Coverself Technologies specializes in innovative digital solutions and software development services focused on transforming businesses through technological advancements.
Bengaluru
INR 4.0 - 8.0 Lacs P.A.
Work from Office
Full Time
About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Saison Capital. Position Overview: This position plays a vital role within the CoverSelf Payment Integrity team by contributing to the development, enhancement, and maintenance of medical policy content. The role is responsible for converting healthcare guideline-driven concepts into system-readable configurations and performing comprehensive testing to ensure accuracy. Responsibilities include configuration and testing, ensuring adherence to CoverSelf and industry standards, and collaborating with cross-functional teams to validate outputs and maintain quality. This role needs passionate people with good interpersonal, analytical & problem solving skills. Having hands-on expertise in one or more of the following areas is an added advantage. Payment Integrity. Clinical Coding. Medical Coding. Denials Management. Key Responsibilities: Analyze and interpret concepts to ensure accurate configuration in line with medical coding, billing, and reimbursement guidelines. Analyze medical coding, reimbursement guidelines and configure logic to support accurate concept execution. Conduct in-depth reviews of contracts, policies, and federal/state regulations to formulate edit requirements. Apply industry coding guidelines to claims processes effectively. Demonstrate experience in analyzing and resolving coding issues for payment integrity purposes. Analyze, develop, and implement system configurations. Collaborate with subject matter experts (SMEs) and technical teams to translate regulatory and policy requirements into functional edit specifications. Translate editing logic into platform configurations with support from SMEs, and stakeholders to ensure clear understanding and configuration of concepts. Collaborate with cross-functional teams to assess configuration needs and implement appropriate solutions. Assist in developing and maintaining payment integrity policies and procedures. Review configurations to ensure completeness and accuracy based on the medical coding and billing guidelines. Troubleshoot and perform root-cause analysis for edit logics not functioning as intended. Effectively pinpoint configuration discrepancies and ensure concepts are deployed successfully and on schedule. Audit and validate concepts against healthcare guidelines; identify and address gaps with upstream teams. Conduct rigorous testing to verify concept accuracy and performance across outpatient, professional, and inpatient claim scenarios adhering to the coding guidelines. Perform acceptance testing to validate configuration accuracy. Stay updated with industry regulations and compliance requirements to ensure the configuration process adheres to relevant standards. Perform duties independently with a high level of accuracy and professionalism. Exhibit detail-oriented mindset with a focus on quality and accuracy in concept configuration & testing. Key Skills: Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity, Revenue Cycle Management (RCM), Denials Management. Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc. Knowledge on policies like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc. Proficiency in Microsoft Word and Excel, with adaptability to new platforms. Excellent verbal & written communication skills. Excellent Interpretation and articulation skills. Strong analytical, critical thinking, and problem-solving skills. Willingness to learn new products and tools. Strong time management skills and ability to meet deadlines. Qualifications: Education & Certification (one of the following required): Bachelor of Science in Nursing (B.Sc. Nursing). Pharmacist Degree (B.Pharm, M.Pharm or PharmD). Life science Degree (Microbiology, Biotechnology, Biochemistry, etc). Medical Degree (e.g., MBBS, BDS, BPT, BAMS etc). Other Bachelor s Degree with relevant experience. Certification Requirements: Candidates with certifications like CPC, CPMA, COC, CIC, CPC-P, CCS, or any specialty certifications from AHIMA or AAPC will be given preference. Additional weightage will be given for AAPC specialty coding certifications. Experience: 0-1 years of experience in Payment Integrity, Medical Coding, Denial Management. Experience in payment integrity, claims processing, or related functions within the US healthcare system. Experience in denial management, retrospective payment audits, or medical coding. Familiarity with Medical coding guidelines, such as ICD, CPT, Modifiers, Medicare, Medicaid, or commercial payer guidelines. Work Location: Jayanagar - Bangalore. Work Mode: Work from Office. Benefits: Best-in-class compensation. Health insurance for Family. Personal Accident Insurance. Friendly and Flexible Leave Policy. Certification and Course Reimbursement. Medical Coding CEUs and Membership Renewals. Health checkup. And many more! Additional Information: At CoverSelf, we are creating a global workplace that enables everyone to find their true potential, purpose, and passion irrespective of their background, gender, race, sexual orientation, religion and ethnicity. We are committed to providing equal opportunity for all and believe that diversity in the workplace creates a more vibrant, richer work environment that advances the goals of our employees, communities and the business.
Bengaluru
INR 4.0 - 8.0 Lacs P.A.
Work from Office
Full Time
About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Saison Capital. Role Overview : We are seeking a proactive and people-focused HR professional with 4-6 years of experience to lead our talent acquisition efforts. This role will be instrumental in driving end-to-end recruitment processes, building strong talent pipelines, and partnering with hiring managers to attract and onboard top talent. The ideal candidate thrives in a fast-paced environment and is passionate about creating a seamless and impactful hiring experience. Responsibilities: Manage the end-to-end recruitment lifecycle for both tech and non-tech roles, including sourcing, screening, coordinating interviews, and onboarding. Collaborate closely with hiring managers and business leaders to understand current and future hiring needs. Develop and maintain robust talent pipelines through proactive sourcing strategies across multiple channels (job boards, social media, referrals, etc.). Craft engaging job descriptions and ensure consistent employer branding across all platforms Ensure a seamless and positive candidate experience throughout the recruitment journey. rack and report recruitment metrics such as time-to-hire, source effectiveness, and offer-to-join ratio. Build and maintain a strong database of potential candidates for critical and recurring role. Stay updated on industry trends, market benchmarks, and best practices in talent acquisition. Work closely with onboarding teams to ensure smooth transition from offer to joining. Qualifications: 4 to 6 years of experience in end-to-end IT recruitment, preferably in a start-up or high-growth tech environment. Bachelor s or Master s degree in Human Resources, Business Administration, or a related field. Solid understanding of technical roles, stacks, and current hiring trends in the IT industry. Strong communication, stakeholder management, and negotiation skills. Hands-on experience with ATS platforms, sourcing tools, and job portals (e.g., LinkedIn, Naukri, GitHub). Ability to manage multiple open positions simultaneously and thrive in a fast-paced, dynamic work environment. Work Location: Jayanagar - Bangalore. Work Mode: Work from Office. Benefits: Best-in-class compensation Health insurance for Family Personal Accident Insurance Friendly and Flexible Leave Policy Certification and Course Reimbursement Health checkup And many more! Additional Information: At CoverSelf, we are creating a global workplace that enables everyone to find their true potential, purpose, and passion irrespective of their background, gender, race, sexual orientation, religion and ethnicity. We are committed to providing equal opportunity for all and believe that diversity in the workplace creates a more vibrant, richer work environment that advances the goals of our employees, communities and the business.
Bengaluru
INR 35.0 - 40.0 Lacs P.A.
Work from Office
Full Time
About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Saison Capital. Position Overview: This Manager / Senior Manager - Learning & Development (L&D) role at CoverSelf is a fantastic opportunity for a seasoned professional passionate about Medical Coding and US Healthcare Payment Integrity . Based in Jayanagar, Bangalore , youll be joining a rapidly growing HealthTech company focused on revolutionizing US healthcare payment integrity through a next-gen, cloud-native platform. Why This Role is for You: At CoverSelf, you wont just be delivering training; youll be building a future-ready L&D function from the ground up. This means leading the charge on: Pioneering Medical Coding & Payment Integrity Training: Design and deliver cutting-edge programs on claim lifecycle, fraud/waste/abuse (FWA), overpayment recovery, and critical compliance standards like HIPAA, ICD-10, CPT, and HCPCS Level II . Youll engage learners with real-world case simulations and hands-on coding practice. Driving AI-Enabled Learning: Be at the forefront of integrating AI tools to accelerate content creation, documentation, and learning analytics. Youll train employees on effective AI usage, fostering a culture of innovation. Shaping Learning Infrastructure: Lead the end-to-end setup and administration of our Learning Management System (LMS), creating structured learning paths and dashboards that drive employee growth. Strategic Upskilling & Development: Proactively identify skill gaps with business leaders and orchestrate impactful upskilling programs, bringing in the best industry trainers. Impactful Onboarding: Design and deliver standardized induction and On-the-Job Training (OJT) programs, ensuring a smooth and effective transition for all new hires. Who Were Looking For: Were seeking a dynamic individual with: 10+ years (Manager) / 13+ years (Senior Manager) in L&D or Medical Coding Training. A strong Medical/Life Science background (MBBS, BDS, BSN, B.Pharm, M.Pharm, PharmD, Life Science Degree). Mandatory certifications such as CPC, CPMA, COC, CIC, CPC-P, CCS or other AHIMA/AAPC certifications. Specialty coding certifications are a significant plus. Proven experience with LMS setup and content development . Deep expertise in Medical Coding & Billing methodologies (CPT, ICD, LCD/NCD, PTP, NCCI edits, modifiers). A solid understanding of Payment Integrity concepts and Denials Management . Experience leveraging AI tools and strong prompt writing skills. Excellent instructional design, documentation, and communication abilities. Work Location: Jayanagar - Bangalore. Work Mode: Work from Office. Benefits: Best-in-class compensation. Health insurance for Family. Personal Accident and Life Insurance. Friendly and Flexible Leave Policy. Certification and Course Reimbursement. Medical Coding CEUs and Membership Renewals. Health checkup. And many more! Additional Information: At CoverSelf, we are creating a global workplace that enables everyone to find their true potential, purpose, and passion irrespective of their background, gender, race, sexual orientation, religion and ethnicity. We are committed to providing equal opportunity for all and believe that diversity in the workplace creates a more vibrant, richer work environment that advances the goals of our employees, communities and the business.
Bengaluru
INR 14.0 - 18.0 Lacs P.A.
Work from Office
Full Time
About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Saison Capital. Position Overview: To play a critical role within the CoverSelf Content team, contributing to the development, enhancement and maintenance of medical policy content. This position is responsible for researching new medical policies, ensuring quality assurance, and identifying opportunities to expand policy libraries. This role will also conduct in-depth reviews of existing medical policies and support the development of clinical logic and algorithms. We are seeking a passionate and experienced Subject Matter Expert (SME) with strong hands-on expertise in one or more of the following areas: Payment Integrity. Clinical Coding Analyst. Content Development. Payment Integrity Data Mining. Medical Coding. Denials Management. Specialty Expertise: Candidates must have proficiency in coding and billing for one or more of the following specialties: Evaluation & Management (E/M) Services. E/M Professional (IP/OP). Observations. Emergency Medicine Professionals. Key Responsibilities: Identify, interpret, develop, and implement concepts to detect incorrect healthcare payments through regulatory research, industry expertise, and data analysis. Analyst to support managing 1-2 medical reimbursement payment policies end-to-end. Manager and above to manage 2-3 medical reimbursement payment policies end-to-end. Develop and maintain coding guidelines, Medicare/Medicaid edits, and reimbursement frameworks. Analyze medical reimbursement methodologies, including policy rules and edits. Synthesize complex clinical and coding guidelines into actionable business logics. Ensure compliance and update rules according to the latest industry standards. Leverage expertise in medical coding, healthcare claims processing, and industry standards to support the development of clinical coding policies and edits. Operate independently as an individual contributor. Requirements: Strong domain expertise in denials logic across Payment Integrity, Revenue Integrity and Denials Management. Solid understanding of medical coding & billing methodologies and guidelines, including CPT, ICD, LCD/NCD, PTP, NCCI, edits, modifiers, Medicare Physician fee schedule, and coding conventions. Proficiency in data collection, analysis, and deriving actionable insights from CMS medical policies, Medicaid Provider Manuals and other Medical publications. Translate industry references into actionable business logic to support new rules and policy enhancements. Strong understanding of claim forms like UB-04/CMS 1450 and CMS 1500. Collaborate effectively across teams while managing multiple priorities, Ability to thrive in a fast-paced, dynamic environment with minimal supervision. Demonstrated mindset for continuous learning and improvement and apply insights to policy development, refinement and maintenance. Strong stakeholder management, interpersonal, and leadership skills. Solution-focused, motivated, entrepreneurial spirit with a strong sense of ownership. Clear and effective communication. Strong attention to accuracy and detail in all deliverables. Qualifications: Education & Certification (one of the following required): Medical Degree (e.g., MBBS, BDS, BPT, BAMS etc). Bachelor of Science in Nursing. Pharmacist Degree (B.Pharm, M.Pharm or PharmD). Life science Degree (Microbiology, Biochemistry etc). Other Bachelor s Degree with relevant experience. Certification Requirements: Must hold any of the following certifications: CPC, CEMC, CEDC, CPMA, COC, CIC, CPC-P, CCS or any specialty certifications from AHIMA or AAPC. Additional weightage will be given for AAPC specialty coding certifications. Lean Six Sigma certification and practical application experience are preferred. Experience: Experience in Payment Integrity Content/Research, Denial Management, or Medical Coding. 3+ years experience for Analyst. 5+ years experience for TL. 10+ Years for Manager. 13+ years for Senior Manager. Experience in rule requirement gathering, rule development and maintenance and Resolving payer denials. In-depth knowledge of Reimbursement payment policies, Medical coding Denial Management is required. Key Skills: Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity,Revenue Cycle Management (RCM), Denials Management. Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc. Payment Policies knowledge like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc. High proficiency in Microsoft Word and Excel, with adaptability to new platforms. Excellent verbal & written communication skills. Excellent Interpretation and articulation skills. Strong analytical, critical thinking, and problem-solving skills. Willingness to learn new products and tools. Work Details: Location: Jayanagar, Bangalore. Mode: Work from Office. Benefits: Best-in-class compensation. Health insurance for Family. Personal Accident Insurance. Friendly and Flexible Leave Policy. Certification and Course Reimbursement. Medical Coding CEUs and Membership Renewals. Health checkup. And many more! Our Commitment to Diversity: At CoverSelf, we are building a global workplace where every individual can discover their true potential, passion, and purpose regardless of background, gender, race, sexual orientation, religion, or ethnicity. We believe a diverse workplace fosters innovation, creativity, and progress for our employees, communities, and business.
Bengaluru
INR Not disclosed
Work from Office
Internship
About CoverSelf: We are an InsurTech start-up based out of Bangalore, with a focus on Healthcare. CoverSelf empowers healthcare insurance companies with a truly NEXT-GEN cloud-native, holistic & customizable platform preventing and adapting to the ever-evolving claims & payment inaccuracies. Reduce complexity and administrative costs with a uni ed healthcare dedicated platform. Introduction: We are seeking a detail-oriented and motivated QA Intern to join our team. As a QA Intern, you will work closely with our QA engineers and developers to ensure the quality and functionality of our products. This is an excellent opportunity to gain hands-on experience in software testing and quality assurance practices in a professional environment. Eligibility: Must have a BTech degree in computer science or equivalent Batch of 2023/24/25 Should have completed QA/testing training or certification. Responsibilities: Assist in the development and execution of test plans, test cases, and test scripts. Participate in manual and automated testing of web applications and API. Identify, document, and track bugs, issues, and defects using our bug tracking system. Collaborate with developers and QA team members to understand requirements and resolve issues. Conduct regression testing to ensure that previously resolved issues are not reintroduced. Learn and apply industry-standard QA tools and methodologies. Prepare and present test reports summarising testing activities and results. Perform any other duties as assigned by the QA Manager or other team members. Requirements: Experience with programming languages (e.g., Java) is an advantage. Familiarity with automated testing tools (e.g., Selenium, Playwright, JUnit/ TestNG) Should understand Git What We Offer: Mentorship from experienced QA professionals. Opportunity to work on real projects and gain hands-on experience. Flexible work environment A supportive and collaborative team culture. Added Bonus: Candidates who have completed QA/testing training or certification. Experience in a NoSql solution like MongoDB Previous internship or project experience in software testing or development is a bonus. Work Location: Jayanagar - Bangalore. Work Mode: Work from Office. Additional Information: At CoverSelf, we are creating a global workplace that enables everyone to find their true potential, purpose, and passion irrespective of their background, gender, race, sexual orientation, religion and ethnicity. We are committed to providing equal opportunity for all and believe that diversity in the workplace creates a more vibrant, richer work environment that advances the goals of our employees, communities and the business.
Bengaluru
INR 5.0 - 9.0 Lacs P.A.
Work from Office
Full Time
About CoverSelf: We are an InsurTech start-up based out of Bangalore, with a focus on Healthcare. CoverSelf empowers healthcare insurance companies with a truly NEXT-GEN cloud-native, holistic & customizable platform preventing and adapting to the ever-evolving claims & payment inaccuracies. Reduce complexity and administrative costs with a uni ed healthcare dedicated platform. About the Role: We are looking for a skilled and proactive IT Support Engineer to join our growing IT team. As an IT Support Engineer, you will be responsible for providing technical support, troubleshooting issues, and assisting in the day-to-day operations of our IT infrastructure. The ideal candidate should have 2-4 years of experience in IT support, with a solid understanding of networking, hardware, software, and systems administration. Responsibilities: Provide first- and second-level technical support to end users, troubleshooting hardware, software, and network issues both onsite and remotely. Assist in maintenance of servers, desktops, laptops, and mobile devices, ensuring optimal performance. Support the configuration and maintenance of network devices (routers, switches, firewalls) and ensure secure and reliable connectivity. Aid in the rollout, installation, and configuration of new hardware and software applications, including updates and patches. Develop and maintain technical documentation and user guides. Conduct basic training sessions to help staff better utilize IT resources. Collaborate in IT projects such as system upgrades, infrastructure improvements, and technology rollouts. Provide timely updates and troubleshooting support. Track, prioritize, and resolve tickets using the organization s helpdesk system. Escalate issues as needed and follow up to ensure resolution. Support initiatives related to IT security, ensuring systems adhere to compliance and policy standards, and participate in routine system audits. Conduct periodic hardware and software audits and inventory management. Requirements: 2-4 years of experience in IT support, network administration, or a similar role. Solid understanding of operating systems (Windows, Linux, macOS) and network protocols. Experience with hardware troubleshooting and software installation. Knowledge of Active Directory, Office 365, and other enterprise IT solutions. Basic experience in server administration and virtualization technologies (VMware, Hyper-V). Familiarity with cloud services (AWS, Azure, Google Cloud) is a plus. Strong problem-solving skills and the ability to work independently. Excellent communication skills and a customer-focused approach. Ability to prioritize and manage multiple tasks effectively. Preferred Skills (Optional): Experience with IT service management (ITSM) tools (e.g.,JIRA Service Desk, ServiceNow,Freshworks etc). Exposure to virtualization technologies (e.g., VMware, Hyper-V) or cloud platforms (e.g., AWS, Azure). Knowledge of scripting or automation (e.g., PowerShell, Python) for routine tasks. Work Locatio n: Bangalore Work Mode: WFO Benefits: Best in the Industry Compensation, Friendly & Flexible Leave Policy, Health Benefits, Certifications & Courses Reimbursements, Chance to be part of rapidly growing start-up & the next success story, and many more. Additional Information: At CoverSelf, we are creating a global workplace that enables everyone to find their true potential, purpose, and passion irrespective of their background, gender, race, sexual orientation, religion and ethnicity. We are committed to providing equal opportunity for all and believe that diversity in the workplace creates a more vibrant, richer work environment that advances the goals of our employees, communities and the business.
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