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4.0 - 6.0 years

3 - 8 Lacs

Noida

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Role & responsibilities - 3.5 + years of experience in Health and Welfare benefit administration. - Experience in delivering results across Medicare, COBRA, Workday, should be specialize in resolving complex insurance and payroll issues, managing client escalations and improving operational accuracy. - Should have experience in HRIS, Annual enrollment, Life Events, Vendors Files, Payroll and Premium, Life Insurance, Medicare Benefits, Claim, Billing, etc., - End to End process management on daily basis to ensure meeting client SLA's - End to End business transitions experience Preferred candidate profile • Good level of English written and verbal is a must. • Must demonstrate strong interpersonal, speaking, and writing skills. Must be proficient in using Microsoft Office applications (Microsoft Word, Excel, and PowerPoint). • Must demonstrate excellent analytical skills. • Ability to work towards deadlines. • Positive attitude and solution-oriented thinking. • Flexible and eager to learn. Interested candidates can share their resume at Sakshi.srivastava@conduent.com with below details : Total Experience- Notice Period- Current Location- Current CTC- Expected CTC- Kindly specify the role (H&W) and your name in subject line

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- 3 years

0 Lacs

Greater Noida

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Job Description: The System support Associate will be responsible for implementing and modifying EDI file feeds, utilizing programming languages like C#, Java, Python, and SQL. The candidate should have hands-on experience working within the US healthcare industry, understanding HIPAA compliance standards, and creating secure connections using SFTP (Secure File Transfer Protocol). As a member of our technical team, you will be responsible for integrating data feed into our systems and ensuring compliance with industry standards and regulations. Key Responsibilities • Implement and modify EDI (Electronic Data Interchange) file feeds for healthcare/benefits data integration. • Develop and maintain solutions using programming languages such as C#, Java, Python, and SQL. • Create, configure, troubleshoot and maintain secure SFTP connections for transferring EDI files. • Gathers specifications from the clients, carriers & vendors and deliver the solution that meets the needs presented • Ensure compliance with HIPAA regulations and US healthcare industry standards while managing sensitive patient data. • Effective communication and coordination with clients and carriers. Qualifications & Core Competencies • Bachelor's degree in computer science or a related field (B. Tech preferred). • • Proficiency in C#, Java, Python, and SQL for developing and managing EDI integrations. • Experience in configuring and managing SFTP connections for secure file transfers. • Good understanding of US healthcare benefits like FSA, HSA, COBRA, 401k, 403b, Roth, HIPAA compliance etc. If interested, kindly share the answers to the following questions: 1. Years of experience 2. Current CTC (fixed + variable) 3. Expected CTC 4. Notice period 5. Who do you report to 6. Do you handle a team 7. Summary of the profile 8. Reason for job change 9. Are you comfortable commuting to this job location - Noida sec 142 10. Are you comfortable working US Shift

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- 6 years

3 - 4 Lacs

Hassan

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Responsibilities: * Manage denials through effective communication with providers and insurers. * Ensure compliance with HIPAA, Medicaid, Medicare, Cobra, ICD, CPT, HCPCS codes. Health insurance Office cab/shuttle Provident fund

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1 - 4 years

3 - 5 Lacs

Jaipur

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MASS HIRING FOR AR CALLER & SENIOR ANALIST FOR JAIPUR LOCATION SALARY UP TO 5 LPA + MONTHLY INCENTIVES + 5 DAYS WORKING + FIXED OFF + FREE CABS. Call HR Neha TO Schedule Your Interview @ 9257030228 Drop your Resume:-kabir@virtueplacement.com Role & responsibilities Good understanding of Revenue Cycle Management (US Medical Billing) Provider/Hospital Should identify and propose training needs based on the auditing. Ability to handle multiple tasks of reporting simultaneously. Ability to adapt quickly to new and changing technical environments as well as strong analytical, problem solving and quantitative abilities. Graduate in any stream from recognized university Excellent communication skills, attention to detail, and strong technical and problem-solving skills are essential aspects of this role. Preferred candidate profile Any Graduate & Post Graduate Can Apply/- Fresher & Exp Both Can Apply/- Immediate Joiner & 15 Days Notice/- Good Communication Skills/- Comfortable with walk in interview/- Perks and benefits Monthly Incentives Yearly Bonus 5 Days Working Fixed Off (Sat & Sun) Free Cabs Fixed Off Call HR Neha TO Schedule Your Interview @ 9257030228 Drop your Resume:-kabir@virtueplacement.com NOTE Applications SENT TO ANY Other Email Address WILL NOT BE Entertained

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1 - 6 years

3 - 4 Lacs

Hyderabad

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We are hiring for Leading ITES Company for AR Caller - Healthcare Profile Location: Hyderabad Salary: Upto 32k in hand Role & responsibilities: Responsibilities: Minimum 1 year experience in AR Calling in medical billing field Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Good Knowledge of RCM and Denial management. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Maintain AR medical billing claims/accounts at an acceptable level. Work in teams that process medical billing transactions and strive to achieve team goal In some cases To make calls to insurance companies or to the client to follow up on unpaid claims. Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time Follow up on the claims for collection of payments. To Apply WhatsApp 'Hi' @ 9151555419 and Follow the Steps Below: a) For Position in Hyderabad Search : Hospital Billing (Job Code # 117) b) For Position in Hyderabad Search : Physician Billing (Job Code # 118)

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4 - 8 years

5 - 9 Lacs

Chennai, Gurgaon, Noida

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Wipro is hiring for EX-Wiproites for Solutions Delivery Analyst (DA) and BOM - GGN/Noida/Chennai/Coimbatore GGN -Wipro HR Services India Pvt Ltd, (SEZ) Building 2, Candor Techspace, IT/ITES,SEZ, Tikri, Sector-48, Gurgaon 122001, Haryana Noida- (Non-SEZ) Tower - A, Plot No - 6, Tech Boulevard Park, Sector -127, Noida - 201301, Uttar Pradesh Chennai - Olympia Tech park Coimbatore - Elcot IT park Work Mode : Work from Office Shift timing -5.30pm to 3.30am (based on business requirements) Please share your updated resume along with profile information @ 9919737276 Roles & Responsibilities Stay current with Industry developments in Health & Benefits domain Active participation in client renewal meetings and data collection projects at bidding stage Understand client contractual agreement and performance measures Acknowledged as a subject matter expert (SME) on client plan provisions Monitor client operations measures to proactively manage client-level impacts Respond to client requests in a timely fashion using effective communication skills Proactive management of operations metrics to meet or exceed SLA targets Assign and manage work, including workload distribution, track status of outstanding work, ensure SLA metrics are met/ exceeded, identify training opportunities, review and approve SOPs, identify activities for transition. Establish strong client relationships to support and facilitate tough client conversations with acceptable client outcomes Identify growth areas for BOAs and provide opportunities in those areas Identify cross-training opportunities and implement cross-training action plan Establish strong client relationships to support and facilitate tough client conversations with acceptable client outcomes Develop and deliver client-specific operational training and support domain related training Be a good team player and coach in order to create a healthy environment of trust amongst the team. Qualifications Graduate 4-8 years experience in US Benefits Domain and Benefits Administration Strong working knowledge of MS applications like Excel, Word, PowerPoint Good Communication Skill

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4 - 8 years

5 - 10 Lacs

Chennai, Gurgaon, Noida

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Wipro is hiring for EX-Wiproites for Senior Analyst (SA) and Lead Analyst (LSA)-GGN/Noida/Chennai/Coimbatore GGN -Wipro HR Services India Pvt Ltd, (SEZ) Building 2, Candor Techspace, IT/ITES,SEZ, Tikri, Sector-48, Gurgaon 122001, Haryana Noida- (Non-SEZ) Tower - A, Plot No - 6, Tech Boulevard Park, Sector -127, Noida - 201301, Uttar Pradesh Chennai - Olympia Tech park Coimbatore - Elcot IT park Work Mode : Work from Office Shift timing -11.30am to 9pm (business requirements) Please share your updated resume along with profile information @ 9919737276 Job Summary : Works with client to discuss all technical requirements, set client expectations, and manage client involvement in analysis activities Develops and executes integrated systems and testing strategy for aligned service (and common). Creatively reconciles client needs/demands with project timelines, resources, quality, and budget. Reviews client requirements, performs gap and/or impact analysis, and delegates as appropriate data, foundation, and systems analysis in preparation for service specific cloning and configuration; focuses on high-level and complex analysis. Flexible and adapt to changing priorities and deadlines. Promotes a conducive environment with the other team members to achieve results Develop team members by forging healthy relationships amongst teams. Maintenance and up-to-date Regression Test Plans Deployment Plan Execution (for aligned service and common) Smooth transition to production System abend monitoring and production cleanup QUALIFICATION B.Tech/ B.E/ MCA mandatory. 4 to 8.5 years Senior Analyst and Lead Analyst Relevant experience in working on US Health & Welfare domain Knowledge of system testing and software quality assurance best practices and methodologies. Strong analysis skills related to service specific tasks and troubleshoot complex system defects and errors. Excellent communication skills

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