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2.0 - 5.0 years
0 Lacs
Nālāgarh
On-site
Job Title: Manufacturing Excellence (ManEx) Officer Location: Nalagarh ICD Reports To: Factory Manager Job Purpose: To lead the governance and performance of Manufacturing Excellence systems including the Unilever Management System (UMS), SU League KPIs, TPM deployment, and Digital Transformation Index (DTI), ensuring the factory operates with high efficiency, digitization, and compliance. Key Responsibilities: UMS (Unilever Management System) Governance Coordinate all 10 UMS pillars (AM, PM, FI, EEM, Safety, Quality, PD, CSL etc. Facilitate monthly reviews with pillar leads and maintain audit readiness Track pillar maturity, visual management, and document compliance SU Factory League Performance Own and report KPIs like OEE, CPT, QI, OR, Energy, Waste, Inventory, SRS Drive monthly governance reviews to track score improvements Ensure accuracy and on-time data submission for Power BI dashboards DTI (Digital Transformation Index) Execution Manage DTI roadmap including Adoption (DFOS, EMS, SPC, etc.), VC creation, Deployment OTIF, and Capability Track scoring, implementation, and compliance with business group expectations Collaborate with digital enabler leads to close gaps TPM & OEE Management Support deployment of TPM tools across pillars (AM, PM, FI, EEM) Examine line losses, drive kaizens, and lead OEE improvement programs Track daily/weekly OEE performance, loss tree and RCA actions Capability Building Maintain and track training plans for factory teams Conduct workshops, drive kaizen engagement, and promote shopfloor ownership Foster digital and lean culture through structured rollout of tools Key Metrics: SU League Score > 90 DTI Score in Green Zone (across 4 pillars) OEE > 81% Audit and Pillar Maturity Scores Required Qualifications: B.E./B.Tech. in Mechanical, Electrical, or Industrial Engineering 2–5 years’ experience in manufacturing excellence, TPM, or digital systems Proficiency in Power BI, Excel, and manufacturing systems TPM/UMS exposure and cross-functional coordination ca
Posted 12 hours ago
4.0 - 6.0 years
5 - 10 Lacs
Gurgaon
On-site
Skills & Qualifications Exp - 4-6 years in Real world data analysis Qualification - Master’s/PhD in statistics, M. Tech, M. Pharma Strong foundation in large database analysis, biostatistics, clinical trial, observational research and epidemiology Experience with handling large databases like administrative claims, electronic health records, patient chart review, Ability to manage multiple projects and deliver results under tight timelines Excellent interpersonal skills and analytical thoughts Tool & Platform Expertise Healthcare coding system ICD9 and 10, HCPCS, CPT, NDC etc. Use programming languages and tools such as SAS, R, R-Shiny, SQL, Python, Power BI Familiarity with RWE platforms like AWS, SAGEMAKER , AZURE and data standards like CDISC Core Responsibilities Data Analysis & Interpretation Analyse large datasets from sources like electronic health records, claims databases, and registries Apply statistical methods to assess patient journey, treatment outcomes, and healthcare utilization and capable to provide key insights and takeaways Study Design & Execution Develop protocols, statistical analysis plans, and research proposals Conduct observational studies and retrospective analyses using real-world data Collaboration & Communication Work cross-functionally with medical affairs, epidemiology, health economics, and commercial teams Excellent presentation skills Don't meet every job requirement? That's okay! Our company is dedicated to building a diverse, inclusive, and authentic workplace. If you're excited about this role, but your experience doesn't perfectly fit every qualification, we encourage you to apply anyway. You may be just the right person for this role or others.
Posted 12 hours ago
3.0 years
2 - 3 Lacs
Pānīpat
On-site
Designation : Accountant Roles and Responsibility : - All accounts overall management - Making of GSTR returns and submitting to CA - All MIS reports and Data management - All Purchase orders / Bank reconciliation - Statutory Compliances - Company data for macro-level reporting etc - Monthly Balance sheet / Trial Balance making Salary : As per exp. Experience Required : 3 to 5 years in Tally Accounting Candidate Profile :- 1 Male and 1 Female - Very Good in Tally ERP - CA (CPT or IPCC) preferred Job Types: Full-time, Permanent Pay: ₹20,000.00 - ₹25,000.00 per month Benefits: Cell phone reimbursement Commuter assistance Internet reimbursement Leave encashment Paid time off Schedule: Day shift Fixed shift Morning shift Work Location: In person Speak with the employer +91 9988661780
Posted 12 hours ago
6.0 years
3 Lacs
India
On-site
Work Mode: Onsite. Address: 5th Floor, Gamma Block, SSPDL, Alpha City, OMR, Navalur, Chennai. Job Type: Full-time Experience: Min 6 months to Max 6 Years in US IT Hiring Work Hours: 6:30 PM to 3:30 AM IST Salary: Upto 30,000 (Based on Experience & Interview Performance) Job Description: We are seeking a highly motivated and results-driven US IT Recruiter to join our dynamic team. The ideal candidate will have a strong understanding of the US IT industry. Key Responsibilities: Source, screen, and interview candidates through various job portals (Dice, Monster, CareerBuilder, LinkedIn, etc.). Work on full recruitment life cycle from sourcing to onboarding. Understand client requirements and deliver qualified candidates in a timely manner. Negotiate rates and salaries with candidates and close offers. Maintain and develop a pipeline of eligible candidates for future open positions. Establish and maintain strong relationships with candidates and clients. Submit candidates to job requirements and track submissions and feedback. Work with Applicant Tracking Systems (ATS) to maintain candidate records. Requirements: Bachelor's degree or equivalent. 0.6 – 6 years of experience in US IT recruitment (bench sales experience is a plus). Experience working with various visa types (H1B, GC, US Citizen, TN, OPT, CPT, etc.). Familiarity with tax terms like W2, C2C, and 1099. Strong understanding of IT technologies and terminologies. Excellent communication and negotiation skills. Ability to work in a fast-paced environment and meet daily/weekly targets. Job Type: Full-time Pay: Up to ₹30,000.00 per month Benefits: Provident Fund Schedule: Monday to Friday Night shift Supplemental Pay: Performance bonus Ability to commute/relocate: Siruseri, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Experience: US IT Recruitment: 1 year (Required) Language: English (Required) Shift availability: Night Shift (Required) Work Location: In person Expected Start Date: 11/08/2025
Posted 12 hours ago
1.0 - 5.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Job Title: US Technical Recruiter Location: Noida, Sector 63 (On-site)/Bhubaneswar Company: Snappyhires Pvt Ltd Salary: 3.5LPA Experience: 1-5 years Job Type: Full-time, Night Shift (US Time Zone) Role Overview We are looking for an experienced and highly driven Senior US IT Recruiter to join our team in Noida, Sector 63. The ideal candidate should have extensive experience in end-to-end US IT recruitment, an understanding of various hiring models (W2, C2C, 1099), and a strong network of IT professionals across various technologies. Key Responsibilities Handle full-cycle recruitment for US-based IT positions. Source candidates using job boards (Dice, Monster, CareerBuilder, TechFetch, LinkedIn, etc.). Screen, interview, and assess candidates’ technical and communication skills. Negotiate salaries, rates, and other terms of employment. Build and maintain a pipeline of qualified candidates. Collaborate with account managers and delivery leads to fulfill client needs. Stay updated with US market trends, visa statuses (H1B, GC, USC, OPT, CPT), and compliance requirements. Key Requirements Minimum 1 years of hands-on US IT/Non-IT recruitment experience. Strong knowledge of US hiring practices, tax terms (W2/C2C/1099), and visa classifications. Excellent verbal and written communication skills. Experience working in a fast-paced, target-driven environment. Proficiency in applicant tracking systems (ATS) and CRM tools. Willingness to work in night shifts (EST/PST time zones).
Posted 14 hours ago
0.0 - 6.0 years
0 - 0 Lacs
Bellandur, Bengaluru, Karnataka
On-site
Job Title: Fitness Manager Location: Gold’s Gym, Bellandur – Bangalore Experience Required: Minimum 6 Years Employment Type: Full-time Industry: Health & Fitness About Us Gold’s Gym Bellandur is a part of the globally renowned Gold’s Gym chain, committed to providing exceptional fitness experiences to our members. We are looking for a dynamic and experienced fitness manager to lead our fitness team and drive service excellence. Key Responsibilities: Supervise and manage a team of personal trainers and fitness staff. Design, implement, and monitor personalized training programs and group fitness classes. Ensure member satisfaction by maintaining high service quality and professional standards. Develop and track performance metrics (client retention, revenue generation, and trainer productivity). Recruit, train, and motivate fitness professionals to achieve departmental goals. Conduct periodic audits and ensure adherence to health & safety protocols and Gold’s Gym guidelines. Coordinate with the sales and operations team to support member engagement and retention. Stay updated with industry trends and introduce innovative fitness programs. Requirements: Minimum of 6 years of experience in the fitness industry, with at least 2 years in a managerial or supervisory role. Certified Personal Trainer (CPT) or equivalent qualification from a recognized institute (K11, ACE, ISSA, ACSM, etc.). Strong leadership, communication, and interpersonal skills. Ability to work in a fast-paced environment with a passion for health and fitness. Proven ability to manage teams, drive results, and uphold service standards. What We Offer: Competitive salary and performance-based incentives. Opportunity to grow within a reputable and expanding fitness brand. Supportive team environment and ongoing learning opportunities. Access to state-of-the-art gym facilities. Job Types: Full-time, Permanent Pay: ₹60,000.00 - ₹75,000.00 per month Benefits: Health insurance Paid sick time Paid time off Provident Fund Ability to commute/relocate: Bellandur, Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Required) Experience: 10years: 6 years (Required) Language: English (Required) License/Certification: K11,ACE,Proton
Posted 17 hours ago
5.0 years
0 Lacs
Nalagarh, Himachal Pradesh, India
On-site
Job Title: Manufacturing Excellence (ManEx) Officer Location: Nalagarh ICD Reports To: Factory Manager Job Purpose To lead the governance and performance of Manufacturing Excellence systems including the Unilever Management System (UMS), SU League KPIs, TPM deployment, and Digital Transformation Index (DTI), ensuring the factory operates with high efficiency, digitization, and compliance. Key Responsibilities UMS (Unilever Management System) Governance Coordinate all 10 UMS pillars (AM, PM, FI, EEM, Safety, Quality, PD, CSL etc. Facilitate monthly reviews with pillar leads and maintain audit readiness Track pillar maturity, visual management, and document compliance SU Factory League Performance Own and report KPIs like OEE, CPT, QI, OR, Energy, Waste, Inventory, SRS Drive monthly governance reviews to track score improvements Ensure accuracy and on-time data submission for Power BI dashboards DTI (Digital Transformation Index) Execution Manage DTI roadmap including Adoption (DFOS, EMS, SPC, etc.), VC creation, Deployment OTIF, and Capability Track scoring, implementation, and compliance with business group expectations Collaborate with digital enabler leads to close gaps TPM & OEE Management Support deployment of TPM tools across pillars (AM, PM, FI, EEM) Examine line losses, drive kaizens, and lead OEE improvement programs Track daily/weekly OEE performance, loss tree and RCA actions Capability Building Maintain and track training plans for factory teams Conduct workshops, drive kaizen engagement, and promote shopfloor ownership Foster digital and lean culture through structured rollout of tools Key Metrics SU League Score > 90 DTI Score in Green Zone (across 4 pillars) OEE > 81% Audit and Pillar Maturity Scores Required Qualifications B.E./B.Tech. in Mechanical, Electrical, or Industrial Engineering 2–5 years’ experience in manufacturing excellence, TPM, or digital systems Proficiency in Power BI, Excel, and manufacturing systems TPM/UMS exposure and cross-functional coordination ca
Posted 1 day ago
4.0 - 6.0 years
0 Lacs
Gurugram, Haryana, India
On-site
Skills & Qualifications Exp - 4-6 years in Real world data analysis Qualification - Master’s/PhD in statistics, M. Tech, M. Pharma Strong foundation in large database analysis, biostatistics, clinical trial, observational research and epidemiology Experience with handling large databases like administrative claims, electronic health records, patient chart review, Ability to manage multiple projects and deliver results under tight timelines Excellent interpersonal skills and analytical thoughts Tool & Platform Expertise Healthcare coding system ICD9 and 10, HCPCS, CPT, NDC etc. Use programming languages and tools such as SAS, R, R-Shiny, SQL, Python, Power BI Familiarity with RWE platforms like AWS, SAGEMAKER, AZURE and data standards like CDISC Core Responsibilities Data Analysis & Interpretation Analyse large datasets from sources like electronic health records, claims databases, and registries Apply statistical methods to assess patient journey, treatment outcomes, and healthcare utilization and capable to provide key insights and takeaways Study Design & Execution Develop protocols, statistical analysis plans, and research proposals Conduct observational studies and retrospective analyses using real-world data Collaboration & Communication Work cross-functionally with medical affairs, epidemiology, health economics, and commercial teams Excellent presentation skills Don't meet every job requirement? That's okay! Our company is dedicated to building a diverse, inclusive, and authentic workplace. If you're excited about this role, but your experience doesn't perfectly fit every qualification, we encourage you to apply anyway. You may be just the right person for this role or others.
Posted 1 day ago
12.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Description: About the Company: Join AT&T and reimagine the communications and technologies that connect the world. Our Chief Security Office ensures that our assets are safeguarded through truthful transparency, enforce accountability and master cybersecurity to stay ahead of threats. Bring your bold ideas and fearless risk-taking to redefine connectivity and transform how the world shares stories and experiences that matter. When you step into a career with AT&T, you won’t just imagine the future-you’ll create it. About the Job: As part of the AT&T Governance Enforcement, Assessment and Testing, Third Party Risk, and Emerging Technology Cyber Organization (GATE), you will lead and support the Assessment and Testing Team by designing and executing Red team engagements to simulate advanced attack scenarios, identify vulnerabilities, and assess security measures. In this role, you will lead and participate in sophisticated Red Team exercises aimed at uncovering vulnerabilities across our networks, systems, applications, and processes. As an innovative thinker, you will go beyond standard vulnerability assessments, developing and utilizing unique tools and techniques to identify and exploit security gaps. Your primary responsibilities will involve conducting comprehensive Red Team exercises to identify vulnerabilities in diverse environments such as cloud-hosted and web-based applications, API interfaces, databases, big data environments, networks, computer systems, mobile applications, Software Defined Networks, and IoT devices and systems. You will design and develop custom tools and methodologies to enhance our security testing capabilities and employ creative tactics to uncover weaknesses, including poor user practices and weak security methods. Working collaboratively with other Red Team members and Security Analysts, you will identify and exploit security issues, characterize cyber-attack vectors, and discover related vulnerabilities, providing actionable recommendations for remediation. In addition, you will be required to stay abreast of the latest vulnerabilities and exploit techniques, continuously adapting your tools and methodologies to address emerging threats and evolving security landscapes. Your role will also involve documenting and communicating security findings in both written and verbal formats, using your insights to inform management, drive security strategies, notify affected customers, and advise network operations and other business units on security issues and recommended solutions. Experience Level: 12+ years. Location: Hyderabad Responsibilities Include: Performing formal and informal targeted “Hunts” to identify vulnerabilities. Actively building and participating in Red Team exercises. Design and execute red team engagements, simulating advanced attack scenarios to identify vulnerabilities and assess the effectiveness of security measures. Conduct penetration tests on networks, applications, and physical security controls. Employing tactics to uncover security holes in user practices and procedures. Develop and execute red team strategies and methodologies to uncover potential security gaps. Analyze and report on findings from red team exercises, including detailed recommendations for remediation. Providing feedback and verification as security issues are fixed. Stay current with the latest security threats, attack techniques, and industry trends. Communicate complex security concepts to both technical and non-technical stakeholders. Collaborate with other security teams to improve overall security practices and incident response capabilities. Be proactive and demonstrate the ability to analyze issues, generate ideas, and initiate action while achieving results. Effectively manages multiple tasks / projects with close attention to detail and meets short turnarounds and deadlines. Collaborate with leadership teams, provide subject matter expertise and insights. Support and guide team members in providing high-quality and actionable intelligence products / deliverables. Support, guide and mentor team members in technical and functional matters The expert in this role will perform analysis of complex security issues and corresponding activities to help mitigate risk. Includes forward looking research, planning and strategy to strengthen our stance against future cyber security threats and attacks, and enhancing our mitigation techniques, processes, and technology solutions. Required skills: At least 12+ years of experience in penetration testing and red team operations. Expert level understanding of Transmission Control Protocol / Internet Protocol (TCP/IP) protocols, devices, security mechanisms and how they operate. Strong understanding of network security threats including APT, botnets, Distributed Denial of Service (DDoS) attacks, worms, and network exploits. Expert knowledge of attack vectors, exploitation techniques, and vulnerability assessment methodologies. Experience with industry-standard penetration testing tools and frameworks. Experience with network probing/testing/analysis tools (Nessus, nmap, burp, wireshark, etc.) Deep technical knowledge of Windows, UNIX and Linux operating systems as both an expert user and system administrator Programming skills that will be used to construct, modify, and execute testing tools including shell (ksh, bash), [g]awk, Python, PERL, regex, .NET Programming, Java, C, C++, C#, PowerShell, curl, Web application development (PHP, ASP.NET, etc.) Comprehensive knowledge of software security testing principles, practices, and tools, experience of vulnerability assessments in a complex environment. Experience or familiarity with vulnerability analysis, computer forensics tools, cryptography principles Excellent teamwork skills for collaboration on analysis techniques, implementation, and reporting. Must be able to work both independently as well as effectively in teams of individuals with a variety of skills and backgrounds. Excellent written and verbal communication skills and have demonstrated ability to present material to senior officials. Highly self-motivated requiring little direction. Demonstrates creative/out-of-the-box thinking and good problem-solving skills. Demonstrates strong ethical behavior. Sense of urgency and attention to detail Flexible to provide coverage in US morning hours on a need-basis, and as required Desirable skills: Strong knowledge of an enterprise architecture Ability to obtain a strong and ongoing understanding of the technical details involved in current APT threats and exploits involving various operating systems, applications and networking protocols. Knowledge of tactics, techniques, and procedures associated with malicious insider activity, organized crime/fraud groups and both state and non-state sponsored threat actors. Understanding of cloud-based architectures and highly distributed big data architectures Experience with application security testing tools, such as the Metasploit framework and Burp Suite One or more of these certifications CEH: Certified Ethical Hacker CPT: Certified Penetration Tester CEPT: Certified Expert Penetration Tester GPEN: GIAC Certified Penetration Tester OSCP: Offensive Security Certified Professional BS/MS degree in Computer Science, Cyber Security, Engineering, or related technical field Prior experience with Telecom sector. Additional information (if any): Need to be flexible to provide coverage in US morning hours. Weekly Hours: 40 Time Type: Regular Location: IND:AP:Hyderabad / Argus Bldg 4f & 5f, Sattva, Knowledge City- Adm: Argus Building, Sattva, Knowledge City It is the policy of AT&T to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, AT&T will provide reasonable accommodations for qualified individuals with disabilities. AT&T is a fair chance employer and does not initiate a background check until an offer is made.
Posted 1 day ago
3.0 years
0 Lacs
India
On-site
Experience Level : 3+ years. Primary Roles & Responsibilities ABA billing experience. TMS (Transcranial Magnetic Stimulation) 1. Claim Preparation and Submission Collect and verify patient and insurance details. Translate physician services into billable codes (often in collaboration with a medical coder). Accurately generate insurance claims using CPT, ICD-10, and HCPCS codes. Submit claims electronically or via paper to insurance payers (Medicare, Medicaid, private insurers). 2. Insurance Verification and Preauthorization (Calling & Online Checking) Confirm patient insurance eligibility and coverage before services are rendered. Obtain prior authorizations when required by insurance providers. 3. Claim Follow-Up Monitor submitted claims for acceptance, rejection, or denial. Identify and correct any denied or rejected claims. Resubmit corrected claims promptly. 4. Payment Posting and Reconciliation Post insurance and patient payments in the billing system. Review EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice) . Reconcile posted payments with deposits and patient accounts. 5. Patient Billing and Communication Generate and send patient statements electronically for outstanding balances. Communicate with patients (if approved by doctors) regarding billing issues, insurance questions, and payment options. Assist in setting up payment plans if necessary. 6. Compliance and Confidentiality Ensure full compliance with HIPAA and all relevant billing laws. Maintain strict confidentiality of patient and financial data. Stay updated with changing payer guidelines, coding rules, and healthcare regulations. 7. Reporting and Documentation Generate billing and financial reports for physicians or practice managers. Maintain accurate records for internal reviews and external audits. Skills & Knowledge Required Strong understanding of medical terminology, anatomy , and medical coding systems ( ICD-10, CPT, HCPCS ). Proficiency with billing software (e.g., Kareo, AdvancedMD, Athenahealth ) – varies by client requirements . Familiarity with specific specialties (e.g., Mental Health, Pediatrics, Internal Medicine, Cardiology, Orthopedics , etc.) – client-dependent . Excellent attention to detail and organizational skills. Effective communication and customer service abilities. Solid knowledge of payer-specific rules and federal programs like Medicare / Medicaid / Commercial insurance.
Posted 1 day ago
2.0 years
0 Lacs
Ahmedabad, Gujarat, India
On-site
Are you passionate about connecting top IT talent with the right opportunities? At Helix Tech IT Services, we don’t just fill positions, we build careers. Join us as a Bench Sales Recruiter and help candidates take the next big step while driving our mission forward. About Helix Tech IT Services Helix Tech IT Services is a fast-growing IT staffing and solutions company, dedicated to supporting CPT, OPT, H1B, GC, and citizen candidates with career placement, training, and professional growth. Roles & Responsibilities: • Market and place bench candidates (US-based OPT/CPT/H1B/GC/US citizens) into suitable IT roles • Develop and maintain relationships with implementation partners, vendors, and direct clients • Coordinate interviews, follow-ups, and close deals efficiently • Maintain accurate documentation of client and candidate interactions • Collaborate with the internal training team to guide and prepare candidates • Work in US time zone (EST/PST shift) Must-Have Skills: • Minimum 1–2 years of experience in US Bench Sales Recruiting • Excellent communication, negotiation, and interpersonal skills • Proven experience with job portals like Dice, Monster, CareerBuilder, and LinkedIn • Familiarity with US visa types and hiring processes • Ability to work independently and under pressure What You Get: • Competitive salary + attractive incentives • Monthly performance bonuses • Opportunity to work with a supportive, fast-paced, and growth-driven team • Career advancement with internal upskilling & training options How to apply? 📧 Send your resume to: hr@helixtechinc.com 📞 Contact: +91 99988 34394 | www.helixtechinc.com
Posted 1 day ago
3.0 - 2.0 years
4 - 6 Lacs
Malad, Mumbai, Maharashtra
On-site
Job Title: Certified Medical Coder Location: Malad West, Mumbai US Shift: 5:30 PM – 2:30 AM (Night Shift) Job Overview: We are looking for a skilled and detail-driven Medical Coder to join our growing US Healthcare TPA operations. This role involves auditing and coding medical claims to ensure accuracy, benefit alignment, and compliance with federal and state healthcare regulations. The ideal candidate will play a critical part in maintaining claims processing quality, minimizing errors, and supporting the financial integrity of our third-party administration (TPA) services. Key Responsibilities: Conduct pre-payment and concurrent audits of medical claims for self-funded and level-funded healthcare plans. Verify the accuracy of medical coding (ICD-10, CPT, HCPCS) and ensure correct application of plan benefits. Cross-reference claim codes with plan documents to determine appropriate benefit adjudication. Collaborate with claims examiners, supervisors, and compliance teams to identify and resolve discrepancies. Document and report audit findings with clarity and detail for internal review. Ensure all claims processing complies with HIPAA, ERISA, ACA, and other federal/state regulations. Participate in internal quality assurance programs and continuous process improvement initiatives. Maintain strict confidentiality of member and provider information. Required Qualifications: Minimum 3 years of experience in medical claims coding and auditing within a US healthcare TPA or insurance environment. In-depth knowledge of medical coding systems (ICD-10, CPT, HCPCS) and healthcare claim forms (CMS-1500, UB-04). Solid understanding of regulatory compliance frameworks including HIPAA, ERISA, and ACA. Proficiency with auditing tools, claim processing systems, and Microsoft Office applications. Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) certification is mandatory! Strong analytical, problem-solving, organizational, and communication skills. Preferred Qualifications: Hands-on experience with claims adjudication platforms like Trizetto, VBA, Plexis. Prior experience in medical claims processing will be considered an added advantage. Job Type: Full-time Pay: ₹400,000.00 - ₹600,000.00 per year Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift US shift Application Question(s): What is your current location? Experience: Medical coding: 3 years (Preferred) Medical Auditing: 2 years (Preferred) License/Certification: Medical Coding (Preferred) Location: Malad, Mumbai, Maharashtra (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person
Posted 1 day ago
6.0 - 10.0 years
3 - 4 Lacs
Hyderābād
On-site
Description: Who We Are nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. Job Summary The Assistant Manager – Provider Credentialing & Managed Care Contracting is responsible for managing provider credentialing processes and supporting all aspects of managed care contract administration across Ambulatory Surgery Centers (ASCs). This role involves contract loading, payment variance analysis, chargemaster audits, and reimbursement analytics to ensure accurate and timely payer setup and optimal revenue realization. Key Responsibilities Payment Variance Calculators Create and maintain facility-specific calculators by identifying top commercial payers. Update calculators based on commercial rate changes and effective dates. Support Payment Posting team with ThoughtSpot reports and contract profile analysis. Contract Loading & Maintenance Load Medicare contracts quarterly and commercial contracts periodically in the Practice Management System (PMS). Create and update contract profiles, including carve-outs, exemptions, and rate changes. Track contract end dates and ensure timely updates based on Medicare fee schedules and payer updates. Chargemaster & Code-to-Rate Analysis Perform chargemaster analysis using 12-month billed charges and reports Conduct periodic audits and maintenance of chargemaster data Execute code-to-rate analysis for specific CPT codes Reimbursement & Metrics Analysis Analyze implant reimbursement and multiple-of-Medicare scenarios based on facility needs Extract and compile metrics from payer contracts and PDFs for internal reporting Contractual Adjustments & Workflow Tasks Review contract rates in response to operational team queries regarding contractual adjustments not taken Manage daily tasks received through the C3PO workflow tool from departments like coding, charges, payment posting, and AR Contract Loading Tracker & CPT Maintenance Maintain and regularly update the contract loading tracker Ensure accurate CPT code loading in the PMS Credentialing Oversee provider credentialing and re-credentialing processes across ASC facilities Ensure timely submission and follow-up with payers for credentialing approvals Maintain accurate credentialing records and documentation Requirements: Qualifications Bachelor’s degree in healthcare administration, Business, or related field (master’s preferred). 6–10 years of experience in provider credentialing and managed care contracting. Strong knowledge of Medicare and commercial payer reimbursement methodologies. Proficiency in Practice Management Systems, Excel, and reporting tools (e.g., ThoughtSpot). Excellent analytical, organizational, and communication skills. Preferred Qualifications Experience with ASC operations and revenue cycle workflows Familiarity with CPT/HCPCS coding, chargemaster structures, and payer contract terms Ability to manage multiple priorities and meet deadlines in a dynamic environment Logistics Location: Hyderabad Department: Managed Care Contracting Reports To: Senior Vice President Employment Type: Full-Time Shift timings: 6PM to 3AM IST (night shift)
Posted 1 day ago
12.0 years
4 - 6 Lacs
Hyderābād
On-site
Job Description: About the Company: Join AT&T and reimagine the communications and technologies that connect the world. Our Chief Security Office ensures that our assets are safeguarded through truthful transparency, enforce accountability and master cybersecurity to stay ahead of threats. Bring your bold ideas and fearless risk-taking to redefine connectivity and transform how the world shares stories and experiences that matter. When you step into a career with AT&T, you won’t just imagine the future-you’ll create it. About the Job: As part of the AT&T Governance Enforcement, Assessment and Testing, Third Party Risk, and Emerging Technology Cyber Organization (GATE), you will lead and support the Assessment and Testing Team by designing and executing Red team engagements to simulate advanced attack scenarios, identify vulnerabilities, and assess security measures. In this role, you will lead and participate in sophisticated Red Team exercises aimed at uncovering vulnerabilities across our networks, systems, applications, and processes. As an innovative thinker, you will go beyond standard vulnerability assessments, developing and utilizing unique tools and techniques to identify and exploit security gaps. Your primary responsibilities will involve conducting comprehensive Red Team exercises to identify vulnerabilities in diverse environments such as cloud-hosted and web-based applications, API interfaces, databases, big data environments, networks, computer systems, mobile applications, Software Defined Networks, and IoT devices and systems. You will design and develop custom tools and methodologies to enhance our security testing capabilities and employ creative tactics to uncover weaknesses, including poor user practices and weak security methods. Working collaboratively with other Red Team members and Security Analysts, you will identify and exploit security issues, characterize cyber-attack vectors, and discover related vulnerabilities, providing actionable recommendations for remediation. In addition, you will be required to stay abreast of the latest vulnerabilities and exploit techniques, continuously adapting your tools and methodologies to address emerging threats and evolving security landscapes. Your role will also involve documenting and communicating security findings in both written and verbal formats, using your insights to inform management, drive security strategies, notify affected customers, and advise network operations and other business units on security issues and recommended solutions. Experience Level: 12+ years. Location: Hyderabad Responsibilities Include: Performing formal and informal targeted “Hunts” to identify vulnerabilities. Actively building and participating in Red Team exercises. Design and execute red team engagements, simulating advanced attack scenarios to identify vulnerabilities and assess the effectiveness of security measures. Conduct penetration tests on networks, applications, and physical security controls. Employing tactics to uncover security holes in user practices and procedures. Develop and execute red team strategies and methodologies to uncover potential security gaps. Analyze and report on findings from red team exercises, including detailed recommendations for remediation. Providing feedback and verification as security issues are fixed. Stay current with the latest security threats, attack techniques, and industry trends. Communicate complex security concepts to both technical and non-technical stakeholders. Collaborate with other security teams to improve overall security practices and incident response capabilities. Be proactive and demonstrate the ability to analyze issues, generate ideas, and initiate action while achieving results. Effectively manages multiple tasks / projects with close attention to detail and meets short turnarounds and deadlines. Collaborate with leadership teams, provide subject matter expertise and insights. Support and guide team members in providing high-quality and actionable intelligence products / deliverables. Support, guide and mentor team members in technical and functional matters The expert in this role will perform analysis of complex security issues and corresponding activities to help mitigate risk. Includes forward looking research, planning and strategy to strengthen our stance against future cyber security threats and attacks, and enhancing our mitigation techniques, processes, and technology solutions. Required skills: At least 12+ years of experience in penetration testing and red team operations. Expert level understanding of Transmission Control Protocol / Internet Protocol (TCP/IP) protocols, devices, security mechanisms and how they operate. Strong understanding of network security threats including APT, botnets, Distributed Denial of Service (DDoS) attacks, worms, and network exploits. Expert knowledge of attack vectors, exploitation techniques, and vulnerability assessment methodologies. Experience with industry-standard penetration testing tools and frameworks. Experience with network probing/testing/analysis tools (Nessus, nmap, burp, wireshark, etc.) Deep technical knowledge of Windows, UNIX and Linux operating systems as both an expert user and system administrator Programming skills that will be used to construct, modify, and execute testing tools including shell (ksh, bash), [g]awk, Python, PERL, regex, .NET Programming, Java, C, C++, C#, PowerShell, curl, Web application development (PHP, ASP.NET, etc.) Comprehensive knowledge of software security testing principles, practices, and tools, experience of vulnerability assessments in a complex environment. Experience or familiarity with vulnerability analysis, computer forensics tools, cryptography principles Excellent teamwork skills for collaboration on analysis techniques, implementation, and reporting. Must be able to work both independently as well as effectively in teams of individuals with a variety of skills and backgrounds. Excellent written and verbal communication skills and have demonstrated ability to present material to senior officials. Highly self-motivated requiring little direction. Demonstrates creative/out-of-the-box thinking and good problem-solving skills. Demonstrates strong ethical behavior. Sense of urgency and attention to detail Flexible to provide coverage in US morning hours on a need-basis, and as required Desirable skills: Strong knowledge of an enterprise architecture Ability to obtain a strong and ongoing understanding of the technical details involved in current APT threats and exploits involving various operating systems, applications and networking protocols. Knowledge of tactics, techniques, and procedures associated with malicious insider activity, organized crime/fraud groups and both state and non-state sponsored threat actors. Understanding of cloud-based architectures and highly distributed big data architectures Experience with application security testing tools, such as the Metasploit framework and Burp Suite One or more of these certifications CEH: Certified Ethical Hacker CPT: Certified Penetration Tester CEPT: Certified Expert Penetration Tester GPEN: GIAC Certified Penetration Tester OSCP: Offensive Security Certified Professional BS/MS degree in Computer Science, Cyber Security, Engineering, or related technical field Prior experience with Telecom sector. Additional information (if any): Need to be flexible to provide coverage in US morning hours. Weekly Hours: 40 Time Type: Regular Location: IND:AP:Hyderabad / Argus Bldg 4f & 5f, Sattva, Knowledge City- Adm: Argus Building, Sattva, Knowledge City It is the policy of AT&T to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, AT&T will provide reasonable accommodations for qualified individuals with disabilities. AT&T is a fair chance employer and does not initiate a background check until an offer is made.
Posted 1 day ago
0 years
0 Lacs
West Delhi, Delhi, India
On-site
Fitness Lecturer Job Description : We are looking for a Lecturer who can teach fitness aspiring students Anatomy, Physiology, Human Movement Science, Biomechanics, Strength and conditioning in Certified Personal Training and CSCS Program. We are located in Ashok Park Main, Tri Nagar, West Delhi. Fitness Lecturer Responsibilities: planning and preparing courses and lessons teaching, according to the organizational needs and syllabus must have extensive knowledge about anatomy, physiology, biomechanics, exercise science, concepts of practical training etc. (kindly visit www.fitnesscravers.com and read Certification in Personal Training curriculum for better understanding) assessing, recording and reporting on the development, progress and attainment of students. must have habit of researching new articles on various aspects of nutrition reviewing from time to time your method of teaching participating in arrangements for your further training and professional development as a teacher Fitness Lecturer Education Requirements: Bachelor's degree in Sports Science, Physiotherapy or equivalent. Diploma in Personal Training/ NASM CPT/ACE CPT/NSCA CPT/ CSCS are also acceptable. Proficiency in computer programs such as MS PowerPoint and Excel. Strong researching abilities. Excellent written and verbal communication skills. Strong organizational abilities. Exceptional critical thinking and analytical skills. Salary: INR 40000 to 60000 Full time job: 9:45 am till 7:00 pm
Posted 1 day ago
0 years
2 - 3 Lacs
Chennai
On-site
Exp: 2 – 12 Yrs Requirement: 5 Job Location: Chennai Job Description: Responsible for maintaining confidentiality on the process from centralized unit. Monitors accuracy of centralized coded charts with proper CPT and ICD. Coding certification from AAPC and or AHIMA. Experience in specialties ED, E&M, Surgery Display effective and professional communication with internal and external customers. Supervise, guide, motivate and evaluate the team members. Be in the center of ethical behavior and never on the sidelines. Establish and maintain strong relationships through the business process. Assure satisfaction to the client through our quality process. Responsible for handling multiple projects to maintain the company business.
Posted 1 day ago
1.0 years
3 - 4 Lacs
Chennai
On-site
Job Purpose The Credit Management Representative is responsible for all elements of Credit Balance Management which include but is not limited to: Triaging patient and insurance credit balance to determine root cause, correcting contractual/manual adjustments, identifying overpayments and creating refund requests including appropriate documentation to support refund, identifying posting/payer trends and communicating to management for resolution. Duties and Responsibilities Perform credit balance management for multiple clients Review daily credit balance work list to imitate research of credit balance accounts Research, identify root cause, and resolve patient accounts including but not limited to posting errors, insurance overpayments, patient overpayments, and/or system issues Prepare and submit refund requests as appropriate obtaining all pertinent back-up data including EOBs, insurance company correspondence, refund letter of explanation and explanation of reimbursement from practice management system. Correct all misapplied contractual adjustments Prepare spreadsheets for payers regarding special projects involving erroneous refunds and payer retractions Review payer refund request letters and take appropriate action to resolve and respond timely. Maintain WQ’s assigned to ensure accounts are worked in a timely manner. Identify trends and escalate to supervisor Adhere to unique client specific assigned workflows & tasks Collaborate effectively with co-source partners, and other functional teams supporting the business. Responsible for retrieving EOB’s to post payments & denials Uses the MCX workflow system, client host system, payer websites and other tools available Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results. Meets and maintains daily productivity standards established in departmental policies Adheres to the policies and procedures established for the client/team Always maintain confidentiality Maintain a professional attitude Other duties as assigned by the management team Always understand and comply with Information Security and HIPAA policies and procedures Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications High School diploma or equivalent required 1-year experience in insurance collections, credit balance management and or payment posting 1-3 years experience in Physician/Professional billing Working knowledge of the insurance follow-up process with the understanding of the fundamental concepts in healthcare reimbursement methodologies Understanding an EOB and what the remarks or denials mean Working knowledge of the insurance follow-up process with the understanding of the fundamental concepts in healthcare reimbursement methodologies Basic knowledge of healthcare claims processing including ICD-10, CPT, and HCPC codes Ability to work well individually and in a team environment. Proficiency with Microsoft Office Strong communication skills/oral and written Strong organizational skills Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Posted 1 day ago
0 years
1 - 3 Lacs
India
On-site
We are looking for a skilled and client-oriented Sales Advisor to become part of our team. This position demands a comprehensive knowledge of U.S. employment-based immigration procedures, particularly concerning Green Cards (GC), H-1B visas, Optional Practical Training (OPT), and Curricular Practical Training (CPT). The perfect candidate will utilize this knowledge to advise clients, assist them in navigating intricate immigration-related employment choices, and promote the sales of our services and products. KEY REQUIREMENTS: § Engaged with prospective clients to evaluate their needs concerning employment-based immigration services, offering expert guidance on processes related to Green Cards, H-1B Visas, Optional Practical Training (OPT), and Curricular Practical Training (CPT). § Strong communication skills are essential, along with a minimum of one year of experience in a sales advisory role. § Proven track record of meeting or exceeding sales targets and excellent negotiation and persuasion skills. § Promote the company's services that assist clients in understanding U.S. employment visa processes, ensuring solutions meet their specific needs. § Possess a comprehensive understanding of U.S. employment-based visas, including Green Cards, H-1B, OPT, and CPT, with the capability to clearly articulate complex processes to clients. Job Types: Full-time, Permanent, Fresher Pay: ₹15,000.00 - ₹25,000.00 per month Benefits: Paid sick time Language: English (Preferred) Shift availability: Night Shift (Preferred) Work Location: In person
Posted 1 day ago
0.0 - 1.0 years
0 Lacs
Siruseri, Chennai, Tamil Nadu
On-site
Work Mode: Onsite. Address: 5th Floor, Gamma Block, SSPDL, Alpha City, OMR, Navalur, Chennai. Job Type: Full-time Experience: Min 6 months to Max 6 Years in US IT Hiring Work Hours: 6:30 PM to 3:30 AM IST Salary: Upto 30,000 (Based on Experience & Interview Performance) Job Description: We are seeking a highly motivated and results-driven US IT Recruiter to join our dynamic team. The ideal candidate will have a strong understanding of the US IT industry. Key Responsibilities: Source, screen, and interview candidates through various job portals (Dice, Monster, CareerBuilder, LinkedIn, etc.). Work on full recruitment life cycle from sourcing to onboarding. Understand client requirements and deliver qualified candidates in a timely manner. Negotiate rates and salaries with candidates and close offers. Maintain and develop a pipeline of eligible candidates for future open positions. Establish and maintain strong relationships with candidates and clients. Submit candidates to job requirements and track submissions and feedback. Work with Applicant Tracking Systems (ATS) to maintain candidate records. Requirements: Bachelor's degree or equivalent. 0.6 – 6 years of experience in US IT recruitment (bench sales experience is a plus). Experience working with various visa types (H1B, GC, US Citizen, TN, OPT, CPT, etc.). Familiarity with tax terms like W2, C2C, and 1099. Strong understanding of IT technologies and terminologies. Excellent communication and negotiation skills. Ability to work in a fast-paced environment and meet daily/weekly targets. Job Type: Full-time Pay: Up to ₹30,000.00 per month Benefits: Provident Fund Schedule: Monday to Friday Night shift Supplemental Pay: Performance bonus Ability to commute/relocate: Siruseri, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Experience: US IT Recruitment: 1 year (Required) Language: English (Required) Shift availability: Night Shift (Required) Work Location: In person Expected Start Date: 11/08/2025
Posted 1 day ago
2.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
JOB DESCRIPTION- Hospital Billing: Med Karma is a premier international medical billing company headquartered in the United States. We specialize in delivering end-to-end revenue cycle management solutions for healthcare providers, with a focus on accuracy, compliance, and operational efficiency. With a global footprint and a commitment to excellence, Med Karma supports medical practices, hospitals, and healthcare organizations in maximizing revenue and improving patient outcomes. Our team is driven by innovation, integrity, and a deep understanding of the ever-evolving healthcare landscape. Join us and be part of a company that’s redefining medical billing through expertise and personalized service. Website: www.medkarmarcm.com Role Description: This is a full-time on-site role for a Senior Process Associate/Subject Matter Role at Med Karma. We are hiring an AR Specialist with at least 2 years of experience in US hospital billing. The candidate will handle the accounts receivable process, including Claim Rejections, Denial management, Claim follow-up for US healthcare clients. This role requires expertise in the RCM cycle, particularly in working hospital claims (Inpatient/Outpatient). Roles and Responsibilities: · Perform AR follow-up with insurance companies on hospital claims (UB-04/CMS1500). · Analyze and resolve denied, unpaid, and underpaid claims by initiating corrective actions or appeals. · Work on claim rejections by identifying the root cause, correcting the claim, and resubmitting it to payers. · Work on aged accounts to ensure timely resolution and cash flow improvement. · Contact insurance carriers via phone, web portals, or email for claim status and payment details. · Interpret Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial codes (CARC/RARC). · Identify billing and coding errors and coordinate with responsible department for corrections. · Update claim status and actions in the billing software accurately and consistently. · Meet daily/weekly productivity and quality targets as per client SLAs. SKILLS REQUIRED: · Minimum 2 years of hands-on experience in Inpatient & Outpatient hospital billing AR follow-up. · Strong understanding of the US healthcare revenue cycle. · Knowledge of payer guidelines (Medicare, Medicaid, and commercial payers). · Experience working with billing software Advance MD. · Good understanding of ICD-10, CPT, HCPCS codes, and denial management workflows. · Proficient in MS Office, especially Excel. · Excellent verbal and written communication skills. · Ability to work in night shifts (US time zones). Why work with us? • Multicultural environment to explore, learn and grow. • Best remuneration, Incentives and bonuses, free Cab and Food facilities. • Wide range of training and certifications available for career development. ⬛ How to Apply : DM your resumes, contact at 7087871901 or email at hr@medkarmarcm.com
Posted 1 day ago
5.0 years
0 Lacs
India
Remote
Medical Biller - Remote 8AM - 5PM EST Time Zone Your job would involve: • Primarily remote work with meeting in person on a necessary basis • Verify coverage and eligibility for medical services • Communicate with insurance providers and patients • Review patient bills and correct any missing or inaccurate information • Use a billing software to prepare and transmit claims • Clear up balance discrepancies • Investigate and appeal claims that were denied • Complete data entry to update spreadsheets and reports • Work with patients to set up payment plans • Adapt to updates and changes in billing software • Process denial management for claims rejected by the Insurance companies • Create and maintain licensing, credentials and insurance records • Conduct research on updated state and federal regulations and policies • Release information to requesting agencies and public inquiries when required by law • Help develop internal credentialing processes • Monitor license and credential expiration dates and advise staff members of required “renew by” dates • Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions What You Should Have: • Proficiency with computers and medical billing software • Knowledge of unfair debt collection practices and insurance guidelines • Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS • Communication skills with patients/healthcare companies • Basic accounting and bookkeeping practices • Bachelor's or Associate's degree preferred • Minimum of 5 years of healthcare billing and credentialling experience • Passion for healthcare and technology • Exceptional written and verbal communication skills • High degree of professionalism • Strong customer relationship management skills • Ability to foster strong, positive relationships • Proven ability to set goals and meet deadlines • Understanding of healthcare billings and credentialling industry • Certified Provider Credentialing Specialist (CPCS) certifications – Is a plus
Posted 1 day ago
1.0 - 3.0 years
0 Lacs
Gurugram, Haryana, India
On-site
About Opicle: Opicle has been recognized as India`s Leading Ad-Network. Since 2014, Opicle deliver quality business services from IT Development to Digital Marketing.We believe in innovation and adaptability, we thoroughly understand business requirements of our clients and deliver quality services to full-fill their business objectives. Opicle has been affiliated with over 150 companies worldwide and is joined by more than 500 active and potential publishers . Location & commitments: Based in : Gurgaon (Full time). Job Location : Paras Trinity,Sec-63,Gurgaon. Designation : Senior Affiliate Manager - Mobile Delivery Job description – Affiliate Manager - Mobile Delivery The ideal candidate will oversee supply in this role where he will handle the end-to-end engagement with the publishers, and manage domestic and international Delivery of Mobile based CPI/CPR/CPA/CPT Campaigns. They should be able to think critically when making plans and have a demonstrated ability to execute a particular strategy. Roles and Responsibilities : Responsible to identify the potential campaigns. Manage domestic and international Delivery of Mobile Campaigns. Source and manage affiliates, ensuring meeting of advertising KPIs and publisher expectations. Handle publisher engagement and retention. Co-ordinate with the client servicing and cross-functional team to ensure the seamless campaign delivery. Generating monthly, weekly or fortnightly reports of the delivered campaigns. Dealing with Direct Publishers to promote CPI Campaigns. Thorough understanding of CPI mode of operations. Ability to develop and nurture existing CPI publishers and onboard new CPI publishers. Manage publisher validations and invoices. Hands-on experience in DSPs and SSPs. Requirements : 1- 3 Years of Experience in Publisher Delivery Management. Candidate should have relevant experience in Ad Network or Agency in Mobile, Digital, and Online Space. Ensure proper information sharing with the cross-functional team and affiliates. Should be a critical thinker. Contact us to apply: Email cv at hr@opicle.org
Posted 1 day ago
0.0 - 1.0 years
0 - 0 Lacs
Mangadu, Chennai, Tamil Nadu
On-site
Billing Manager – Hospital Setting: Key Responsibilities 1. Patient Billing Oversight Ensure accurate and timely generation of patient bills based on services rendered. Supervise entry of charges from departments like radiology, surgery, lab, and pharmacy. Validate that billing reflects correct coding (ICD-10, CPT, HCPCS) and insurance rules. 2. Insurance Claims and Reimbursements Oversee submission of insurance claims to private insurers, Medicare, and Medicaid. Ensure compliance with payer-specific requirements and government regulations. Track claim statuses and manage rejections, denials, and appeals. 3. Revenue Cycle Management Coordinate the full cycle from patient registration to final payment. Monitor accounts receivable and collections; work to reduce days in A/R (Accounts Receivable). Collaborate with revenue integrity, finance, and HIM (Health Information Management) departments. 4. Team Leadership Manage and train billing and coding staff. Delegate tasks effectively and ensure staff follow hospital billing protocols. Conduct performance reviews and staff development activities. 5. Compliance and Audit Readiness Ensure billing practices comply with: HIPAA CMS (Centers for Medicare & Medicaid Services) guidelines Local and federal regulations Prepare documentation for internal and external audits. 6. Patient Communication and Support Address patient inquiries regarding charges, statements, and payment plans. Coordinate with patient financial services to resolve billing concerns or complaints. 7. Technology and Reporting Oversee the use and maintenance of hospital billing systems (e.g., Epic, Cerner, Meditech). Generate reports on billing performance, claim rejections, and revenue metrics. Work with IT and compliance teams to upgrade billing software and implement automation. 8. Interdepartmental Coordination Liaise with clinical departments, admissions, and case management to ensure complete charge capture. Support the finance department in forecasting and budgeting related to billing. Critical Skills Required Deep knowledge of medical billing and coding standards (ICD-10, CPT, DRGs) Familiarity with hospital billing software (e.g., Epic, Cerner) Strong understanding of payer guidelines (Medicare/Medicaid/Private) Leadership, communication, and analytical skills Job Type: Full-time Pay: ₹15,000.00 - ₹20,000.00 per month Benefits: Provident Fund Schedule: Morning shift Night shift Rotational shift Supplemental Pay: Yearly bonus Ability to commute/relocate: Mangadu, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Experience: Billing: 1 year (Required) Language: English and Tamil (Required) Shift availability: Day Shift (Preferred) Night Shift (Preferred) Work Location: In person Application Deadline: 03/08/2025 Expected Start Date: 12/08/2025
Posted 1 day ago
0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Responsibilities Post large payment batches for customer clinics Manage high-volume patient and insurance account receivables Review patient accounts for accuracy, making corrections when necessary Follow all insurance payment posting procedures for electronic and manual processing, including researching and posting take backs, refunds, and forward balances. Review and interpret insurance carrier explanation of benefits (EOB) to post appropriate payment and denial codes. Reliable and punctual in reporting for work and taking designated breaks. Abilities And Knowledge Understand the ins and outs of medical billing, payment and cash posting, and medical reimbursements. Ability to read an EOB with denial code review. Be organized, ahead of schedule, communicative, and accountable. Work well in difficult situations. Impeccable communication skills. Education And Experience Required: Two years of experience posting large batches of payments. Two years of experience supporting small-to mid-sized practices. Preferred: Knowledge of ICD-10 and CPT codes. Knowledge of insurance guidelines—especially Medicare and Medicaid. Experience posting for physical therapy clinics. Knowledge with EOB (Explanation of benefits) and posting experience. Culture is at our Core Service: Create Raving Fans Accountability: Follow Up; Own Up Attitude: Possess True Grit Personality: Be Minty Work Ethic: Be Rock Solid Community Outreach: Give Back Health and Wellness: Live Better Resource Efficiency: Do Más With Menos About Us Here, we work hard—but we have lots of fun doing it. We believe in equal opportunity for all, autonomy, trailblazing, and always doing right by our Members. Most importantly, though, we believe in empowering rehab therapy professionals to achieve greatness in practice. So, if you’re a can-do kinda person who loves to help Members win and enjoys working from just about anywhere—then you’ll fit right in. We’ve got big plans, but we can’t achieve them without you. Join us, and let’s achieve greatness.
Posted 1 day ago
1.0 - 5.0 years
0 Lacs
pune, maharashtra
On-site
At Davies North America, you will be part of a team that prides itself on innovation and excellence by combining advanced technology with top-notch professional services. As a crucial member of the global Davies Group, your role will involve assisting businesses in managing risk, enhancing operations, and leading transformation within the insurance and regulated sectors. Currently, we are seeking a dedicated Medical Bill Reviewer to join our expanding team. Your responsibilities will include but are not limited to the following: - Entering compensation fee schedules and other relevant data into the system accurately and efficiently - Adjudicating provider bills in compliance with state Workers Compensation Fee Schedule rules - Ensuring accurate data entry and maintaining satisfactory volume and error ratio - Applying guidelines and provider reimbursement contract amounts to achieve cost savings - Reviewing medical bills based on medical necessity, treatment provided, adjuster authorizations, and other factors - Utilizing Fee Schedules, online documents, and client instructions for bill review - Researching usual and customary/Fee Schedule applications as needed - Handling provider and customer inquiries via phone calls - Continuous training to enhance knowledge in medical terminology, State Fee Schedule, and relevant reference materials - Performing additional duties as assigned To excel in this role, you should possess: - Minimum of one-year experience in medical terminology/medical office settings - Proficient typing skills (60+ wpm) and accurate numerical data entry - Ability to process 120 bills per day with a 95%+ accuracy rate - Previous experience with specific states Workers Compensation Fee Schedule, CPT, ICD-10, HCPCS coding - Familiarity with various state WC programs, especially in FL, GA, CA, SC, NC, VA, AL, and TN - Proficiency in Microsoft Office Suite - Strong communication skills, both verbal and written - Excellent time management and organizational abilities - Capability to multitask, prioritize, and meet deadlines in a fast-paced environment - Team player with exceptional interpersonal skills - Attention to detail and problem-solving capabilities - Ability to work independently and collaboratively with minimal supervision - Discretion in handling sensitive and confidential information - Fluency in English About Davies: Davies is a specialized professional services and technology firm that collaborates with leading insurance, highly regulated, and global businesses. Our mission is to assist clients in managing risk, improving core business processes, and driving growth. With a global team of over 8,000 professionals across ten countries, our services cover claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management. Over the past decade, Davies has experienced significant growth, focusing on research & development, innovation & automation, colleague development, and client service. We currently serve more than 1,500 insurance, financial services, public sector, and highly regulated clients.,
Posted 2 days ago
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In recent years, the demand for professionals with skills in CPT (Computer Proficiency Test) has been steadily increasing in India. CPT jobs are diverse and can range from entry-level positions to more advanced roles in various industries. If you are considering a career in CPT, this article will provide you with valuable insights into the job market in India.
Here are 5 major cities in India actively hiring for CPT roles: 1. Bangalore 2. Hyderabad 3. Pune 4. Chennai 5. Mumbai
The average salary range for CPT professionals in India varies based on experience level: - Entry-level: INR 2-4 lakhs per annum - Mid-level: INR 6-10 lakhs per annum - Experienced: INR 12-20 lakhs per annum
A typical career path in the CPT field may progress as follows: - Junior Developer - Senior Developer - Tech Lead
In addition to CPT proficiency, other skills that are often expected or helpful in this field include: - Programming languages such as Python, Java, or C++ - Data analysis and interpretation - Problem-solving skills - Project management
Here are 25 interview questions for CPT roles: - What is CPT and why is it important? (basic) - Can you explain the difference between structured and unstructured data? (medium) - How would you handle missing data in a dataset? (medium) - What is the difference between supervised and unsupervised learning? (medium) - Explain the concept of overfitting in machine learning. (medium) - What is the purpose of normalization in data preprocessing? (medium) - How do you handle outliers in a dataset? (medium) - Can you explain the process of feature selection in machine learning? (medium) - What is the role of cross-validation in model training? (medium) - How would you evaluate the performance of a machine learning model? (medium) - Explain the bias-variance tradeoff. (medium) - What is the curse of dimensionality? (medium) - What is the difference between classification and regression in machine learning? (medium) - How do decision trees work in machine learning? (medium) - What is the purpose of regularization in model training? (medium) - Can you explain the K-nearest neighbors algorithm? (medium) - How do you handle imbalanced classes in a classification problem? (advanced) - Explain the concept of ensemble learning. (advanced) - What is the difference between bagging and boosting in ensemble methods? (advanced) - How would you optimize hyperparameters in a machine learning model? (advanced) - Explain the concept of deep learning and its applications. (advanced) - How do neural networks learn from data? (advanced) - Can you explain the working of a convolutional neural network (CNN)? (advanced) - What is the purpose of dropout in neural network training? (advanced) - How do you assess the performance of a deep learning model? (advanced)
As you explore CPT jobs in India, remember to continuously enhance your skills and knowledge in the field. By preparing thoroughly and applying confidently, you can pave the way for a successful career in CPT. Good luck!
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