2028 Claims Processing Jobs - Page 36

Role & responsibilities Candidate with good academic and proficiency in MS Office and good communication skills required. Preferred candidate profile

Fresher's willing to work in US Shift (night shift) may apply !!! Role & responsibilities Receives documents from both electronic and hard copy form for processing. Sorts, images, documents, files, and archives by form type. Identifies documents and their purpose, creating a database of information. Classifies documents based on contract requirements. • Captures information based on client requirements. Verifies data from automated data extraction tools. Ensures transmission of processed data to appropriate next level. Requirement Excellent communication skills and Interpersonal skill. Only Fresher's willing to work in US Shift (night shift) may apply. Non Technical Graduate and post graduate fresher's are eligible. Flexible and eager to learn. Perks and Benefits Cab facility. Monthly meal vouchers. 5 days working a week. Interested candidates can share their resume at Sakshi.srivastava@conduent.com with below details : Total Experience- Open to work in night shifts- Yes/No Notice Period- Current Location- Current CTC- Expected CTC- Kindly mention Fresher and your name in subject line

# Location- Ahmedabad # Shift Timing: US Shift (Night Shift) # Facilities - Cab Facilities # 5-day work week # Saturday and Sunday are fixed off # Experienced from 6 months to 2 years in AR calling or healthcare

FACETS QA JD: Job Title: Facets QA Lead / Analyst Key Responsibilities: Test Strategy & Planning: Independently plan, design, and execute test strategies for Facets UI, Backend and Batch Applications . Develop comprehensive test plans and detailed test cases based on business and technical requirements. Team Leadership: Ensure high-quality deliverables and adherence to testing best practices. Execution & Reporting: Perform manual and automated testing of Facets applications. Conduct Facets modernization and cloud migration testing . Track and report defects using tools like JIRA or Rally Collaboration: Work closely with developers, business analysts, and stakeholders. Participate in Agile ceremonies and contribute to continuous improvement. Required Skills & Experience: 7+ years of QA experience, with 5+ years in Facets. US Healthcare Experience especially in Claims processing, Membership, Providers and Utilization Management Strong experience with Facets application testing (UI, DB and Batch). Hands-on experience with Facets Modernization projects . Familiarity with tools like JIRA or Rally Excellent communication and leadership skills. Preferred Skills: Experience with Apache Airflow (nice to have). Knowledge of cloud platforms and migration strategies. Certification in QA methodologies or Agile practices. Candidates please share CV on -: samiksha.abhijitkasar@wipro.com

TPA Executive - Hospital or insurance

About the work - Member Services for Seniors: Medicare and Retiree programs serve a vulnerable demographic, seniors who often have complex health conditions, limited digital literacy, and require extra care and patience over the phone. Segments we will support (Phase 1) : Medicare Advantage (Part C) : End-to-end plans covering hospitalization, medical services, and prescriptions. Group Retiree Plans : Tailored benefits for retired employees of corporations, government, or unions, often with layered entitlements and detailed queries. D-SNP (Dual-Eligible) : For members eligible for both Medicare and Medicaid. These are low-income or disabled seniors, requiring high sensitivity and multi-agency coordination. Call types expected : Plan eligibility, enrollment, and disenrollment Co-pay and deductible clarifications Benefit explanations (vision, dental, OTC) Provider and PCP changes Claims, EOBs, and billing support Pharmacy exceptions and drug tier clarifications Appeals, grievances, and service denials Hospice and long-term care coordination Medicaid coordination Skill requirements : Deep understanding of CMS (Centers for Medicare & Medicaid Services) guidelines Familiarity with Medicaid programs by state Strong listening and verbal communication Patience and empathy for cognitive or hearing impairments Proficiency in navigating multiple systems and tools Why this matters : Customer satisfaction directly impacts Medicare Star Ratings, which drive UHGs CMS reimbursements First 90-day retention is critical to reduce member churn Supporting D-SNP and retiree populations reinforces UHG’s mission of healthcare equity and access This is a defining opportunity, let’s come together to exceed expectations, build client trust, and establish ourselves as a long-term strategic partner for UHG. Looking forward to your thoughts and functional readiness in our upcoming working session. Regards Trapti Singh 9911397154

Roles and Responsibilities Conduct medical audits for high-value claims, including inpatient and outpatient services. Review NCCI guidelines to ensure accurate coding and compliance with US healthcare regulations. Analyze CPT codes to identify discrepancies and optimize claim processing. Collaborate with internal stakeholders to resolve issues related to claims adjudication. Develop expertise in dollar value claims handling, focusing on accuracy and efficiency. Desired Candidate Profile 6-11 years of experience in Medical Audit or Claims Auditing/Audition role. Strong understanding of CPT, ICD-10-CM/PCS, HCPCS Level II codes; knowledge of anesthesia codes (G0152) preferred. Experience working with High Value Claims (HVC) is essential; familiarity with NCCI guidelines a plus.

Job TitleFinance reporting (Refund Claims and analysis) Location[Bangalore] Experience RequiredMinimum 3–4 years Employment Type[Full-time] Job SummaryWe are looking for a detail-oriented and proactive Refund Claims & Collections Executive with prior experience in the travel industry, who has knowledge in airline refund collections. The ideal candidate will have a strong understanding of industry practices, familiarity with GDS tools, MS office and the ability to manage the refund claim transaction volume on a daily basis. Key Responsibilities: Handle refund processes related to bookings and transactions within the travel domain. Manage end-to-end claims processing, ensuring timely validation, documentation, and closure. Coordinate with internal teams and external partners (airlines, GDS, vendors) to resolve refund claim-related issues. Maintain accurate records and logs of claims and collections activities. Use GDS software for information retrieval and resolution (As applicable). Generate basic reports and summaries using MS Excel and other MS Office tools. Ensure compliance with company policies and service level agreements (SLAs). Required Qualifications & Skills: 3–4 years of relevant experience in GDS and airline refund claims and collections within the travel industry. Exposure to GDS software such as Amadeus, Sabre, or Galileo (preferred). Strong analytical and problem-solving skills. Proficiency in MS Office, especially Excel. Ability to communicate clearly and professionally across teams and with external partners. Attention to detail, time management, and organizational abilities. Preferred Attributes: Prior experience working with travel agencies, airlines, or B2B travel platforms. Understanding of ticketing and refund processes.

Good knowledge in Denials, appeals, rejection/claims, correspondence Knowledge in RCM & AR fundamentals AR Caller (Night shift - no cab) Sat & Sun Fixed Week Off Direct Walk-in Interview Contact: Priyadarshini HR 9363752251

Hiring for AR Healthcare Process Graduation Required Minimum 6 months relevant experience required Job Details: 5 Days Working Rotational Shifts Rotational Offs Both Side Cab Provided Salary: Up to 45,000 Share your CVs @ 7291098048 , 8700591262

Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. - Grade Specific Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Skills (competencies) Verbal Communication

Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills. Works in the area of Software Engineering, which encompasses the development, maintenance and optimization of software solutions/applications.1. Applies scientific methods to analyse and solve software engineering problems.2. He/she is responsible for the development and application of software engineering practice and knowledge, in research, design, development and maintenance.3. His/her work requires the exercise of original thought and judgement and the ability to supervise the technical and administrative work of other software engineers.4. The software engineer builds skills and expertise of his/her software engineering discipline to reach standard software engineer skills expectations for the applicable role, as defined in Professional Communities.5. The software engineer collaborates and acts as team player with other software engineers and stakeholders. - Grade Specific Experience 3 to 15 years Skills Guidewire Developer experience with any of the detailed skill like (Policy / Billing / Claims / Integration / Configuration / Insurance Now / Portal / Rating) Insurance domain knowledge with Property & Casualty background Hands on experience in at least one of the Guidewire products (Claim/Policy/Billing) Should have knowledge on Admin data loading. Good knowledge in Web services, XML, GxModel, Messaging, Batch implementation, Integrating with 3rd Party Systems and Document composition tools like Xpressions, Thunderhead Experience on any database Oracle / SQL Server and well versed in SQL Designed & modified existing workflows (required for Billing Integration) Experience in SCRUM Agile, prefer Certified Scrum Master (CSM) Good written and oral communication Excellent analytical skills.

Position Summary The candidate will be part of Controllership function and will be responsible for Accounts payable - processing Vendor and employee payments related transactions, adherence to policies, month/year end closing, record keeping, audit support, reporting, etc. Job Responsibilities The key deliverables will include • Accounts payable Employee Claims Processing: - Accurate and timely processing of Travel/ Non-Travel/Corp card claims in line with finance policies and procedures for GOSC sites, Ensure timely and accurate payment to employees as per company policies, Should have knowledge of withholding tax and GST which is relevant to employee claims Regular Interaction with all users Corporate card management – issuance, maintenance, timely payment, cancellation, etc. Employee Full and Final settlement processing • Monthly/yearly closure of books of account: - Ensure timely and accurate monthly closing by working on - Accruals – for Employee expenses, Payroll JE, Advance settlement & schedule Monthly reconciliation of balance sheet accounts related to employee expenses Accurate reconciliation and timely payment of Statutory dues like TDS, PF, ESI, etc. Document / Record Maintenance: Ensure maintenance of complete documentation with respect to Employee claims in line with Tax and SEZ/STPI requirements. Policies & Procedures: Ensuring compliance with Organizational Policies and Procedures Reporting: Various Internal MIS reporting of Controllership Audits: Provide support for Internal & Statutory audits & all other Internal audits Support in Process / systems automation on need basis Adherence to defined internal KRAs and metrics System Knowledge : Working knowledge on various modules of PeopleSoft i.e. Accounts Payable, Asset Management, Expense module, General Ledger Knowledge, Skills and Abilities Education Graduates - B.com/M.com & MBA Finance / CA-CMA inter or PE1 shall be preferred Experience 5-8 years of relevant experience in related field Knowledge of Accounting standards & statutory laws Knowledge and skills (general and technical) Strong analytical and execution orientation. Should be capable of dealing with relationships sensitively with ability to manage conflicts adroitly Strong communication and presentation skills; Ability to articulate and influence internal customers with clarity of thought process is a critical requirement Proven Computer navigation skills (Mandatory / Optional). Mandatory Proven keyboarding speed (Mandatory / Optional) Mandatory Proven working knowledge of MS Office suite (Mandatory / Optional) Mandatory Experience in working on PeopleSoft/ Oracle Preferred Excellent knowledge of excel including macros Preferred Understanding of INDAS, US & India GAAP Preferred Understanding of Taxation (Direct & Indirect tax) Preferred Knowledge about the Insurance industry in US (Mandatory / Optional ) Optional Knowledge about US Culture Optional Knowledge of collection fundamentals Optional Excellent listening, oral or written communication skills or both. Desired Proven customer service skills. Desired Excellent analytical and research skills. Desired Self-motivated, well organized and flexible with a sense of urgency approach Mandatory Teamwork/ Managing Self / Adaptability Mandatory Ability to work successfully in production driven environment Desired Adaptability to change Mandatory Self-disciplined and result oriented Mandatory Ability to manage multiple tasks prioritizing effectively. Mandatory Ability to find creative and innovative solutions to business problems Desired

Aster Medcity is looking for Associate.Medical Records.MIMS Hospital Calicut to join our dynamic team and embark on a rewarding career journey Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Preparation of operating budgets, financial statements, and reports. Reviewing existing financial policies and procedures to ensure regulatory compliance. Providing assistance with payroll administration. Keeping records and documenting financial processe

Closing Ratio/Meeting all KPI of team member& Self Negotiate with dealers Large Value Claims handling Avoid cost wastage Workshops Regular training of claims policies Faster settlements Settlement Ratio-97% Investment Ratio-3% Key Accountabilities/ Responsibilities Stakeholder interfaces Experience 3-5 years of experience in Motor Claims & Body paint Workshop. Education Preferably Diploma in Automobile, Graduate from MechanicalEngineer Graduate from Any discipline with prior experience in Claims

Job Description: Prepare ILAs, Final Survey Reports, and requirement letters. Maintain records of claim intimation, surveyor visits, document status, and report. Follow up with insured and internal teams to minimize TAT Update data in CMS software Health insurance Provident fund

TPA Empanelment's Corporate Tie- ups

Job Description (JD) - CRM Job Title: CRM - Auto Claims, Voice Process Location: ACKO Building, Confident Pride, Near Silk Board Junction, Bangalore Employment Type: Full-Time, Rotational Shift Job Summary : We are seeking a dynamic and customer-focused Auto Insurance Claims Executive to join our front-end operations team. The ideal candidate will have a Bachelor's degree in Automobile /Mechanical Engineering (BE/B.Tech Automobile/Mechanical ) or a Diploma in Automobile/Mechanical Engineering (DAE), coupled with 3 years of customer service experience . The role involves direct interaction with customers, handling auto insurance claims, addressing inquiries, and providing timely and empathetic solutions. Candidates must demonstrate excellent communication skills and a service-oriented mindset. Key Responsibilities Handle front-line customer interactions related to auto insurance claims. Guide customers through the claims process with clarity, accuracy, and empathy. Coordinate with surveyors, workshops, and internal teams to ensure smooth and efficient claims processing. Manage documentation and updates in the claims management system. Resolve customer queries, concerns, or escalations promptly and professionally. Maintain high standards of customer service and ensure compliance with service level agreements (SLAs). Provide feedback and suggestions to improve the claims experience and internal processes. Required Qualifications and Skills Educational Background: o Mandatory: BE/BTech in Automobile/Mechanical Engineering or Diploma (DAE) in Automobile/Mechanical Engineering. Experience: o Minimum 2-3 years of customer service experience, preferably in the auto insurance or automotive service domain. o Prior front-end or client-facing experience in a claims-related role is highly desirable. Communication Skills: o Excellent command of English (verbal and written), with proficiency in Hindi and relevant regional languages as required. o Strong interpersonal skills with a problem-solving attitude. Other Competencies: o Empathy and patience in dealing with distressed or dissatisfied customers. o Basic understanding of auto insurance policies and vehicle assessment processes. o Proficiency in CRM tools and claim processing systems is a plus. Preferred Candidate Profile • Passionate about delivering high-quality customer experiences. • Adaptable to dynamic work environments and shift timings. • Excels in cross-functional collaboration and remains composed and focused in challenging situation

Role Description: As a Revenue Cycle Management (RCM) Associate / Senior Associate at PDA E-Services Pvt Ltd , you will be an integral part of our US healthcare operations team, responsible for managing the end-to-end revenue cycle process for dental practices in the United States. Your primary focus will be to ensure accurate billing, efficient payment processing, timely insurance follow-ups, and effective resolution of revenue-related discrepancies. Company Profile: PDA E-Services Pvt Ltd is a dynamic and fast-growing Global Capability Centre (GCC) for Piccadilly Dental Alliance (PDA) , a leading dental healthcare organization in the United States. Established in 2022 , we provide operational, administrative, and practice management support to US-based dental practices, enabling them to focus on delivering exceptional patient care. As PDAs exclusive India-based outsourcing partner, we are expanding rapidly with a strong emphasis on operational excellence and healthcare service expertise. Roles & Responsibilities: Ensure accurate and timely generation of patient bills. Support insurance-related pre-processing and post-processing requirements. Conduct payment reconciliation processes to ensure completeness of receivables. Identify and resolve billing and audit issues related to the US dental healthcare system. Analyse revenue trends and claims performance for efficient payment processing and insurance follow-ups. Demonstrate an end-to-end understanding of the US dental insurance clearance and claim management process. Maintain high attention to detail, strong organizational skills, and effective coordination and communication abilities. Regularly interact with the senior leadership team based in the United States for operational updates and issue resolutions. Qualifications: Education: Graduate in any discipline (B.Com / BBA / B.Sc / B.A / or equivalent preferred). Experience: Associate: 0-2 years of experience in RCM / medical billing / US healthcare process. Senior Associate: 2- 4 years of relevant RCM or US healthcare billing experience preferred. Strong verbal and written communication skills in English. Proficiency in Microsoft Office applications (especially Excel and Outlook). Good analytical and problem-solving abilities. Prior experience in US dental or healthcare RCM processes is an added advantage. Benefits Offered: Fixed weekend off (Saturday & Sunday) Opportunity to work with an expanding US healthcare organization. Professional growth and internal career advancement opportunities. Exposure to international healthcare operations and leadership interaction. Comfortable, collaborative, and inclusive work environment. Paid leaves and holiday benefits as per company policy. Job Details: Job Title: Associate / Senior Associate RCM Working Days: Monday to Friday (Saturday and Sunday fixed off) Location: PDA E-Services Pvt Ltd 405, Fourth Floor, PT Gera Centre, Dhole Patil Road, Bund Garden Road, Pune 411001.

Role: Business Analyst Life Asia Experience: 4 to 8 Years Location: Lower Parel, Mumbai Description Planit are world leaders in application testing and quality engineering. We provide solutions that support organisations to deliver high quality systems, applications, and IT architecture. Planit is now a proud NRI company and part of a global movement to deliver a sustainable and secure future through better Information Technology exchanges. Our team offer expert consultancy, bespoke services, tailored training and unique solutions to complex projects. Specialising in digital quality, Planit have a geographic footprint across many continents, with 1700+ permanent employees and have been recognised in Gartner's Magic Quadrant for Application Testing Services. Our values and ethos are focused on an intrinsic connection to our people, the awareness of our environment and our pursuit to be better than yesterday. We continue to lead the industry with unrivalled ideas, ability, and a quest to discern paradigms About the role: The role demands here that the candidate should have working experience as a Business Analyst and into the life insurance domain with a specification on the Life Asia tool. Along with this, stakeholder management, client interaction, and leadership qualities are an added advantage. Responsibilities: Create Test Scenarios & Test cases basis of BRD / FSD documentation. Creating Requirement Traceability Matrix for Tests designed. Independently drive Test pack walkthroughs along with various Stakeholders Selection of Regression Tests applicable Selection of Test cases, rightly suitable for Automation considering automation selection criterias Create/ Update Test Data for Automation Test cases Identify Test Data inputs that can be dynamic values to be generated every time with Formulas Database Query, Calculators Perform SIT & UAT Test Execution Report Defects & follow up with Developers / BA IT for defect fixation with defect ageing tracking SLA Provide Test Results walkthrough to stakeholders for Sign off Impact Analysis Capabilities Knowledge on Insurance Workflow System Skills & Experience: 4 to 8 years+ of experience in BA with Life Asia Culture and Benefits: For the right person we will provide: - A competitive remuneration package with career pathways within our talent team as we continue to expand globally An open, flexible working environment where you can immediately see the impact of your work and delivery towards the business success All of the tools, software and support you need (we’ve just undergone a migration of our ATS platform with bleeding edge tool /process to enable success) Benefits including health insurance, Free LinkedIn Learning licences, Training platforms & internet reimbursement among others.

Location: NOIDA Role: Charge Entry Specialist Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams. Reporting: Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow. Customer Communication: Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner. Compliance: Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting. Process Improvement: Identify opportunities for streamlining the payment posting process and contribute to best practices within the team. Key Skills: Previous experience 1+ Year in payment posting, medical billing, or revenue cycle management in a healthcare setting is required. Strong knowledge of medical billing processes and payment posting practices. Proficiency in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (30 WPM with 97% of accuracy) 3+ years of experience required. Package up to 6 LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.

Location: NOIDA Role: Charge Entry Specialist Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Key Skills: Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing practices. Proficient in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Self-motivated, analytical, and able to work both independently and as part of a team. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (30 WPM with 97% of accuracy) 3+ years of experience required. Package up to 6 LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.

Role & responsibilities : Test Strategy & Planning: Independently plan, design, and execute test strategies for Facets UI, Backend and Batch Applications . Develop comprehensive test plans and detailed test cases based on business and technical requirements. Team Leadership: Ensure high-quality deliverables and adherence to testing best practices. Execution & Reporting: Perform manual and automated testing of Facets applications. Conduct Facets modernization and cloud migration testing . Track and report defects using tools like JIRA or Rally Collaboration: Work closely with developers, business analysts, and stakeholders. Participate in Agile ceremonies and contribute to continuous improvement. Preferred candidate profile : 7+ years of QA experience, with 5+ years in Facets. US Healthcare Experience especially in Claims processing, Membership, Providers and Utilization Management Strong experience with Facets application testing (UI, DB and Batch). Hands-on experience with Facets Modernization projects . Familiarity with tools like JIRA or Rally Excellent communication and leadership skills. Interested candidate please share your resume to subnam.pattnaik@wipro.com

Dear Candidate, Greetings from AGS Health! Job Title: Process Associate/Sr Process Associate Job Role: Responsible for calling US Insurance companies on behalf of doctors/physicians and following up on outstanding Accounts Receivable. Should have basic knowledge of the entire RCM (Revenue Cycle Management) Perform analysis of accounts receivable data and understand the reasons for pending claims in AR and the top denial reasons Process : International Voice process - AR Calling Qualification: Any Graduate Interview Process: Rounds off interviews: 1. HR screening 2. Online Assessment Test 3. Operational/Technical Round Shift Timing: 5.00 PM to 2.00 AM or 07:00 PM to 4:00 AM Night Shift (US Shift) - Should be flexible for both shifts. Transport: Two-way transport is available based on boundary limits. Location: Western Pearl, Kothaguda, Kondapur, Hyderabad Job Type: Full-time, Regular / Permanent Benefits: 5 days work Work from the Office PF ESI Health insurance Performance bonus Required Skills: Minimum 1 year of experience in AR calling Calling experience on Denial Management - Physician Billing Should be comfortable working with Night shifts Good Communication skills Looking for an aspirant who can join us immediately. Note: Immediate joiners preferred. Address - 9th Floor, Western Pearl Building, Survey No. 13, Kondapur, Kothaguda, Hyderabad, Telangana 500084 Regards Bhaviri

Review the claim allocated and check status by calling the payer or through IVRWeb Portal Ask a series of relevant questions depending on the issue with the claim and record the responses Prepare call notes, initiate or execute the corrective measures by sending necessary documents to Payers Record the actions and post the notes on the clients revenue cycle platform Us e appropriate client specific call note standards for documentation Adhere to Companys information, HIPAA and security guidelines Be in the center of ethical behavior and never on the sidelines Job Profile: Should have worked as an AR Caller for at least 2 years to 4 years with medical billing service providers Good knowledge of Revenue Cycle and Denial Management concept Positive attitude to solve problems Ability to absorb clients business rules Strong communication skills with a neutral accent Graduate degree in any field Note- Immediate Joiners preferred. Schedule: Night shift Experience: AR Caller: 1 year (Preferred)