0.0 years

0 Lacs

pune, maharashtra, india

On-site

Description Consultant Technical Analyst - Revenue Cycle and Claims Job Summary Works with stakeholders to discover, clarify, and document current and future data needs Performs mapping of revenue cycle, clinical and claims data to a normalized data model. Serves as a subject matter expert on the revenue cycle data domains such as Registration, Scheduling, Accounting and Billing, Cost Accounting and Claims Builds data concepts to support Revenue Cycle and Claims use cases Serves as a key resource for an assigned customer area to understand and explain business and technical issues and to provide viable technology solutions. Responsibilities ? Act as a quality consultant and subject matter ex...

Posted 1 week ago

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Sr Process Analyst Fulcrum Digital Inc

0.0 years

0 Lacs

pune, maharashtra, india

On-site

Who are we Fulcrum Digital is an agile and next-generation digital accelerating company providing digital transformation and technology services right from ideation to implementation. These services have applicability across a variety of industries, including banking & financial services, insurance, retail, higher education, food, healthcare, and manufacturing. Role and Responsibilities 1. Claims File Review & Analysis Conduct detailed analysis of insurance claims files received in spreadsheet format. Identify missing, inconsistent, or incorrect entries; provide corrective recommendations and ensure timely resolution. Evaluate claim patterns, anomalies, and outliers for escalation or further...

Posted 2 weeks ago

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Sr Process Analyst Fulcrum Digital Inc

3.0 - 7.0 years

0 Lacs

pune, maharashtra

On-site

As an employee at Fulcrum Digital, you will be responsible for performing various tasks related to claims file review and analysis, data processing, pivot table reporting, data validation, documentation, collaboration, and communication. Your key responsibilities will include: - Conducting detailed analysis of insurance claims files, identifying missing or incorrect entries, and providing corrective recommendations for timely resolution. - Using advanced Excel functions to structure, cleanse, and transform claimant data, as well as automate recurring tasks to enhance operational efficiency. - Building dynamic pivot tables and dashboards to summarize claims, identify trends, and present analy...

Posted 2 weeks ago

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Senior Associate - Claims Arch Global Services India

4.0 - 8.0 years

0 Lacs

thiruvananthapuram, kerala

On-site

You will be responsible for overseeing operational activities, mentoring junior team members, and driving service excellence through data-driven insights and process improvements. Your key responsibilities will include: - Supporting and guiding junior team members in task execution and issue resolution - Monitoring and tracking operational KPIs and service-level metrics; generating periodic reports for leadership review - Collaborating with Claims handlers, adjusters, underwriters, and cross-functional teams to ensure timely and accurate processing - Ensuring compliance with regulatory guidelines and internal policies - Identifying process gaps and contributing to continuous improvement init...

Posted 3 weeks ago

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Senior Python Migration Engineer ElementSkill

7.0 - 11.0 years

0 Lacs

pune, maharashtra

On-site

As a Senior Python Engineer in our GenAI startup, you will have the exciting opportunity to lead a critical backend migration project for our enterprise-scale Insurance Policy & Claims Management platform. You will be instrumental in modernizing a 30-year-old legacy system by transitioning from PHP/Laravel to a modern Python-based architecture, ensuring seamless integration with our React/TypeScript frontend. **Key Responsibilities:** - Lead the architectural design & implementation of Python backend services to replace PHP/Laravel. - Design and develop RESTful APIs/GraphQL endpoints for the React/TypeScript frontend. - Define and execute data migration strategies to ensure a smooth system t...

Posted 2 months ago

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