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6.0 years
0 Lacs
Ganganagar, Rajasthan, India
On-site
34662BR 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
34648BR Bangalore Job Description Orcle Cerner Module: Lab Summary The Lab Solution Consultant configures, tests, and supports Cerner Millennium Lab modules, including PathNet, and Lab Data Repository, ensuring robust lab workflows and interfaces. Core Responsibilities Configure Lab module settings: specimen workflows, test catalogs, result reporting, and PathNet/Spectra interface mappings. Execute unit, integration, and UAT testing; document findings and manage defect resolution with offshore teams. Provide tier-2 support for lab systems, ensuring timely incident closure. Assist in data migration of lab catalogs, historical results, and interface configurations. Maintain detailed runbooks, SOPs, and knowledge base articles for lab workflows. Monitor system performance and recommend optimizations for high-volume testing environments. Experience 4–6 years of Cerner Lab implementation/support, including PathNet and LIMS integrations. Deep experience with PathNet modules (GL, AP, Blood Bank, Micro) Demonstrated ability to troubleshoot complex lab workflows. Soft Skills Strong analytical and detail-oriented skills. Excellent communication with lab and IT stakeholders. Collaborative approach and adaptability. 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
34649BR Bangalore Job Description Orcle Cerner Module: Lab Summary The Lab Solution Consultant configures, tests, and supports Cerner Millennium Lab modules, including PathNet, and Lab Data Repository, ensuring robust lab workflows and interfaces. Core Responsibilities Configure Lab module settings: specimen workflows, test catalogs, result reporting, and PathNet/Spectra interface mappings. Execute unit, integration, and UAT testing; document findings and manage defect resolution with offshore teams. Provide tier-2 support for lab systems, ensuring timely incident closure. Assist in data migration of lab catalogs, historical results, and interface configurations. Maintain detailed runbooks, SOPs, and knowledge base articles for lab workflows. Monitor system performance and recommend optimizations for high-volume testing environments. Experience 4–6 years of Cerner Lab implementation/support, including PathNet and LIMS integrations. Deep experience with PathNet modules (GL, AP, Blood Bank, Micro) Demonstrated ability to troubleshoot complex lab workflows. Soft Skills Strong analytical and detail-oriented skills. Excellent communication with lab and IT stakeholders. Collaborative approach and adaptability. Qualifications B.Tech Range of Year Experience-Min Year 4 Range of Year Experience-Max Year 6
Posted 1 month ago
40.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Job Description Key Responsibilities: Perform impact analysis on database and configuration changes. Subject matter expert in Support tooling and processes Expansive solution knowledge that crosses multiple solution teams Alignment to organization or venue wide inititiatives and projects Guide clients through current workflows, upgrades, system changes, and enhancements. Resolve complex issues in a timely manner, mentor new associates and provide SME advice. Comprehensive understanding of Millennium foundation, build, and integration points Should have working knowledge on CCL (Cerner Command Language), Discern Explorer, Discern Visual Developer, and Olympus. Perform complex troubleshooting investigations, document notes, and knowledge articles. Responsibilities This role/position will play a key role, in providing quicker resolution to the requests logged by our International Customers. Sr. Solution Architect will not just guide our Oracle Health Customers on solution and workflow improvement but will also steer the Production Support Team and enable them to adhere to Organizational KRs such as Responsiveness KPI, adhering to the SLA contract and Customer satisfaction for our Oracle Health Client. This position would be supporting Pharmacy product/solution of Oracle Health for our International Customers. Qualifications Career Level - IC3 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
5.0 years
4 - 6 Lacs
Thanjāvūr
On-site
We are seeking an experienced Revenue Cycle Management (RCM) Operating Manager to oversee daily operations, optimize processes, and lead a team of professionals responsible for the end-to-end revenue cycle. This role is essential for ensuring efficient, accurate, and compliant billing practices, maximizing revenue capture, and enhancing financial performance. The ideal candidate has a strong background in healthcare RCM, excellent analytical skills, and leadership experience in a fast-paced environment. Key Responsibilities Oversee RCM Operations: Manage all aspects of the revenue cycle, including patient registration, insurance verification, claims submission, payment posting, accounts receivable, and collections. Process Improvement: Identify inefficiencies in the RCM process and develop and implement strategic initiatives to streamline workflows and improve key performance indicators (KPIs). Compliance and Regulatory Adherence: Ensure compliance with healthcare regulations and payer policies. Keep updated with industry trends, Medicare/Medicaid regulations, and other payer guidelines. Team Leadership: Lead, train, and mentor a team of billing, coding, and collections specialists. Foster a culture of accountability, collaboration, and continuous learning. Data Analysis and Reporting: Use data to monitor RCM performance, identify trends, and create reports on productivity, collection rates, and other metrics. Present insights and recommendations to senior management. Stakeholder Collaboration: Collaborate with clinical, finance, and IT departments to align revenue cycle processes with overall business objectives and improve patient experience. Vendor Management: Manage relationships with third-party vendors and ensure that their services meet organizational standards and goals. Problem Resolution: Resolve complex billing issues, manage escalated cases, and work with payers to ensure timely payment. Required Qualifications Education: Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (Master’s degree preferred). Experience: Minimum of 5 years in healthcare revenue cycle management, with at least 2 years in a supervisory or managerial role. Technical Skills: Proficiency with RCM software (e.g., Epic, Cerner, ECW or similar), Microsoft Office, and data analysis tools. Knowledge: In-depth knowledge of medical billing codes, claims processing, payer requirements, and healthcare regulations. Leadership Skills: Demonstrated ability to lead and motivate teams, drive performance, and manage through change. Analytical Skills: Strong problem-solving abilities, with experience in data-driven decision-making. Communication: Excellent verbal and written communication skills, with the ability to present complex information to various stakeholders. Preferred Qualifications Industry Knowledge: Familiarity with healthcare policies, including HIPAA, and an understanding of healthcare reform trends and impacts on revenue cycle management. Job Type: Full-time Pay: ₹40,000.00 - ₹55,000.00 per month Schedule: Day shift US shift Work Location: In person
Posted 1 month ago
0 years
0 Lacs
Hyderābād
On-site
Location: Hyderabad, Telangana Time type: Full time Job level: Senior Associate Job type: Regular Category: Technology Consulting ID: JR113545 About us We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, inclusive culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. Senior Associate, Healthcare Systems Implementation Consultant RSM's National Healthcare Consulting practice is hiring for a Healthcare Systems Implementation Consultant who will participate in all aspects of the systems implementation life cycle related to the integration of leading healthcare IT applications. This work will include defining customer requirements, system configuration, testing, training, and go-live support. In addition, this role will support strategic IT projects such as IT systems assessments, software selections, and roadmap development. The Consultant will be part of a multi-disciplined project team and will work collaboratively with both fellow consulting and client team members. As a member of the RSM's National Healthcare consulting practice, you will join professionals with a broad knowledge of the Healthcare industry including financial analysis and revenue cycle management, regulatory reporting and compliance, HIPAA privacy, security, and Healthcare IT. The Healthcare Systems Implementation Consultant will also have a basic understanding of the consulting cycle process within the healthcare industry. As a key contributor, he/she will support the building of a world-class healthcare practice through listening to client needs, proposal development and presentation of solutions. Responsibilities Implement leading packaged software solutions that have been developed to accommodate healthcare business and management processes, regulatory requirements, and other business needs such as Epic, Cerner, and Solventum (3M) solutions. Deploy innovative healthcare industry-specific solutions Assess current state workflow and work with the implementation team to validate proposed future state fits with overall project objectives Identify, assess, and solve complex business integration problems where analysis of situations or data requires an in-depth evaluation of variable factors Work interactively with clients and client team members to configure, test, and validate the software application environment Contribute to IT systems assessments and software selection projects Train client personnel on new processes/systems Travel as needed. Travel will be limited initially but may increase and include international travel to support system implementation efforts Qualifications Bachelor's degree in Computer Science, Health Information Management, or a similar program. Minimum of four years' experience with systems implementation projects and assessments. Direct experience with the implementation of software in a healthcare setting Prior consulting experience Experience with leading electronic health records systems (e.g. Epic, Cerner) Experience with Clinical Coding, and Clinical Documentation (e.g. Solventum (3M) 360 Encompass) is a plus Experience with Patient Engagement and CRM solutions is a plus At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at https://rsmus.com/careers/india.html. RSM does not tolerate discrimination and/or harassment based on race; colour; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender (including gender identity and/or gender expression); sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the Indian Armed Forces; Indian Armed Forces Veterans, and Indian Armed Forces Personnel status; pre-disposing genetic characteristics or any other characteristic protected under applicable provincial employment legislation. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please send us an email at careers@rsmus.com.
Posted 1 month ago
5.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Outpatient Clinical Documentation Improvement (CDI) Specialist Location: Hyderabad, India Employment Type: Full-Time Position Summary The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. This role collaborates with healthcare providers, coding staff, and compliance teams to improve documentation quality, support accurate coding, and ensure appropriate reimbursement while maintaining regulatory compliance. The CDI Specialist plays a critical role in enhancing patient care quality, data integrity, and revenue cycle efficiency in an outpatient setting. Key Responsibilities Documentation Review : Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient’s clinical condition, treatment, and services provided. Provider Education: Collaborate with physicians, nurse practitioners, and other healthcare providers to educate them on documentation best practices, including specificity and completeness to support accurate coding and billing. Query Process : Issue compliant, non-leading queries to providers to clarify ambiguous, incomplete, or conflicting documentation, ensuring alignment with ICD-10-CM, CPT, and Outpatient coding guidelines. Coding Support : Work closely with coding and billing teams to ensure documentation supports appropriate code assignment, risk adjustment, and reimbursement. Compliance : Ensure documentation meets regulatory requirements, including CMS, HIPAA, and other federal and state guidelines, to minimize audit risks. Data Analysis : Monitor and analyze documentation trends, identifying opportunities for improvement in clinical documentation processes and provider education. Quality Improvement : Participate in quality improvement initiatives to enhance patient outcomes, documentation accuracy, and organizational performance metrics. Qualifications Education : Life Science Graduate or Postgraduate. Experience : Minimum of 5 years of experience in clinical documentation improvement, medical coding, or outpatient healthcare settings. Strong knowledge of outpatient coding methodologies (ICD-10-CM, CPT, HCPCS) and risk adjustment models. Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Skills : Excellent understanding of clinical terminology, disease processes, and treatment protocols. Strong analytical skills to interpret clinical documentation and identify gaps. Exceptional communication and interpersonal skills to engage with providers and interdisciplinary teams. Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications Experience in outpatient or ambulatory care settings, such as clinics, physician practices, or urgent care facilities. Knowledge of value-based care models and their impact on documentation and reimbursement. Familiarity with payer-specific documentation requirements (e.g., Medicare Advantage, Medicaid). Requires the ability to work independently and collaboratively in a fast-paced environment. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes at Doctus. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity! How to Apply Please submit a resume and cover letter to recruiter@doctususa.com . Please include “Outpatient CDI Specialist Application” in the subject line.
Posted 1 month ago
5.0 years
0 Lacs
Kochi, Kerala, India
On-site
Experience : 5+ years Bachelor’s degree in Computer Science or equivalent education. Familiarity with Oracle, SQL Server, and XML schemas. Experience with source code repositories (e.g., Subversion, Team Foundation Server). Knowledge of SAP Solution Manager and SAC is a plus. Life Science/Hospitals experience preferred. Design and implement solutions to enhance business functionality and productivity using technology at an enterprise level. Lead and manage a team of developers and offshore resources. Work on data integration projects with SAP & Cerner, understanding database tables and relationships. Develop ETL (Extract, Transform, Load) processes, reporting, and testing. Optimize database queries and transform XML messages. Define and support business KPIs. Business Objects Data Services: Proficiency in SAP BODS is essential. You should have hands-on experience with data extraction, transformation, and loading using BODS. Database Knowledge: Familiarity with databases such as Oracle,Hana and SQL Server. Understanding database tables, relationships, and optimization techniques is crucial. ETL (Extract, Transform, Load): Strong skills in designing and implementing ETL processes. You’ll be responsible for data integration and reporting. XML and Web Services: Knowledge of XML schemas and working with XML messages. Understanding web services and APIs is beneficial.
Posted 1 month ago
0 years
0 Lacs
Hyderabad, Telangana, India
On-site
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, inclusive culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. Senior Associate, Healthcare Systems Implementation Consultant RSM's National Healthcare Consulting practice is hiring for a Healthcare Systems Implementation Consultant who will participate in all aspects of the systems implementation life cycle related to the integration of leading healthcare IT applications. This work will include defining customer requirements, system configuration, testing, training, and go-live support. In addition, this role will support strategic IT projects such as IT systems assessments, software selections, and roadmap development. The Consultant will be part of a multi-disciplined project team and will work collaboratively with both fellow consulting and client team members. As a member of the RSM's National Healthcare consulting practice, you will join professionals with a broad knowledge of the Healthcare industry including financial analysis and revenue cycle management, regulatory reporting and compliance, HIPAA privacy, security, and Healthcare IT. The Healthcare Systems Implementation Consultant will also have a basic understanding of the consulting cycle process within the healthcare industry. As a key contributor, he/she will support the building of a world-class healthcare practice through listening to client needs, proposal development and presentation of solutions. Responsibilities: Implement leading packaged software solutions that have been developed to accommodate healthcare business and management processes, regulatory requirements, and other business needs such as Epic, Cerner, and Solventum (3M) solutions. Deploy innovative healthcare industry-specific solutions Assess current state workflow and work with the implementation team to validate proposed future state fits with overall project objectives Identify, assess, and solve complex business integration problems where analysis of situations or data requires an in-depth evaluation of variable factors Work interactively with clients and client team members to configure, test, and validate the software application environment Contribute to IT systems assessments and software selection projects Train client personnel on new processes/systems Travel as needed. Travel will be limited initially but may increase and include international travel to support system implementation efforts Basic Qualifications: Bachelor's degree in Computer Science, Health Information Management, or a similar program. Minimum of four years' experience with systems implementation projects and assessments. Direct experience with the implementation of software in a healthcare setting Prior consulting experience Experience with leading electronic health records systems (e.g. Epic, Cerner) Experience with Clinical Coding, and Clinical Documentation (e.g. Solventum (3M) 360 Encompass) is a plus Experience with Patient Engagement and CRM solutions is a plus At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at https://rsmus.com/careers/india.html. RSM does not tolerate discrimination and/or harassment based on race; colour; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender (including gender identity and/or gender expression); sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the Indian Armed Forces; Indian Armed Forces Veterans, and Indian Armed Forces Personnel status; pre-disposing genetic characteristics or any other characteristic protected under applicable provincial employment legislation. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please send us an email at careers@rsmus.com.
Posted 1 month ago
2.0 years
0 Lacs
Andhra Pradesh, India
On-site
A career in our Managed Services team will provide you an opportunity to collaborate with a wide array of teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients to achieve better results, which ultimately allow them to provide better patient care. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future. As An Associate, You'll Work As Part Of a Team Of Problem Solvers, Helping To Solve Complex Business Issues From Strategy To Execution. PwC Professional Skills And Responsibilities For This Management Level Include But Are Not Limited To: Minimum Degree Required (BQ) *: Bachelor’s Degree Degree Preferred : Bachelor’s Degree Required Field(s) Of Study (BQ): Computer Science, Data Analytics, Accounting Preferred Field(s) Of Study: Minimum Year(s) of Experience (BQ) *: US 2 years of experience Certification(s) Preferred: Required Knowledge/Skills (BQ): Preferred Knowledge/Skills *: The quality control analyst conducts quality control audits of patient accounts referred to the Revenue Cycle Managed Services (RCMS) and assures company and client standards are maintained and the integrity of client services are preserved. The Quality Control Analyst will perform a variety of functions including, but not limited to: reviewing and monitoring accounts, identifying problems, analyzing trends and suggesting recommendations for improvements. This role consults with and takes direction from the Continuous Improvement Specialist to resolve quality and efficiency issues that may occur on any given project. Years of Experience: 2-4 years is required in the following areas:Medical collections (Medical Collections Specialist II preferred), billing and/or claims experience Customer service experience ll payer knowledge required (government and non-government) Responsibilities: As Quality Control Analyst specific responsibilities include but are not limited to: Performs quality control audits; reviews and monitors accounts. Identifies problems, analyzes cause and effect, and suggests recommendations for improvement; Provides daily constructive feedback based on account notation; Identifies areas of weakness and communicates recommendations on changes and improvement to Continuous Improvement Specialists; Document findings of analysis. May prepare reports and suggests recommendations of implementation of new systems, procedures or organizational changes; Relies on specific instructions and pre-established guidelines to perform the functions of the job; Possesses ability to be confidential; Supports company compliance by demonstrating adherence to all relevant compliance policies and procedures; demonstrates knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of sensitive information; Consults and collaborates with Continuous Improvement Specialist to identify and assess training needs based on work audited; Participate in quality control meetings; Possesses considerable leadership skills, fostering an atmosphere of trust; seeks diverse views to encourage improvement and innovation; coaches and develops staff through timely and meaningful written feedback; Possesses a cooperative and positive attitude toward management and co-workers by responding politely and professionally and being a valued team player; and, Exemplifies extensive knowledge of the hospital revenue cycle with specialization in healthcare billing, follow-up, and the account resolution process to include, but not limited to: claims submission, acceptance, and adjudication, transaction reviews, adjustment posting, identification of patient responsibility, etc. Required Knowledge and Skills: Good analytical and math skills. Able to document problems and assist in their resolution. Demonstrated ability exceeding all established department/client quality and productivity standards; Proven ability to lead by example and foster mentoring relationships. Strong written and oral communication skills. Computer and internet literate in an MS Office environment; and, Ability to establish and maintain effective working relationships. US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution US Healthcare Denials Management (technical and clinical) US Healthcare Underpayment/Payment Variance Management Experience Level: 2 to 4 years. Shift timings: Flexible to work in night shifts (US Time zone) Preferred Qualification: Bachelor’s degree in finance or Any Graduate JD Template -Corp Managed Svcs RCMS - Associate - Operate Field CAN be edited Field CANNOT be edited __________________________________________________________________ Job Summary - A career in our Managed Services team will give you an opportunity to collaborate with many teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team will provide you with the opportunity to act as an extension of our healthcare clients' revenue cycle functions. We specialize in front, middle and back-office revenue cycle functions for hospitals, medical groups, and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients to achieve better results, which ultimately allows them to provide better patient care. Minimum Degree Required (BQ) *: Bachelor’s Degree Preferred Field(s) Of Study: Minimum Year(s) of Experience (BQ) *: US 1 year of experience Required Knowledge/Skills (BQ): Preferred Qualification: Bachelor’s degree in finance or Any Graduate 2-4 years of progressive experience in healthcare revenue cycle management, with a focus on accounts receivable and claims resolution. Strong knowledge of medical billing processes, insurance reimbursement methodologies, and revenue cycle operations. Experience with healthcare billing software (e.g., Epic, Cerner, Meditech) and proficiency in Microsoft Office applications. Excellent leadership, communication, and interpersonal skills with the ability to mentor and motivate team members. Analytical mindset with the ability to interpret financial data, identify trends, and make data-driven decisions. Proven track record of achieving AR performance targets and improving revenue cycle efficiency. Experience Level: 2 to 4 years Shift timings: Flexible to work in night shifts (US Time zone) Preferred Knowledge/Skills *: Accounts Receivable Management: Oversee the accounts receivable process, including insurance and patient follow-up, to minimize outstanding balances. Monitor and analyze aging reports to prioritize and address delinquent accounts promptly. Implement strategies to improve collections and reduce accounts receivable days. Insurance And Payer Relations: Lead efforts in resolving complex insurance claim issues, including claim denials and underpayments. Establish and maintain relationships with insurance company representatives to facilitate prompt payment and claims processing. Stay updated on insurance policies, reimbursement regulations, and industry trends affecting revenue cycle operations. Patient Communication And Customer Service: Assist with escalated patient inquiries and complaints related to billing and insurance matters. Educate patients on insurance benefits, coverage details, and financial responsibilities. Collaborate with patient advocacy groups and financial counselors to ensure compassionate and effective patient interactions. Process Improvement And Training: Identify opportunities for process improvements within the revenue cycle management workflow. Develop training materials and conduct sessions to enhance the skills and knowledge of AR team members. Implement best practices to streamline AR operations and maximize efficiency. Reporting And Analysis: Generate and present regular reports on accounts receivable performance metrics, trends, and outcomes. Utilize data analytics to identify root causes of revenue cycle issues and implement corrective actions. PMS Experience: Epic HB & PB experience is Mandatory Compliance And Regulatory Adherence: Ensure compliance with HIPAA regulations, billing guidelines, and healthcare industry standards. Collaborate with compliance officers to implement and maintain effective internal controls.
Posted 1 month ago
40.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Job Description As a member of the Support organization, your focus is to deliver post-sales support and solutions to the Oracle Cerner's customer base while serving as an advocate for customer needs. This involves resolving post-sales non-technical customer inquiries via phone and electronic means, as well as, technical questions regarding the use of and troubleshooting for our Electronic Support Services. A primary point of contact for customers, you are responsible for facilitating customer relationships with Support and providing advice and assistance to clients in the US region as part of Tier II team of Application Management Services (AMS) business group providing Millennium Solutions support which is crucial to Oracle Cerner's global delivery since it oversees both incident management and change management Responsibilities In this role, you will provide guidance and real time resolution on a wide range of technical and non-technical customer issues including, but not limited to: product compatibility and configuration, license reconciliation, support entitlements and validation, electronic support troubleshooting and product configuration changes available. Also, you will be the point of contact for new customers, introducing and educating them on Oracle Cerner as a whole. You will also have the opportunity to gain knowledge of specific product areas within our core technologies and/or applications. Qualifications Career Level - IC0 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
2 - 3 Lacs
Mohali
On-site
Position Summary: The Patient Services Specialist serves as the first point of contact for patients, ensuring a positive and welcoming experience. This role is responsible for greeting patients, scheduling appointments, verifying insurance, managing patient records, handling phone inquiries, and coordinating with clinical staff to ensure efficient operations. Key Responsibilities: Greet patients and visitors in a courteous and professional manner Answer multi-line phones, direct calls, and respond to inquiries Schedule, confirm, and cancel appointments using the electronic medical records (EMR) system Verify insurance eligibility and obtain authorizations or referrals as needed Collect co-pays and process patient payments Maintain accurate and up-to-date patient records Assist patients with completing forms and understanding procedures Communicate effectively with medical staff and other departments Maintain patient confidentiality in accordance with HIPAA regulations Handle patient check-in and check-out procedures Monitor and respond to online appointment requests or portal messages Qualifications: High school diploma or GED required; associate’s degree or higher preferred 1+ year of experience in a medical office or customer service setting Knowledge of medical terminology and insurance verification processes Proficiency in EMR systems (e.g., Epic, Cerner, Athenahealth) is a plus Strong communication, organizational, and interpersonal skills Ability to multitask in a fast-paced environment Bilingual skills (e.g., Spanish) may be a plus Working Conditions: Office-based role in a clinical or healthcare setting May require occasional overtime or weekend hours Regular interaction with patients, families, and healthcare professionals Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹30,000.00 per month Schedule: Day shift Night shift Work Location: In person
Posted 1 month ago
5.0 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: 5+ 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
15.0 - 20.0 years
3 - 7 Lacs
Navi Mumbai
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and solves issues within multiple components of critical business systems. Your typical day will involve collaborating with various teams to troubleshoot and resolve software-related challenges, ensuring that business operations run smoothly and efficiently. You will engage in problem-solving activities, analyze system performance, and implement solutions that enhance the overall functionality of the applications you support. Your role will be pivotal in maintaining the integrity and reliability of the software systems that are essential for business success. Roles & Responsibilities:- Expected to be an SME.- Collaborate and manage the team to perform.- Responsible for team decisions.- Engage with multiple teams and contribute on key decisions.- Provide solutions to problems for their immediate team and across multiple teams.- Facilitate knowledge sharing sessions to enhance team capabilities.- Monitor system performance and proactively address potential issues. Professional & Technical Skills: - Must To Have Skills: Proficiency in EPIC Systems.- Good To Have Skills: Experience with system integration and troubleshooting.- Strong analytical skills to assess and resolve complex software issues.- Familiarity with software development life cycle methodologies.- Ability to work collaboratively in a team-oriented environment. Additional Information:- The candidate should have minimum 7.5 years of experience in EPIC Systems.- This position is based in Mumbai.- A 15 years full time education is required. Qualification 15 years full time education
Posted 1 month ago
5.0 - 10.0 years
3 - 7 Lacs
Bengaluru
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities:Epic Analyst will provide primary support for their designated application/module.Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration.Provide on-going system support and maintenance based on support rosterRespond in a timely manner to system issues and requestsConduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues.Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPsPerform/support regular / periodic system patch, maintenance and verification.Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilizationPerform/support the work required to comply with audit and security requirements.Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: - Must To Have Skills: Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB)- Experience in troubleshooting and resolving application issues. Additional Information:- The candidate should have a minimum of 5 years of experience in EPIC Systems.- This position is based at our Chennai office.- A 15 years full time education is required. Qualification 15 years full time education
Posted 1 month ago
5.0 - 10.0 years
3 - 7 Lacs
Chennai
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities:Epic Analyst will provide primary support for their designated application/module.Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration.Provide on-going system support and maintenance based on support rosterRespond in a timely manner to system issues and requestsConduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues.Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPsPerform/support regular / periodic system patch, maintenance and verification.Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilizationPerform/support the work required to comply with audit and security requirements.Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: - Must To Have Skills: Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB)- Experience in troubleshooting and resolving application issues. Additional Information:- The candidate should have a minimum of 5 years of experience in EPIC Systems.- This position is based at our Mumbai office.- A 15 years full time education is required. Qualification 15 years full time education
Posted 1 month ago
15.0 - 20.0 years
3 - 7 Lacs
Kolkata
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software problems, analyzing system performance, and ensuring that all applications run smoothly to support business operations effectively. You will engage with different teams to gather insights and feedback, which will help in enhancing the overall functionality of the systems you support. Roles & Responsibilities:- Expected to be an SME.- Collaborate and manage the team to perform.- Responsible for team decisions.- Engage with multiple teams and contribute on key decisions.- Provide solutions to problems for their immediate team and across multiple teams.- Facilitate training sessions for junior team members to enhance their skills and knowledge.- Monitor system performance and proactively identify areas for improvement. Professional & Technical Skills: - Must To Have Skills: Proficiency in EPIC Systems.- Good To Have Skills: Experience with system integration and troubleshooting.- Strong analytical skills to diagnose and resolve software issues.- Familiarity with database management and query optimization.- Ability to work collaboratively in a team-oriented environment. Additional Information:- The candidate should have minimum 5 years of experience in EPIC Systems.- This position is based at our Kolkata office.- A 15 years full time education is required. Qualification 15 years full time education
Posted 1 month ago
5.0 - 10.0 years
3 - 7 Lacs
Bengaluru
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities:Epic Analyst will provide primary support for their designated application/module.Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration.Provide on-going system support and maintenance based on support rosterRespond in a timely manner to system issues and requestsConduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues.Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPsPerform/support regular / periodic system patch, maintenance and verification.Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilizationPerform/support the work required to comply with audit and security requirements.Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: - Must To Have Skills: Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB)- Experience in troubleshooting and resolving application issues. Additional Information:- The candidate should have a minimum of 5 years of experience in EPIC Systems.- This position is based at our Chennai office.- A 15 years full time education is required. Qualification 15 years full time education
Posted 1 month ago
0 years
2 - 2 Lacs
Hyderābād
On-site
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities: Lead and execute clinical data conversion and migration projects across various EMR platforms (Epic, Cerner, Allscripts, Meditech, NextGen) Work in EHR-agnostic environments to design scalable, flexible data conversion solutions that support diverse clinical systems Design, develop, and optimize SQL queries, stored procedures, and ETL processes for data extraction, transformation, and loading Handle data from various sources including flat files (CSV, TXT), XML, JSON, and other structured/unstructured formats Analyze legacy data structures and map them to target EMR schemas ensuring data integrity and compliance Collaborate with clinical informatics teams, data analysts, and IT stakeholders to validate data accuracy and completeness Ensure compliance with HIPAA and other regulatory standards during data handling and migration Troubleshoot data anomalies and provide resolution strategies Document data mapping, conversion logic, and validation processes Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Proven experience with at least one of the top EMRs: Epic, Cerner, Allscripts, Meditech, NextGen, eClinicalWorks Experience working in EHR-agnostic environments and integrating with various clinical systems Experience with data validation, QA, and UAT processes Solid expertise in MS SQL Server (T-SQL, SSIS) Proficiency in handling data from flat files, XML, JSON, and other data formats Familiarity with HL7, FHIR, CCD, and other healthcare data exchange standards Proven excellent problem-solving and communication skills At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Posted 1 month ago
0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Primary Responsibilities Lead and execute clinical data conversion and migration projects across various EMR platforms (Epic, Cerner, Allscripts, Meditech, NextGen) Work in EHR-agnostic environments to design scalable, flexible data conversion solutions that support diverse clinical systems Design, develop, and optimize SQL queries, stored procedures, and ETL processes for data extraction, transformation, and loading Handle data from various sources including flat files (CSV, TXT), XML, JSON, and other structured/unstructured formats Analyze legacy data structures and map them to target EMR schemas ensuring data integrity and compliance Collaborate with clinical informatics teams, data analysts, and IT stakeholders to validate data accuracy and completeness Ensure compliance with HIPAA and other regulatory standards during data handling and migration Troubleshoot data anomalies and provide resolution strategies Document data mapping, conversion logic, and validation processes Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Proven experience with at least one of the top EMRs: Epic, Cerner, Allscripts, Meditech, NextGen, eClinicalWorks Experience working in EHR-agnostic environments and integrating with various clinical systems Experience with data validation, QA, and UAT processes Solid expertise in MS SQL Server (T-SQL, SSIS) Proficiency in handling data from flat files, XML, JSON, and other data formats Familiarity with HL7, FHIR, CCD, and other healthcare data exchange standards Proven excellent problem-solving and communication skills At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Posted 1 month ago
2.0 - 7.0 years
3 - 7 Lacs
Pune
Work from Office
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. Your day will involve troubleshooting and resolving software-related problems to ensure seamless operations. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Proactively identify and resolve software issues.- Collaborate with cross-functional teams to troubleshoot system problems.- Develop and implement software solutions to enhance system performance.- Document software defects and resolutions for future reference.- Provide technical support and guidance to end-users. Professional & Technical Skills: - Must To Have Skills: Proficiency in EPIC Systems.- Strong understanding of software troubleshooting methodologies.- Experience in software development and implementation.- Knowledge of database management and SQL queries.- Familiarity with IT service management tools. Additional Information:- The candidate should have a minimum of 2 years of experience in EPIC Systems.- This position is based at our Pune office.- A 15 years full time education is required. Qualification 15 years full time education
Posted 1 month ago
5.0 years
4 - 9 Lacs
Chennai
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
3.0 years
4 - 6 Lacs
India
On-site
Job Description: Design, develop, and deploy AI/ML models that can analyze EMR data for clinical documentation, compliance checks, and reimbursement audits. Integrate data pipelines from EMR systems (e.g., PCC, Epic, Cerner) into a structured format for analysis. Develop dashboards, alerts, and audit reports that identify inconsistencies, missing documentation, or high-risk patterns. Ensure all development complies with HIPAA and data privacy standards. Work cross-functionally with IT and QA teams to deploy and maintain the tool Qualifications: Bachelor’s or Master’s degree in Computer Science, Data Science, Biomedical Informatics, or related field. 3+ years of experience in machine learning, data engineering, or AI development ideally in healthcare Job Type: Full-time Pay: ₹35,000.00 - ₹50,000.00 per month Benefits: Health insurance Schedule: Monday to Friday US shift Supplemental Pay: Yearly bonus Education: Bachelor's (Preferred) Experience: PHP: 1 year (Preferred) web design: 1 year (Preferred) total work: 1 year (Preferred) WordPress: 1 year (Preferred) Work Location: In person Expected Start Date: 01/07/2025
Posted 1 month ago
0 years
0 Lacs
India
On-site
Build systems that think, reason—and save lives. At Karyon Bio , we’re not just building AI. We’re building always-on clinical copilots —agentic AI systems that continuously interpret multi-omics, imaging, and clinical data to predict and prevent chronic diseases before it turns deadly. 🧠 Your Mission Lead our Healthcare Consulting organization in building business globally with Payers, Hospitals and Pharma: Ignite Global Growth Drive > 50 % YoY consulting-revenue growth by landing and expanding marquee payer, hospital-system and pharma accounts in North America, EMEA and APAC. Architect AI-First Solutions Convert Karyon Bio’s chronic diseases and multi-omics models into modular, FHIR-enabled products that slot into Epic, Cerner, AWS HealthLake and pharma data lakes—delivering measurable ROI in < 6 months. Own the Payer Playbook Build an AI underwriting and population-health toolkit that helps insurers cut chronic-disease costs by double digits—and package it into repeatable offerings for Blue-s, NHS trusts, GCC payers and beyond. Accelerate Hospital Adoption Slash hospital integration timelines from months to weeks through pre-certified SMART-on-FHIR apps, reference architectures and ready-made compliance templates. Unlock Pharma Collaboration Position our AI engines as biomarker-discovery and trial-stratification accelerators; secure at least two late-stage co-development deals with top-20 pharma by year two. Standardize Global Compliance Scale a World-Class Engineering Org Forge Strategic Alliances Seal technology and channel partnerships with hyperscale clouds, EHR vendors and health-tech ISVs to multiply market reach without linear headcount growth. Champion Data Ethics & Trust Amplify Karyon Bio’s Brand Serve as technical evangelist on global stages (HLTH, HIMSS, JP Morgan, DIA) to position Karyon Bio Consulting as the go-to AI partner for healthcare transformation. Measure What Matters Institute OKRs tied to client impact: early-detection rate lifts, underwriting-cycle compression, and trial-recruitment acceleration—reporting quarterly to the board. Sustain Innovation Velocity ✅ What You Bring Scale-Up Hustle: 5-8 yrs leading scrappy, fast-moving startup teams from MVP to enterprise rollout. Product-Led Growth Driver: Builds the sales engine through live demos, fast pilots, and MVP proof-points—not slide decks—then scales those wins into repeatable global revenue streams. Deal Sense: Turn technical wins into ROI stories that close payer, hospital and pharma contracts. People Leader: Built and mentored 20-30-person, high-trust engineering orgs. Data-Ethics Champion: Bias-mitigation, explainability and patient-privacy baked into every sprint. Storyteller: Equally compelling on whiteboards, in boardrooms and on HLTH/HIMSS stages. Metrics Mindset: Marries long-term vision with quarterly OKRs—latency down, detection-rate up. 🌍 Why This Matters $2 Trillion+ Problem to Solve – Chronic liver and metabolic diseases are draining global health budgets; smarter AI integration can slash avoidable costs and save lives at scale. Interoperability Bottlenecks Are the New Digital Divide – Hospitals, payers, and pharma can’t act on insights locked in siloed data; your leadership turns those roadblocks into real-time pipelines. AI Hype ≠ Clinical Impact – The industry has plenty of slide decks; what it needs are FDA-ready models embedded in Epic and claims workflows. You’ll bridge that gap. Lives—and Reputations—Are on the Line – Every month we accelerate early detection, thousands avoid progression to costly NASH and cirrhosis; that’s the legacy we’re building. 🔬 Why You’ll Love Working Here Mission With Immediate Impact – Every model you ship helps clinicians catch disease years earlier and saves payers millions—your code equals healthier lives. Builder’s Playground – Green-field architecture, GPU budget, and the freedom to choose the best stack for the job. No legacy spaghetti holding you back. Early Leadership Equity – Join at the inflection point and own a meaningful slice of a high-growth, global health-AI business. Global Canvas – Collaborate daily with hospitals in the U.S., insurers in the GCC, and pharma teams in Europe—your work travels the world. Follow Karyon Bio Page for more postings: https://www.linkedin.com/company/karyon-bio/ #HealthcareAI #DigitalHealth #Leader
Posted 1 month ago
2.0 years
1 - 6 Lacs
India
On-site
We are seeking a detail-oriented and certified Medical Coder to join our healthcare team. The ideal candidate will accurately assign CPT, ICD-10, and HCPCS codes for medical diagnoses and procedures to ensure proper billing and reimbursement. You will work closely with providers, billing staff, and other departments to maintain compliance with regulatory standards. Industry: Medical Coding and Billing Services - Healthcare Location: 3rd Floor, Indian Express Building, Banerji Rd, Kaloor, Ernakulam, Kerala India - 682017 Work Hours: 9am - 6pm, day / 9pm - 6am, Night Employment Type : Full Time Salary : Based on Experience Responsibilities: Review clinical documentation and assign appropriate medical codes (ICD-10-CM, CPT, HCPCS). Ensure coding accuracy and compliance with all federal regulations (including HIPAA). Collaborate with physicians and healthcare providers to clarify diagnoses and procedures. Assist in resolving coding-related denials and audits. Maintain current knowledge of coding guidelines and payer requirements. Support the revenue cycle team to maximize reimbursement and reduce claim rejections. Skills: Excellent analytical, communication, and organizational skills Ability to work independently in a fast-paced environment. Qualifications: Minimum of 2 years of experience in medical coding (inpatient, outpatient, or specialty-specific, depending on role). Strong understanding of anatomy, physiology, and medical terminology. Familiarity with EHR systems (e.g., Epic, Cerner, Meditech). Experience in HCC Coding Education Requirements : Any life science degree Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required. Experience Requirements : Minimum of 2 years of experience in medical coding Benefits: Competitive salary and performance-based incentives Health, dental, and vision insurance 401(k) with company match Paid time off and holidays Professional development and continuing education support Job Type: Full-time Pay: ₹15,000.00 - ₹50,000.00 per month Benefits: Paid sick time Provident Fund Schedule: Day shift Morning shift Night shift Rotational shift Supplemental Pay: Shift allowance Application Question(s): Medical Coding Experience Work Location: In person
Posted 1 month ago
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