insurance Provident Fund Schedule: Monday to Friday Night shift US shift Work Location: In person
Posted 1 month ago
8.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Job Title: Healthcare Domain Technical Consultant Job Summary: We are seeking a skilled and knowledgeable Healthcare Domain Technical Consultant with in-depth exposure to the U.S. healthcare market . The consultant will work closely with clients and internal teams to design, implement, and support technology solutions that align with healthcare operational needs, regulatory compliance, and digital transformation strategies. This position requires a deep understanding of healthcare processes, standards (e.g., HIPAA, HL7, FHIR), payer and provider systems, and health IT platforms. Key Responsibilities: 1. Healthcare Domain Consulting Analyze and document business processes across U.S. healthcare organizations (e.g., payers, providers, PBMs, clearinghouses). Provide subject matter expertise on U.S. healthcare regulations, insurance models (Medicare, Medicaid, commercial), claims lifecycle, EHR/EMR systems, and care coordination workflows. Identify improvement opportunities for clinical, administrative, and operational systems through technology. 2. Technical Solution Delivery Collaborate with engineering and business teams to design and implement healthcare IT solutions. Translate complex business and compliance requirements into functional and technical specifications. Support the configuration, customization, and integration of EHR systems (e.g., Epic, Cerner), payer platforms, or health information exchanges (HIEs). Lead data mapping and transformation efforts for claims (EDI X12 837, 835), enrolment (834), eligibility (270/271), and HL7/FHIR-based interfaces. 3. Regulatory Compliance & Security Ensure solutions comply with U.S. healthcare regulations such as HIPAA , HITECH , CMS mandates , and NCQA standards . Advise on data privacy, security best practices, and role-based access controls. Participate in security audits, risk assessments, and compliance reporting. 4. Stakeholder Engagement & Communication Serve as the liaison between business users (e.g., clinicians, billing teams) and technical staff (developers, system integrators). Conduct stakeholder workshops, gap analysis, and user training. Present architecture and solution proposals to leadership, clients, and regulatory bodies. 5. Testing & Support Design and execute test cases for functional, integration, and compliance testing. Support UAT, go-live, and post-deployment activities, including troubleshooting and change management. Document workflows, integration points, and business logic for ongoing support. Required Skills and Experience: Domain Expertise: Deep understanding of U.S. healthcare payer/provider workflows. Knowledge of claims processing, revenue cycle management (RCM), utilization management, and clinical decision support. Familiarity with care models (ACO, PCMH), population health, and value-based care metrics. Technical Skills: Proficiency in health data exchange standards : HL7 v2.x, CDA, FHIR , X12 EDI (especially 837/835/270/271). Experience with EHR/EMR systems: Epic, Cerner, Allscripts, Meditech, or similar. Integration experience using APIs, middleware (e.g., Mirth Connect, Cloverleaf), and data warehouses. Strong data analysis and transformation skills using SQL, XML/JSON, or Python preferred. Experience with analytics/reporting tools (Power BI, Tableau) a plus. Project & Methodology: Experience working in Agile or Scrum environments. Familiarity with business analysis tools (JIRA, Confluence, Visio, etc.). Strong documentation, requirement-gathering, and use-case creation skills. Education and Certifications: Bachelor's degree in healthcare informatics, Computer Science, Information Systems, or related field. Master’s degree or healthcare certification preferred (e.g., CPHIMS, PMP, RHIA, HL7/FHIR Certification). Minimum 4–8 years of relevant experience in healthcare IT consulting or domain-focused technical roles. Soft Skills: Strong verbal and written communication skills, particularly in cross-functional and regulated environments. Ability to distill complex information for both technical and non-technical audiences. Problem-solving mindset with strong attention to detail and regulatory implications. Adaptability in fast-paced environments with evolving requirements.
Posted 1 month ago
15.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Role Overview We are seeking a highly skilled and experienced Data Manager to lead the development, governance, and utilization of enterprise data systems. This is a strategic leadership role focused on ensuring seamless and secure flow of data across our platforms and teams, enabling timely and accurate access to actionable insights. The ideal candidate brings a strong foundation in data architecture, governance, and cloud-native systems, combined with hands-on experience managing cross-functional teams and implementing scalable, secure, and cost-efficient data solutions. Your Objectives Optimize data systems and infrastructure to support business intelligence and analytics Implement best-in-class data governance, quality, and security frameworks Lead a team of data and software engineers to develop, scale, and maintain cloud-native platforms Support data-driven decision-making across the enterprise Key Responsibilities Develop and enforce policies for effective and ethical data management Design and implement secure, efficient processes for data collection, storage, analysis, and sharing Monitor and enhance data quality, consistency, and lineage Oversee integration of data from multiple systems and business units Partner with internal stakeholders to support data needs, dashboards, and ad hoc reporting Maintain compliance with regulatory frameworks such as GDPR and HIPAA Troubleshoot data-related issues and implement sustainable resolutions Ensure digital data systems are secure from breaches and data loss Evaluate and recommend new data tools, architectures, and technologies Support documentation using Atlassian tools and develop architectural diagrams Automate cloud operations using infrastructure as code (e.g., Terraform) and DevOps practices Facilitate inter-team communication to improve data infrastructure and eliminate silos Leadership & Strategic Duties Manage, mentor, and grow a high-performing data engineering team Lead cross-functional collaboration with backend engineers, architects, and product teams Facilitate partnerships with cloud providers (e.g., AWS) to leverage cutting-edge technologies Conduct architecture reviews, PR reviews, and drive engineering best practices Collaborate with business, product, legal, and compliance teams to align data operations with enterprise goals Required Qualifications Bachelor’s or Master’s degree in Computer Science, Engineering, or related field 10–15 years of experience in enterprise data architecture, governance, or data platform development Expertise in SQL, data modelling, and modern data tools (e.g., Snowflake, dbt, Fivetran) Deep understanding of AWS cloud services (Lambda, ECS, RDS, DynamoDB, S3, SQS) Proficient in scripting (Python, Bash) and CI/CD pipelines Demonstrated experience with ETL/ELT orchestration (e.g., Airflow, Prefect) Strong understanding of DevOps, Terraform, containerization, and serverless computing Solid grasp of data security, compliance, and regulatory requirements Preferred Experience (Healthcare Focused) Experience working in healthcare analytics or data environments Familiarity with EHR/EMR systems such as Epic, Cerner, Meditech, or Allscripts Deep understanding of healthcare data privacy, patient information handling, and clinical workflows Soft Skills & Team Fit Strong leadership and mentoring mindset Ability to manage ambiguity and work effectively in dynamic environments Excellent verbal and written communication skills with technical and non-technical teams Passionate about people development, knowledge sharing, and continuous learning Resilient, empathetic, and strategically focused What We Offer Competitive compensation with performance-based bonuses Hybrid and flexible work environment Career development programs and learning support A diverse and collaborative culture driven by innovation and impact
Posted 1 month ago
15.0 years
0 Lacs
Gurgaon, Haryana, India
On-site
Role Overview We are seeking a highly skilled and experienced Data Manager to lead the development, governance, and utilization of enterprise data systems. This is a strategic leadership role focused on ensuring seamless and secure flow of data across our platforms and teams, enabling timely and accurate access to actionable insights. The ideal candidate brings a strong foundation in data architecture, governance, and cloud-native systems, combined with hands-on experience managing cross-functional teams and implementing scalable, secure, and cost-efficient data solutions. Your Objectives Optimize data systems and infrastructure to support business intelligence and analytics Implement best-in-class data governance, quality, and security frameworks Lead a team of data and software engineers to develop, scale, and maintain cloud-native platforms Support data-driven decision-making across the enterprise Key Responsibilities Develop and enforce policies for effective and ethical data management Design and implement secure, efficient processes for data collection, storage, analysis, and sharing Monitor and enhance data quality, consistency, and lineage Oversee integration of data from multiple systems and business units Partner with internal stakeholders to support data needs, dashboards, and ad hoc reporting Maintain compliance with regulatory frameworks such as GDPR and HIPAA Troubleshoot data-related issues and implement sustainable resolutions Ensure digital data systems are secure from breaches and data loss Evaluate and recommend new data tools, architectures, and technologies Support documentation using Atlassian tools and develop architectural diagrams Automate cloud operations using infrastructure as code (e.g., Terraform) and DevOps practices Facilitate inter-team communication to improve data infrastructure and eliminate silos Leadership & Strategic Duties Manage, mentor, and grow a high-performing data engineering team Lead cross-functional collaboration with backend engineers, architects, and product teams Facilitate partnerships with cloud providers (e.g., AWS) to leverage cutting-edge technologies Conduct architecture reviews, PR reviews, and drive engineering best practices Collaborate with business, product, legal, and compliance teams to align data operations with enterprise goals Required Qualifications Bachelor’s or Master’s degree in Computer Science, Engineering, or related field 10–15 years of experience in enterprise data architecture, governance, or data platform development Expertise in SQL, data modelling, and modern data tools (e.g., Snowflake, dbt, Fivetran) Deep understanding of AWS cloud services (Lambda, ECS, RDS, DynamoDB, S3, SQS) Proficient in scripting (Python, Bash) and CI/CD pipelines Demonstrated experience with ETL/ELT orchestration (e.g., Airflow, Prefect) Strong understanding of DevOps, Terraform, containerization, and serverless computing Solid grasp of data security, compliance, and regulatory requirements Preferred Experience (Healthcare Focused) Experience working in healthcare analytics or data environments Familiarity with EHR/EMR systems such as Epic, Cerner, Meditech, or Allscripts Deep understanding of healthcare data privacy, patient information handling, and clinical workflows Soft Skills & Team Fit Strong leadership and mentoring mindset Ability to manage ambiguity and work effectively in dynamic environments Excellent verbal and written communication skills with technical and non-technical teams Passionate about people development, knowledge sharing, and continuous learning Resilient, empathetic, and strategically focused What We Offer Competitive compensation with performance-based bonuses Hybrid and flexible work environment Career development programs and learning support A diverse and collaborative culture driven by innovation and impact
Posted 1 month ago
8.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
We are looking for a detail-oriented and strategic Senior Business Analyst with deep expertise in Healthcare Information Systems (HIS) and Electronic Medical Records (EMR). The ideal candidate will bridge business needs with technical solutions by gathering and translating complex healthcare workflows into actionable product requirements. This role demands a strong understanding of clinical operations, regulatory compliance, and healthcare interoperability standards. You will play a pivotal role in supporting the Product Manager, collaborating with stakeholders, and ensuring seamless product delivery that meets both user expectations and compliance mandates. About the Role : The Senior Business Analyst will be responsible for analyzing business needs and translating them into technical requirements, ensuring that the product aligns with healthcare regulations and standards. Responsibilities : Business Analysis & Requirements Gathering: Collaborate with Product Managers, clinicians, and stakeholders to elicit, analyze, and document business requirements for HIS/EMR systems. Conduct process mapping and gap analysis for existing workflows in hospital and clinical settings. Translate healthcare and operational needs into clear, structured requirements (BRDs, FRDs, user stories, and acceptance criteria). Stakeholder Engagement: Engage with healthcare providers, administrators, and end-users to identify pain points, improvement areas, and user needs. Conduct workshops, interviews, and shadowing sessions to understand the clinical and administrative workflow context. Product Lifecycle Support: Work closely with Product, Design, and Engineering teams to ensure clarity and alignment of requirements throughout the product lifecycle. Assist in backlog grooming, sprint planning, and Agile ceremonies. Validate deliverables against business requirements through reviews, UAT coordination, and documentation. Healthcare Standards & Compliance: Ensure business requirements align with healthcare regulations (HIPAA, GDPR, NDHM), interoperability standards (HL7, FHIR), and patient safety protocols. Support the Product and Compliance teams in preparing audit trails and risk assessments for new features or integrations. Data-Driven Insights & Documentation: Monitor and analyze product usage, adoption, and performance metrics to inform future enhancements. Prepare detailed business and technical documentation, including process flows, wireframes, and system impact analyses. Integration & Interoperability: Support the integration of HIS/EMR platforms with third-party systems such as PACS, LIS, billing, or regulatory registries. Coordinate with development teams to ensure seamless data exchange and adherence to HL7, FHIR, and other interoperability standards. Qualifications : Bachelor's degree in healthcare, life sciences, computer science, or a related field; certifications such as CBAP, CSM, or CSPO are a plus. Required Skills : 8+ years of experience as a Business Analyst in Healthcare IT, preferably with exposure to HIS/EMR platforms (Epic, Cerner, Meditech, Allscripts, or Indian HIS platforms). Strong understanding of healthcare workflows, hospital operations, and regulatory frameworks. Experience in writing user stories, BRDs, FRDs, and performing UAT. Familiarity with HL7, FHIR, and clinical coding systems (ICD, CPT, SNOMED). Excellent communication, stakeholder management, and problem-solving skills. Experience working in Agile/Scrum environments. Preferred Skills : Experience working in Agile/Scrum environments. We are committed to diversity and inclusivity in our hiring practices.
Posted 1 month ago
1.0 years
0 Lacs
Navi Mumbai, Maharashtra
On-site
Sr. Technical Support with a blended process at a company in Navi Mumbai. Here are the key details: Job Title: Sr. Customer Support Associates || Technical Support (Blended Process) Location: Navi Mumbai Salary: Up to 6.50 LPA Work Mode: Work From Office (Please Note: No pick-up/drop facility. Candidates will need to manage their own commute) Shift: Rotational Shifts & Rotational Week Offs Working Days: 5 days a week (Rotational) Joining: Immediate joiners preferred Candidate Criteria: Minimum 10th Passed. Minimum 1 year of experience in Technical Support with a Blended Process (Voice & Chat) in International BPO. Prior knowledge or experience in US Healthcare processes and EMR systems is an added advantage. Excellent verbal and written communication skills. Neutral accent appropriate for US-based customer interactions. Must be comfortable working on rotational shifts aligned with the EST time zone, along with rotating weekly offs. Must be comfortable with Work From Office (no pick-up or drop facility). Must be comfortable handling both voice calls and chat support. Preferred Skills & Competencies: Strong problem-solving, troubleshooting, and analytical abilities. Ability to thrive in a fast-paced, high-volume support environment. Familiarity with EMR systems such as Epic, Cerner, Athenahealth, and DrChrono is a strong advantage. Understanding of HIPAA regulations and healthcare industry compliance standards is preferred. Experience using CRM/ticketing tools like Zendesk, Salesforce, or similar platforms. Detail-oriented with excellent organizational and time-management skills. Fast learner with adaptability to evolving business and technology landscapes. Roles & Responsibilities: Deliver outstanding technical support and customer service via voice, email, and chat. Troubleshoot and resolve customer issues with accuracy and professionalism, adhering to SLAs and operational guidelines. Manage cases end-to-end with timely follow-ups and updates. Collaborate with internal teams and escalate issues where necessary. Handle multiple communication channels while maintaining service quality and professionalism. Job Types: Full-time, Permanent Pay: Up to ₹650,000.00 per year Benefits: Provident Fund Shift: Rotational shift Ability to commute/relocate: Navi Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (Required) Application Question(s): This is a pure rotational shift job with rotational week-off. No commute provided by the company. Are you ready to commute on your own for this job? Education: Secondary(10th Pass) (Required) Experience: Technical support: 1 year (Required) Language: English (Required) Location: Navi Mumbai, Maharashtra (Required) Work Location: In person
Posted 1 month ago
5.0 years
0 Lacs
Gurgaon
On-site
Position Summary: We are seeking a highly motivated and experienced Business Analyst (BA) to act as a critical liaison between our Clients and the Rackspace technical delivery team. The BA will be responsible for eliciting, analyzing, validating, and documenting business requirements related to data ingestion, processing, storage, reporting, and analytics. This role requires a strong understanding of business analysis principles, data concepts, and the ability to quickly grasp the nuances of airline operations (both passenger and cargo) and their supporting systems. Key Responsibilities: Requirement Elicitation & Analysis: Collaborate closely with client stakeholders across various departments to understand their business processes, pain points, and data needs. Conduct workshops, interviews, and document analysis to elicit detailed functional and non-functional requirements for the data platform. Analyze data originating from diverse source systems Translate business needs into clear, concise, and actionable requirements documentation (e.g., user stories, use cases, business process models, data mapping specifications). Data Focus: Analyse source system data structures and data relationships relevant to business requirements. Define business rules for data transformation, data quality, and data validation. Develop detailed source-to-target data mapping specifications in collaboration with data architects and engineers. Define requirements for reporting, dashboards, and analytical use cases, identifying key metrics and KPIs. Contribute to the definition of data governance policies and procedures from a business perspective Stakeholder Management & Communication Serve as the primary bridge between the airline client's business users and the Rackspace technical team (Data Engineers, Data Architects). Clearly articulate business requirements and context to the technical team and translate technical considerations back to the business stakeholders. Facilitate effective communication and collaboration sessions. Documentation & Support Create and maintain comprehensive requirements documentation throughout the project. Develop process flow diagrams (As-Is and To-Be) to visualize data flows. Assist in the creation of test cases and scenarios. Support User Acceptance Testing (UAT) by clarifying requirements and validating results against business needs. Support project management activities, including scope management and change request analysis. Required Qualifications Bachelor's degree in Business Administration, Information Systems, Computer Science, or a related field. 5+ years of experience as a Business Analyst, with a proven track record on data-centric projects (e.g., Data Warehousing, Business Intelligence, Data Analytics, Data Migration, Data Platform implementation). Strong analytical and problem-solving skills with the ability to understand complex business processes and data landscapes. Excellent requirements elicitation techniques (interviews, workshops, surveys, document analysis). Proficiency in creating standard BA artifacts (BRDs, User Stories, Use Cases, Process Flows, Data Mapping). Exceptional communication (written and verbal), presentation, and interpersonal skills. Experience working directly with business stakeholders at various levels. Ability to manage ambiguity and work effectively in a fast-paced, client-facing environment. Understanding of data modelling principles. Preferred Qualifications Experience working within the healthcare industry (knowledge of clinical workflows, EHR/EMR systems, medical billing, patient data privacy, care coordination, or public health analytics is a significant plus). Specific experience analyzing data from or integrating with systems like Epic, Cerner, Meditech, Allscripts, or other healthcare-specific platforms . Proficiency in SQL for data analysis and querying. Familiarity with Agile/Scrum methodologies. Experience with BI and data visualization tools (e.g., Tableau, Power BI, Qlik). CBAP or similar Business Analysis certification. About Rackspace Technology We are the multicloud solutions experts. We combine our expertise with the world’s leading technologies — across applications, data and security — to deliver end-to-end solutions. We have a proven record of advising customers based on their business challenges, designing solutions that scale, building and managing those solutions, and optimizing returns into the future. Named a best place to work, year after year according to Fortune, Forbes and Glassdoor, we attract and develop world-class talent. Join us on our mission to embrace technology, empower customers and deliver the future. More on Rackspace Technology Though we’re all different, Rackers thrive through our connection to a central goal: to be a valued member of a winning team on an inspiring mission. We bring our whole selves to work every day. And we embrace the notion that unique perspectives fuel innovation and enable us to best serve our customers and communities around the globe. We welcome you to apply today and want you to know that we are committed to offering equal employment opportunity without regard to age, color, disability, gender reassignment or identity or expression, genetic information, marital or civil partner status, pregnancy or maternity status, military or veteran status, nationality, ethnic or national origin, race, religion or belief, sexual orientation, or any legally protected characteristic. If you have a disability or special need that requires accommodation, please let us know.
Posted 1 month ago
10.0 years
0 Lacs
India
Remote
Job Title: Solution Architect – Healthcare Domain (Remote) Location: Remote Employment Type: Full-time Reporting To: Director of Technology / VP of Engineering About the Role: We are looking for an experienced Solution Architect with deep cross-domain expertise and a strong focus on the healthcare industry to lead solutioning, architecture, and delivery for our client portfolio. The ideal candidate will have hands-on experience working with US healthcare clients and a proven track record of managing APAC-based technical teams for global delivery. As a Solution Architect, you will play a strategic role in bridging the gap between business needs and technology solutions, with a strong focus on system integration, data architecture, and scalable design patterns in healthcare environments (e.g., EHR/EMR systems, FHIR, HL7, HIPAA compliance). Key Responsibilities: Lead the architectural design and technical vision for complex, multi-domain solutions with a strong emphasis on healthcare data and integration. Work closely with US-based clients to gather requirements, provide technical leadership, and define future-state architectures. Collaborate with cross-functional teams including product managers, business analysts, and developers to align business goals with scalable technical solutions. Manage and mentor APAC-based delivery teams, ensuring quality, consistency, and timely execution across all projects. Own end-to-end solution design from ideation and planning through to implementation and handoff. Stay up to date with emerging technologies, frameworks, and compliance standards in healthcare technology and broader enterprise environments. Serve as a trusted advisor to clients, providing guidance on architecture best practices, performance optimization, and digital transformation strategies. Required Qualifications: 10+ years of experience in enterprise software architecture, with at least 5 years in the healthcare domain. Proven experience working directly with US-based healthcare organizations (payers, providers, EHR vendors, etc.). Strong understanding of healthcare data standards and protocols (FHIR, HL7, HIPAA, ICD, CPT, etc.). Demonstrated experience in leading remote teams, preferably based in APAC, and delivering high-impact, scalable solutions. Deep knowledge across multiple technology domains: application architecture, cloud infrastructure (AWS/Azure), data engineering, integration middleware, and APIs. Familiarity with modern architecture patterns such as microservices, event-driven systems, and serverless computing. Strong communication and stakeholder management skills, with an ability to present to both technical and non-technical audiences. Preferred Qualifications: Experience with healthcare platforms such as Epic, Cerner, Salesforce Health Cloud, or Allscripts. Prior experience in global delivery models, including agile development and DevOps practices. Master’s degree in Computer Science, Information Systems, or a related field. Certifications in cloud architecture (AWS/Azure/GCP) and/or healthcare IT (e.g., HL7, FHIR, HIPAA). What We Offer: 100% remote work environment with flexible working hours Opportunity to work with top-tier US clients in the healthcare space Collaborative, growth-oriented team culture Competitive compensation and performance incentives Professional development and certification support
Posted 1 month ago
5.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Job Description We are excited to hire a Senior Team Lead, Client Support, at Oracle Cerner. As Senior Team Lead, Client Support, you will be responsible to direct the day-to-day operations of associates assigned to perform solution-related service request investigation, incident resolution, and application maintenance. You will monitor production support ticket queues. You will manage the creation and maintenance of knowledge databases to support business processes to deliver more efficient problem identification and resolution. You will analyze incoming ticket data and seek opportunities to balance resources, improve processes and increase productivity. You will identify client and solution delivery satisfaction issues, manage client expectations, and develop plans to exceed client expectations. You will plan, delegate and direct the team’s day-to-day work to achieve operational targets or objectives with contribution to the immediate results for the team. You will communicate policies, practices and procedures within immediate area of responsibility to stakeholders within the team. You will identify and plan team-level quality and process improvement initiatives Deliver consistent and timely training, guidance and feedback to encourage associate success. You will provide input on staffing and performance decisions for direct reports. You will supervise a team associates. The candidates need to be willing to work on on-call support and open to work in different shifts Career Level - M1 Responsibilities You will be responsible to seek to understand disagreements, ensure all perspectives are heard, and facilitate a plan for resolution. You will be responsible to delegate the work appropriately, provide clear expectations and follow up to ensure progress and overcome roadblocks. You will be responsible to identify associates and team priorities based on business direction and adjust when needed. You will be responsible to lead by example and share knowledge and experiences with associates and the team. You will also be responsible to create a respectful work environment where you advocate for your team, create accountability and recognize accomplishments. You will be responsible to provide timely feedback to encourage success, ensure accountability and connect opportunities for your associates' development. You will also be responsible to identify the right talent to achieve the desired results. You will be responsible to promote and build a diverse and cohesive team to accomplish objectives and align associates' skills to fill gaps. Basic Qualifications: At least 5 years total combined related work experience and completed higher education, including: At least 2 years of Product/technical support work experience At least 4 years of additional work experience directly related to the duties of the job and/or completed higher education, including:Bachelor's Degree or High School Diploma Expectations: Perform other responsibilities as assigned. Willing to work in Shift timings – 5.30pm to 2.30am IST. Should have excellent communication and problem solving skills Qualifications Career Level - M1 About Us As a world leader in cloud solutions, Oracle uses tomorrow’s technology to tackle today’s challenges. We’ve partnered with industry-leaders in almost every sector—and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That’s why we’re committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We’re committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_mb@oracle.com or by calling +1 888 404 2494 in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans’ status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
Posted 1 month ago
1.0 years
0 Lacs
New Delhi, Delhi, India
On-site
Job Title: Billing Executive – Eligibility and Insurance Verification Location: Jhandewalan, New Delhi - 110055 Job Type: Full-Time I 5 Days Working How to Apply: Interested candidates can share their CVs at hr@yogesher.com or +91-9310472822. About Us: Yogesher is a healthcare revenue cycle management and medical billing company offering global capabilities & specialised solutions. By using industry-leading technology combined with high- touch relationship building, we allow healthcare practitioners & facilities to focus on patient care, maintain financial independence, and cultivate financial success. An end-to-end value-added services partner for extended. Job Overview: The Billing Executive – Insurance & Eligibility Verification is responsible for verifying patients’ insurance coverage and eligibility before services are provided. This role ensures that all information related to patient insurance is accurate, up-to-date, and compliant with healthcare regulations. The Billing Executive will collaborate with patients, insurance carriers, and internal teams to ensure accurate claims processing, reduce errors, and improve revenue cycle efficiency. Key Responsibilities: 1. Insurance Verification: • Verify patient insurance coverage for all scheduled procedures and appointments by contacting insurance companies or utilizing online payer portals. • Confirm both primary and secondary insurance details for patients, including policy number, coverage start and end dates, benefits, and exclusions. • Ensure all insurance information is accurately documented in the billing system for claims submission. 2. Eligibility Verification: • Perform eligibility checks for insurance coverage by working directly with insurers or using payer-specific online verification systems. • Validate patient eligibility for services covered under their insurance plan, including any necessary co-pays, deductibles, and co-insurance amounts. • Resolve discrepancies in eligibility information and escalate issues to the appropriate team members or insurers. 3. Claims Support: • Ensure that all verified insurance and eligibility details are communicated to the billing team for accurate claim submissions. • Assist in identifying and resolving issues that may prevent accurate claims from being submitted, including eligibility gaps, coverage limitations, and prior authorization discrepancies. • Collaborate with the coding and billing teams to ensure smooth claim generation and prevent rejections due to inaccurate or incomplete insurance information. 4. Documentation & Reporting: • Document all insurance verification and eligibility activities accurately in the patient’s electronic health record (EHR) and billing system. • Generate reports on insurance verification results, documenting any denied or unresolved eligibility issues for follow-up. • Provide periodic updates to management on the status of insurance verifications and eligibility checks. Qualifications: • At least 1-2 years of experience in insurance verification, eligibility verification, or billing within the U.S. healthcare system. • Experience working with various insurance plans, including Medicare, Medicaid, PPO, HMO, and commercial insurance. • Familiarity with insurance verification software and payer portals. Desirable Skills & Experience: • Excellent communication skills for both patient interactions and internal coordination with the billing team and insurance providers. • Strong attention to detail, ensuring all information is entered accurately to prevent billing errors. • Ability to work independently, manage multiple priorities, and meet deadlines. • Proficient in Microsoft Office Suite (Word, Excel, Outlook) and healthcare billing systems (such as Epic, Cerner, Meditech). • In-depth knowledge of HIPAA regulations and patient confidentiality guidelines. How to Apply: Interested candidates can share their CVs at hr@yogesher.com or +91-9310472822 .
Posted 1 month ago
4.0 - 8.0 years
10 - 20 Lacs
Hyderabad, Pune, Bengaluru
Hybrid
Must Have: • 3-6 years of hands-on experience in HL7 interfaces build on Epic/Cerner/Allscripts or integration engines such as Cloverleaf and Health Connect • Understand US healthcare workflows • Experienced in performing configuration changes and system builds in Epic EHR (Electronic Health Record) platform • Experience in Agile development methodology. • Ability to perform estimation of work products. • Ability to understand Service Level Agreement (SLA) methodology and follow the same as per engagement requirements. • Perform problem management activities such as Root cause analysis of incidents. • Excellent documentation skills such as - Application understanding, change management etc. • Good interpersonal and communication skills • Flexibility to adapt and apply innovation to varied business domain and apply technical solutioning and learnings to use cases across business domains and industries • Knowledge and experience working with Microsoft Office tools Good to Have: • Epic bridges certification (not mandatory) • Cloverleaf or HealthConnect certification (not mandatory) • Excellent documentation skills such as - Application understanding, change management etc • Ability to follow engagement specific project delivery processes • Proactive drive on improvement and innovation ideas
Posted 1 month ago
5.0 years
0 Lacs
Gurgaon, Haryana, India
On-site
Position Summary: We are seeking a highly motivated and experienced Business Analyst (BA) to act as a critical liaison between our Clients and the Rackspace technical delivery team. The BA will be responsible for eliciting, analyzing, validating, and documenting business requirements related to data ingestion, processing, storage, reporting, and analytics. This role requires a strong understanding of business analysis principles, data concepts, and the ability to quickly grasp the nuances of airline operations (both passenger and cargo) and their supporting systems. Key Responsibilities: Requirement Elicitation & Analysis: Collaborate closely with client stakeholders across various departments to understand their business processes, pain points, and data needs Conduct workshops, interviews, and document analysis to elicit detailed functional and non-functional requirements for the data platform Analyze data originating from diverse source systems Translate business needs into clear, concise, and actionable requirements documentation (e.g., user stories, use cases, business process models, data mapping specifications) Data Focus: Analyse source system data structures and data relationships relevant to business requirements Define business rules for data transformation, data quality, and data validation Develop detailed source-to-target data mapping specifications in collaboration with data architects and engineers Define requirements for reporting, dashboards, and analytical use cases, identifying key metrics and KPIs Contribute to the definition of data governance policies and procedures from a business perspective Stakeholder Management & Communication Serve as the primary bridge between the airline client's business users and the Rackspace technical team (Data Engineers, Data Architects) Clearly articulate business requirements and context to the technical team and translate technical considerations back to the business stakeholders Facilitate effective communication and collaboration sessions Documentation & Support Create and maintain comprehensive requirements documentation throughout the project Develop process flow diagrams (As-Is and To-Be) to visualize data flows Assist in the creation of test cases and scenarios Support User Acceptance Testing (UAT) by clarifying requirements and validating results against business needs Support project management activities, including scope management and change request analysis Required Qualifications Bachelor's degree in Business Administration, Information Systems, Computer Science, or a related field 5+ years of experience as a Business Analyst, with a proven track record on data-centric projects (e.g., Data Warehousing, Business Intelligence, Data Analytics, Data Migration, Data Platform implementation) Strong analytical and problem-solving skills with the ability to understand complex business processes and data landscapes Excellent requirements elicitation techniques (interviews, workshops, surveys, document analysis) Proficiency in creating standard BA artifacts (BRDs, User Stories, Use Cases, Process Flows, Data Mapping) Exceptional communication (written and verbal), presentation, and interpersonal skills Experience working directly with business stakeholders at various levels Ability to manage ambiguity and work effectively in a fast-paced, client-facing environment Understanding of data modelling principles Preferred Qualifications Experience working within the healthcare industry (knowledge of clinical workflows, EHR/EMR systems, medical billing, patient data privacy, care coordination, or public health analytics is a significant plus) Specific experience analyzing data from or integrating with systems like Epic, Cerner, Meditech, Allscripts, or other healthcare-specific platforms Proficiency in SQL for data analysis and querying Familiarity with Agile/Scrum methodologies Experience with BI and data visualization tools (e.g., Tableau, Power BI, Qlik) CBAP or similar Business Analysis certification About Rackspace Technology We are the multicloud solutions experts. We combine our expertise with the world’s leading technologies — across applications, data and security — to deliver end-to-end solutions. We have a proven record of advising customers based on their business challenges, designing solutions that scale, building and managing those solutions, and optimizing returns into the future. Named a best place to work, year after year according to Fortune, Forbes and Glassdoor, we attract and develop world-class talent. Join us on our mission to embrace technology, empower customers and deliver the future. More on Rackspace Technology Though we’re all different, Rackers thrive through our connection to a central goal: to be a valued member of a winning team on an inspiring mission. We bring our whole selves to work every day. And we embrace the notion that unique perspectives fuel innovation and enable us to best serve our customers and communities around the globe. We welcome you to apply today and want you to know that we are committed to offering equal employment opportunity without regard to age, color, disability, gender reassignment or identity or expression, genetic information, marital or civil partner status, pregnancy or maternity status, military or veteran status, nationality, ethnic or national origin, race, religion or belief, sexual orientation, or any legally protected characteristic. If you have a disability or special need that requires accommodation, please let us know.
Posted 1 month ago
3.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Title: Healthcare AR Specialist Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a dynamic US healthcare revenue cycle team transforming AR operations. We're seeking seasoned Healthcare Accounts Receivable (AR) Specialists with deep expertise in both hospital and physician billing. If you're a denial-resolution pro who thrives on results and knows your way around top-tier EMR and RCM tools, this role is tailor-made for you. Key Responsibilities Track and follow up on unpaid/denied claims using Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare compelling appeals with documentation. Communicate with US payers and patients to resolve payment discrepancies. Analyze AR aging reports to optimize collections and minimize outstanding receivables. Maintain compliant, audit-ready documentation aligned with HIPAA and payer guidelines. Collaborate across coding, billing, and revenue cycle teams for seamless workflows. Prepare reports and KPIs to monitor performance and identify trends in denials. Required Qualifications Minimum 3 years of experience in US medical AR with a strong track record in denial resolution and insurance follow-up. Hands-on experience in both hospital (UB04) and physician (CMS-1500) billing workflows. Proficient in EMR/RCM systems including Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Solid understanding of CPT, ICD-10, and HCPCS coding standards. Excellent communication, analytical, and time management skills. Preferred Qualifications Bachelor’s degree in life sciences, healthcare, finance, or a related discipline. Certifications such as CMRS, CRCR, or similar. Experience with Medicare, Medicaid, and commercial payers. Why Join Us? Join a high-performance team revolutionizing healthcare revenue cycles. Leverage industry-leading platforms and best practices. Gain in-depth exposure to advanced US RCM operations. Take advantage of continuous learning and career growth. Note: This opportunity is exclusively for candidates with professional experience in Healthcare Accounts Receivable (AR). Applicants outside of this specialization will not be considered.
Posted 1 month ago
3.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Title: Healthcare AR Specialist. Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team! We’re hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. Key Responsibilities: Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications: 3+ years of experience in US medical AR, denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes, and AR workflows. Hospital medical billing experience with UB04 claims. Excellent communication, analytical, and time management skills. Preferred: Bachelor’s degree in life sciences, healthcare, finance, or a related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us? Be a part of a high-performance team transforming healthcare revenue cycles! Work with industry-leading tools and processes. Gain exposure to advanced US RCM operations. Access ongoing training and career progression opportunities.
Posted 1 month ago
2.0 years
2 - 6 Lacs
Cochin
On-site
We are looking for a certified and detail-oriented Medical Coder to join our growing healthcare team. The ideal candidate will accurately assign ICD-10, CPT, and HCPCS codes to diagnoses and procedures for proper billing and compliance. You will work closely with healthcare providers, billing teams, and auditors to ensure accuracy and regulatory adherence. Key Responsibilities: Review clinical documents and assign appropriate ICD-10-CM, CPT, and HCPCS codes Ensure coding accuracy and compliance with HIPAA and federal guidelines Collaborate with physicians to clarify documentation and coding Address coding-related denials and participate in audit resolution Stay up-to-date with coding standards and payer requirements Support revenue cycle operations to maximize reimbursement and minimize rejections Required Skills: Strong knowledge of anatomy, physiology, and medical terminology Proficiency with EHR systems like Epic, Cerner, or Meditech Excellent attention to detail and analytical skills Ability to work independently and manage deadlines Effective communication and documentation skills Qualifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent Minimum of 2 years’ experience in medical coding (inpatient, outpatient, or specialty-specific) Experience in HCC Coding preferred Degree in Life Sciences or a related field Benefits: Competitive salary and performance-based incentives Health, dental, and vision insurance 401(k) plan with employer match Paid time off and public holidays Opportunities for continued education and certification support How to Apply: Send your resume to recruitment@medcodeservices.com Please include your certification details and relevant work experience in your application. Job Type: Full-time Pay: ₹20,000.00 - ₹50,000.00 per month Benefits: Health insurance Life insurance Provident Fund Schedule: Day shift Morning shift Night shift Rotational shift Application Question(s): Do you have medical coding experience? Are you Certified Medical Coder? Work Location: In person
Posted 1 month ago
6.0 years
0 Lacs
Ganganagar, Rajasthan, India
On-site
34666BR Bangalore Job Description Discern CCL/DA2/Rules/Domain Management/Device Integration Summary The Solution Consultants for CCL, DA2, Rules, Domain Management, and Device Integration configures, tests, and supports rule engines, domain management, and device integrations across all Cerner Millennium modules, ensuring performance, reliability, and compliance. Core Responsibilities Discern CCL script development, DA2 extract design, and domain management. Oversee custom rule creation to support clinical decision support, alerts, and exception handling across modules. Collaborate with offshore teams on reusable libraries, coding standards, and low-level design artifacts. Conduct impact analyses for rule and interface changes; ensure performance optimization and maintainability. Serve as the primary escalation point for rule engine and device integration issues; lead root-cause analysis. Engage clinical informatics, device management, and IT security to validate standards and ensure compliance. Technical Skills & Certifications Expert proficiency in CCL, DA2, domain management, and Cerner rules engine. Strong background in Oracle/SQL, scripting, and performance tuning. Experience 4–6 years of exp in rule engines, data extracts, and device integrations in Cerner environments. Proven track record delivering reusable, high-performance scripts and interface patterns. Soft Skills Exceptional analytical and problem-solving skills. Excellent communication and governance facilitation abilities. Collaborative and detail-oriented approach. Qualifications B.Tech Range of Year Experience-Min Year 4 Range of Year Experience-Max Year 6
Posted 1 month ago
6.0 years
0 Lacs
Ganganagar, Rajasthan, India
On-site
34665BR Bangalore Job Description Orcle Cerner Module: HIE & Integration & Consumer Summary The HIE & Integration & Consumer Solution Consultants configures, tests, and supports Health Information Exchange (HIE) and consumer-facing applications, ensuring seamless data flow across internal systems, external partners, and patient portals. Core Responsibilities Define standards for message transformation, routing, and security protocols (OAuth2, TLS). Oversee Discern CCL/DA2 rule development for data aggregation, consent management, and population health reporting. Conduct impact analyses for new integrations, upgrades, and compliance with interoperability regulations (TEFCA, 21st Century Cures). Serve as escalation point for complex integration or security issues; lead root-cause investigations and remediation. Mentor consultants on integration best practices, API management, and consumer health access. Engage interoperability leadership, security, and IT governance to validate architecture and obtain stakeholder buy-in. Technical Skills & Certifications In-depth configuration experience with Cerner Integration Engine, HIE frameworks, and consumer health modules. Proficiency in CCL, DA2, domain management, HL7, FHIR, IHE, and API security standards. Experience 4–6 years of Cerner enterprise integrations and HIE solutions in large health systems. Proven track record implementing consumer health applications and interoperability platforms. Soft Skills Strong stakeholder management across clinical, technical, and external partner groups. Strategic thinker with excellent communication and facilitation skills. Collaborative and detail-oriented approach. Qualifications B.Tech Range of Year Experience-Min Year 4 Range of Year Experience-Max Year 6
Posted 1 month ago
6.0 years
0 Lacs
Ganganagar, Rajasthan, India
On-site
34664BR Bangalore Job Description Orcle Cerner Module: Revenue Cycle – Back End Summary The Revenue Cycle – Back End Solution Consultant configures, tests, and supports billing and claim processing workflows, delivering compliant and efficient processes. Core Responsibilities Configure charge capture rules, claim generation parameters, and remittance posting settings per approved designs. Develop and validate DA2 extracts for billing edits, claim scrubbing, and post-adjudication reporting. Execute unit, integration, and UAT testing; document outcomes and coordinate defect resolution with offshore teams. Provide tier-2 support for back-end revenue cycle workflows. Assist in migrating charge, claim, and remittance data. Maintain comprehensive configuration documentation and knowledge base articles. Monitor claims transaction performance and recommend process optimizations. Technical Skills & Certifications In-depth configuration experience with Cerner billing and claims modules. Familiarity with data validation and financial reporting. Experience 4–6 years of Cerner back-end revenue cycle implementation or support. Demonstrated ability to resolve complex billing and claims issues. Soft Skills Strong analytical and problem-solving skills. Excellent communication with finance, clinical, and technical stakeholders. Collaborative and detail-oriented approach. Qualifications B.Tech Range of Year Experience-Min Year 4 Range of Year Experience-Max Year 6
Posted 1 month ago
6.0 years
0 Lacs
Ganganagar, Rajasthan, India
On-site
34663BR Bangalore Job Description Orcle Cerner Module: Revenue Cycle – Back End Summary The Revenue Cycle – Back End Solution Consultant configures, tests, and supports billing and claim processing workflows, delivering compliant and efficient processes. Core Responsibilities Configure charge capture rules, claim generation parameters, and remittance posting settings per approved designs. Develop and validate DA2 extracts for billing edits, claim scrubbing, and post-adjudication reporting. Execute unit, integration, and UAT testing; document outcomes and coordinate defect resolution with offshore teams. Provide tier-2 support for back-end revenue cycle workflows. Assist in migrating charge, claim, and remittance data. Maintain comprehensive configuration documentation and knowledge base articles. Monitor claims transaction performance and recommend process optimizations. Technical Skills & Certifications In-depth configuration experience with Cerner billing and claims modules. Familiarity with data validation and financial reporting. Experience 4–6 years of Cerner back-end revenue cycle implementation or support. Demonstrated ability to resolve complex billing and claims issues. Soft Skills Strong analytical and problem-solving skills. Excellent communication with finance, clinical, and technical stakeholders. Collaborative and detail-oriented approach. Qualifications B.Tech Range of Year Experience-Min Year 4 Range of Year Experience-Max Year 6
Posted 1 month ago
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