969 Cpt Jobs - Page 4

Designation: Senior Manager Quality Department: Business Excellence – Coding Work Location: Airoli, Navi Mumbai Work from Office Job Description: Atleast 10 years- of experience of having worked in the Medical Coding business. Extremely knowledgeable about, Inpatient coding, Medical Coding guidelines and Coding Techniques (ICD-10, CPT) Also, must have strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology and Pharmacology. Efficient in using MS Office. Must have excellent communication and interpersonal skills Duties & Responsibilities : Will be responsible for supervising and managing a team of 100+ QAs • Create an inspiring team environment with an open communication culture • Design QA capacity planning as per project requirement • Delegate tasks and set deadlines • Quality control as per client SLA • Ensure effective implementation of the organization’s Quality Management System • Monitor team performance and report on metrics • Performing random audit of auditor • Perform RCA on audits observations. Identify knowledge gaps and develop an action plan with quality leads and operation managers • Discover training needs and provide coaching to QAs • Listen to team members’ feedback and resolve any issues or conflicts • Recognize high performance and reward accomplishments • Encourage creativity and business improvement ideas • Suggest and organize team building activities • Identify improvement opportunities and initiate action plans for improvement Required Skills: 10+ years’ Experience in Medical Coding either in Operations or Quality team of outpatient / HCC+ Home Health medical Coding Should be at Leadership role to be eligible as per the role define The individual would have a high leadership stint in managing medium to Large sized teams for training & Quality teams preferably across multiple sites CPC/CIC/COC/CSS any certification

Overview: Surgery Coder - Sr. Executive The SENIOR EXECUTIVE CODING AUDITOR performs reviews, analyzes, and codes documentation from medical records that determines payments. This position performs highly technical and specialized functions, and the primary function of this position is to perform a thorough review of patient encounters to assess for completeness and accuracy of provider documentation and CPT and HCPCS coding. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Perform analysis of data and understand the reasons for denial reasons, use appropriate codes to be used in documentation of the reasons for denials. Qualifications Life science Bachelor’s degree. Para - medical background (B.PT, Pharm, and B.SC. Nursing) graduation is an added advantage. Certification is added advantage – Certified coding professional coder (CPC) – AAPC OR Certified Coding specialist (CCS) – AHIMA Experience Minimum 3 years of Coding experience in multispecialty surgery Denial management experience is an added advantage. Ability to apply analytical and critical thinking to review medical records. Knowledge in CMS Medicare and Medicaid guidelines. Specialty certificate (CPMA, CIRCC, CEDC) from – AAPC. Para - medical background (B.PT, B.Pharm, B.SC. Nursing) graduation is an added advantage. Auditing experience on multi-specialty. Knowledge in Microsoft outlook/excel/word Communication Skill Good communication skills Working Hours 9 Hours Skills And Abilities Integrates coding principles in performance of medical audit activity and educates as needed on those principles. Upon completion of medical record audit, compiles detailed findings and prepares client reports, when needed. Coordinates with client to ensure patient data is received and processed for all scheduled audit work. Communicate proper volume to support invoicing. Provides feedback and process improvement recommendations to appropriate leadership team and participates in workgroups/committee meetings and process improvement solutions as required. Participates in and/or leads inter-departmental process improvement initiatives. Maintains professional license and certifications and attends training conferences/webinars as necessary to keep abreast of latest trends in the field of expertise. Identifies compliance risks and financial opportunities based on chart reviews. Prepares reports and executive summaries as required by management regarding audit results, process improvement recommendations, and systemic billing errors. Adheres to established productivity standards, participates in departmental performance improvement activities and work level. Communicates and works with all internal and external customers. Performs other duties as assigned Show more Show less

Hello all! Grab the opportunity, urgent hiring !! Screatives looking for an Experienced Bench Sales Recruiter for the Hyderabad location. Minimum 2 year of experience as Bench Sales Recruiter in US Staffing Benefits: Best Salary +Cab Facility for women (One way) + Regular, Quarterly & Annual Incentive + Health Insurance +Provident Fund + In-office meals. Work Location: Hyderabad (On-site) Work Hours: Night Shift - 5 days/week (Mon to Fri) Timings: 7:00 PM IST to 4:00 AM IST Interview Mode: In-Person Reference are highly appreciated. Who Are We Looking for Exactly? Minimum Graduation Good communication skills Must have 2 Year of experience as a Bench Sales Recruiter Excellent verbal and written communication skills. Strong time management and organizational skills. Roles and Responsibilities for Bench Sales Recruiters: Experience in US Tax terms like W2, Corp2Corp & 1099, etc. Must be self-motivated and disciplined to work with limited supervision. Responsible for marketing IT Bench Consultants (H1B, US Citizen, GC, OPT, EAD, and CPT) with vendors. Excellent Knowledge of visa classification Terms, Rules & Policies H1B, OPT, Stem OPT, H4 EAD, and TN Visa. Must be a results-oriented self-starter with the ability to meet deadlines. Good experience in cold calling, and price negotiation, and need to have good convincing and closing skills. Must be a Pro to build network relations with new vendors using social networking sites such as LinkedIn. Generate, Interact, and Develop Tier-1 Vendors or Implementation partner's networks daily. Identify the right requirements that should match our consultant profiles on various job portals, submit the consultants, and follow up for interview schedules. Good understanding of US staffing business, Bench sales, and recruitment process. Maintaining submissions database, Interview Coordination, and taking care of the joining formalities, background checks, and references has a context menu Thanks & Regards, S. Sree Harsha 8331901353 Job Type: Full-time Pay: ₹25,000.00 - ₹30,000.00 per month Benefits: Food provided Health insurance Provident Fund Schedule: Night shift Experience: Bench Sales Recruiter: 2 years (Required) Work Location: In person

What we are Looking for: ·Minimum 1 to 5 yrs. of experience in SALES recruitment · Good understanding of all Hot IT skills. · Should possess good knowledge of various technologies in the market. · Candidates should possess good verbal communication and interpersonal skill ·Candidates should have a passion for recruitment. · Strong experience and understanding of OPT/H1b Transfer US Hiring, Capable of getting students for any technology training & Maintaining database of OPT candidates. ·Ability to interact, develop Student network, and get the OPT/CPT/EAD candidates for online training/ Classroom Training/Marketing. ·Should be able to get H1B Transfer/Project Transfer resources from their own database and referrals. Maintaining an active database of OPT candidates. · Strong experience in hiring OPT/CPT/H1B/GC/ USC candidates from Job portals, Universities, networks, Social Networking sites, and other sources. ·Recruiting US Citizens, Green Card holders, H1B and TN visa holders, EADs. · Experience in recruiting OPT/GC/US citizen hiring's with effective hands-on experience on various job boards. I.e. Dice, Career builder, Monster etc. · Coordinating the entire recruitment process till the consultant is on-boarding. ·Posting advertisements in university sites and various job portals. · Need to have excellent knowledge of Tax terms like C2C, W2, and 1099. Job Types: Full-time, Permanent Pay: ₹20,000.00 - ₹50,000.00 per month Benefits: Commuter assistance Food provided Health insurance Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Supplemental Pay: Commission pay Performance bonus Language: English (Preferred) Work Location: In person

Hiring For Health Care (AR Caller) Only Graduates Minimum 1 year Experience into AR Caller (voice) into physician billing Working Days Monday to Friday Saturday and Sunday Holiday 2Way Transportation upto 25km Package:-30% hike upto Maximum 5 LPA Timings:- 6:30PM to 3:30AM ROI:- HR, Manager NOTE:- Candidates should have Experience into physician billing,provider, Denial Management, Modifiers and CPT Codes. Job Type: Full-time Pay: ₹500,000.00 - ₹520,000.00 per year Benefits: Health insurance Provident Fund Schedule: Night shift Education: Bachelor's (Preferred) Work Location: In person

Hello all! Grab the opportunity, urgent hiring !! Screatives looking for an Experienced OPT Recruiter for the Hyderabad location. Minimum 1 year to 2 years of experience as OPT Recruiter Benefits: Best Salary +Cab Facility for women (One way) + Regular, Quarterly & Annual Incentive + Health Insurance +Provident Fund + In-office meals. Work Location: Hyderabad (On-site) Work Hours: Night Shift - 5 days/week (Mon to Fri) Timings: 7:00 PM IST to 4:00 AM IST Interview Mode: In-Person Reference are highly appreciated. Who Are We Looking for Exactly? Good communication skills Must have 1 Year of experience as a OPT Recruiter Excellent verbal and written communication skills. Strong time management and organizational skills. Roles and Responsibilities for OPT Recruiter: Responsibilities : * Excellent communication skills (written and verbal). **Strong experience in hiring OPT/CPT candidates from Job portals, universities, and own network, prior database of OPT candidates. *Need excellent convincing skills. *Should have experience recruiting US Citizens, Green Card holders, H1B, and EADs. *Coordinating the entire recruitment process till the consultant is onboarding. *Should possess good knowledge of various technologies. *Need to have excellent knowledge of Tax terms like C2C, W2, and 1099. *Need to maintain a good relationship with team members as well consultants. *Address the consulting needs of a significant client account. *Should maintain a good database. Thanks & Regards, S. Sree Harsha 8331901353 Job Type: Full-time Pay: ₹20,000.00 - ₹30,000.00 per month Benefits: Food provided Health insurance Provident Fund Schedule: Night shift Experience: OPT Recruiter: 1 year (Required) Work Location: In person

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces™ for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation : Operations Manager Location: Hyderabad Reports to (level of category) : Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Day-to-day operations People Management (Work Allocation, On job support, Feedback & Team building) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) Reports (Internal and Client performance reports) Work allocation strategy CMS 1500 & UB04 AR experience is mandatory. Span of control - 80 to 100 Thorough knowledge of all AR scenarios and Denials Expertise in both Federal and Commercial payor mix Excellent interpersonal skills Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com Visit us on Facebook

Job Overview: We are seeking a detail-oriented and experienced Sr. Medical Coder/Auditor to join our team. In this role, you will be responsible for conducting audits on medical claims to ensure accuracy, compliance with plan provisions, and adherence to federal and state regulations. Your expertise will help maintain quality assurance within the claims process, reduce errors, and support the financial integrity of our TPA operations. ______________________________________________________________________________________ Key Responsibilities: ● Perform pre-payment and concurrent audits on medical claims for self-funded and level-funded health plans. ● Verify claims for accuracy in coding (ICD-10, CPT, HCPCS) for the application of plan benefits. ● Review plan documents alongside claim codes to determine the proper benefit assignments. ● Collaborate with claims examiners, supervisors, and compliance teams to resolve discrepancies. ● Document audit findings, prepare detailed reports, and present outcomes to internal stakeholders. ● Ensure claims adhere to regulatory guidelines including HIPAA, ERISA, and other applicable federal/state requirements. ● Participate in internal quality assurance initiatives and continuous improvement efforts. ● Maintain confidentiality of sensitive member and provider information. ______________________________________________________________________________________ Required Qualifications: ● 5 plus years of experience in medical claims auditing, preferably in a US healthcare TPA or insurance environment. ● Strong knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS), and claims forms (CMS-1500, UB-04). ● Familiarity with healthcare regulations including HIPAA, ERISA, and ACA. ● Proficiency in auditing tools, claim systems, and Microsoft Office Suite. ● Certifications such as CPC, CPMA, or CCS are mandatory. ● Excellent analytical, organizational, and communication skills. ______________________________________________________________________________________ Preferred Tools/Systems Experience: ● Claims adjudication platforms such as Trizetto, VBA, Plexis. ● EMR/EHR platforms and audit management systems. ______________________________________________________________________________________ Job Type: Full-time Pay: ₹700,000.00 - ₹1,000,000.00 per year Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Evening shift Fixed shift Monday to Friday Night shift US shift Ability to commute/relocate: Mumbai Suburban, Maharashtra: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Required) Experience: Medical coding: 5 years (Required) Medical Auditing: 5 years (Preferred) License/Certification: Medical Coding Certification (Required) Location: Mumbai Suburban, Maharashtra (Preferred) Shift availability: Night Shift (Preferred) Overnight Shift (Preferred) Work Location: In person

Qualification Bachelor’s degree in Clinical or Healthcare Information Management or a related field. Relevant certifications (e.g. CCS, CPC, CPMA) are mandatory. Extensive experience in medical coding, with a focus on surgery coding and strong knowledge of CPT, ICD-10-CM, HCPCS coding systems. Responsibilities Lead and manage a team of medical coding specialist ensuring accurate and timely auditing of surgical procedures across various specialties in accordance with industry standards, guidelines and regulatory requirements. Provide guidance, training, and mentorship to the coding team, fostering a collaborative and high-performing work environment. Oversee the coding workflow, prioritize work assignments, and ensure productivity and quality targets are met or exceeded. Stay updated with changes in coding guidelines, payer policies, and industry trends related to surgery coding and payment integrity process and effectively communicate these changes to the team. Conduct regular audits and quality checks to ensure compliance with coding guidelines, accuracy of coded data, and adherence to documentation requirements. Collaborate with other departments, such as analytics, repricing, quality, compliance to optimize coding processes and resolve coding-related issues. Monitor key performance indicators (KPIs) and develop performance improvement initiatives to enhance auditing efficiency, accuracy, and productivity. Apply payment integrity processes and knowledge to ensure proper coding and billing practices, identify claim and documentation errors and deficiencies, and maximize revenue capture. Serve as a subject matter expert on multi-specialty surgery coding and payment integrity, providing guidance and support to physicians, clinical staff, and other stakeholders to ensure appropriate documentation, coding, and auditing practices. Other Requirements Proficient in using coding software and electronic health record (EHR) systems. Strong analytical and problem-solving skills, with the ability to identify coding-related issues, propose solutions, and implement process improvements. Excellent interpersonal and communication skills, with the ability to collaborate effectively with diverse stakeholders and build positive relationships. Detail-oriented with a commitment to accuracy and compliance with coding guidelines and regulations. Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Demonstrated knowledge of healthcare industry regulations such as HIPAA and HITECH, and specific knowledge of CMS, Medicare, LCDs, NCDs, Medical Policies, Commercial payer processes and requirements. Show more Show less

R.C.M. - Accounts Receivable analyst Skill sets : Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data Physician - Medical Billing experience - 3 years minimum Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership Job Description: Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR Requirements: Graduate in any stream. Good comprehension of and command over English language. Good analytical skills. Above average logic and reasoning ability. Career focused and Results oriented. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Shift availability: Night Shift (Required) Work Location: In person

Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ A Job Type: Full-time Pay: ₹28,000.00 - ₹50,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Provident Fund Schedule: Monday to Friday Night shift Supplemental Pay: Performance bonus Shift allowance Experience: Accounts receivable Analyst: 1 year (Preferred) Work Location: In person

Sr. US IT Recruiter Sector-135 Noida - Onsite (5 Days) US Shift (EDT & EST) Hours Note: Fresher, HR & Talent Acqusition people kindly don't apply. Salary Range - ₹20000-30000/Monthly Currently, we don't have CAB facilities, so we are only looking for Male candidates for now. Job description: We're looking for a US IT Recruiter with a minimum of 3-5 years of verifiable experience in the US IT Recruiting industry with excellent command over both written & spoken English, a tenacious go-getter who’s able to screen and source quality IT resumes and someone who’s comfortable conversing with candidates, vendor partners and clients in the US to place IT Consultants on projects in the US. · Very strong experience screening US IT resumes and placing US IT consultants in the US on C2C, 1099, and W2, specifically on C2C and 1099. · Exceptional knowledge of being able to filter out IT resumes that do not match the criteria. · Solid experience sourcing resumes with the correct technology skill sets that align with the job description. · Strong experience understanding technology skills stated in the job description and relaying those skills to the candidates. · Should be able to quickly scan the job description for technology keys words and should be able to understand the requirements for the position. · Solid understanding of talking to diverse set of candidates (both GCs and USCs) and explaining in detail the technology skill sets required for the position. · Very strong English conversational skills to talk to US candidates. · Should be able to quickly source resumes for multiple positions and hand it over to the BDMs. · Experience preparing the candidates for interviews. · Excellent written and conversational communication skills – candidate will need to write emails in the interview · Highly experienced in sourcing and screening potential candidates from several channels LinkedIn, indeed, Dice and supplying these to the Account Mgr/BDMs for submission to vendors/clients. · Extremely proficient in Ciepal, DICE and LinkedIn. Should be able to post requirements on LinkedIn groups. · Solid understanding of employment types, primarily C2C, 1099, C2H, W2 etc. · Strong understanding of US work authorization types & docs required therein OPT, CPT, H-1B, GC, USC etc. · Strong conversion ratio of placing consultants in positions. · Should be comfortable being empowered and should be a tenacious go-getter with excellent communication and writing skills. · Should be able to work with min direction. · Experience nurturing existing relationships with recruiting partners (vendors/clients) that the candidate can bring to the table. Benefits · High potential to grow with the company · Great company culture · Not a traditional command & control Managerial environment but more matrixed · Excellent work-life balance (Sat/Sun absolutely off) · Sick days and Vacation days · Regular Holidays Job Type: Full-time Pay: ₹20,000.00 - ₹35,000.00 per month Benefits: Commuter assistance Leave encashment Paid sick time Schedule: Monday to Friday Night shift Supplemental Pay: Commission pay Performance bonus Yearly bonus Work Location: In person Expected Start Date: 23/06/2025

Executive: Less than 1 year of Experience Specialist: 1-3 Years of Experience Job Title: AR Executive (Accounts Receivable) – Medical Billing Job Summary: Detail-oriented and motivated AR Executive with experience in US Medical Billing to join our team. The ideal candidate will have hands-on experience in AR Calling and Web based follow-up , along with knowledge of industry-leading billing software and multiple medical specialties. Key Responsibilities: Claims Follow-up: Follow up on unpaid and denied claims, working with insurance companies to resolve issues and secure payment. Manage AR Processes: Oversee the accounts receivable process, ensuring timely collection of payments from patients and insurance companies. Denial Management: Analyze and address denied claims, working to overturn denials and recover revenue. Documentation: Maintain accurate and up-to-date records of all collection activities and communications. Reporting: Prepare and maintain regular reports on AR status, aging reports, and collection progress. Required Skills & Experience: Hands-on experience with Medical Billing Software such as: ChiroTouch Genesis Kareo eClinicalWorks (ECW) Knowledge in handling claims for the following specialties: Physical Therapy Chiropractic Internal Medicine Physical Requirements: Ability to sit for extended periods. Ability to use a computer and other office equipment. Working Conditions: Office environment. Full-time position, Monday through Friday. Must have stable internet access and Laptop / Computer Job Title 2: Charge Entry Executive – Medical Billing (Fresher could apply) We are also hiring a Charge Entry Executive to join our growing US Medical Billing team. This is an excellent opportunity for freshers with strong computer skills and a keen eye for detail to begin a career in the healthcare revenue cycle domain. The Charge Entry Executive will be responsible for accurately entering patient charges into the billing software and supporting the smooth processing of medical claims. Key Responsibilities: Accurately enter patient demographics , CPT/ICD codes , and charges into billing software and Google spreadsheets. Ensure data is complete and error-free before submission. Review source documents (charge sheets, encounter forms) for accuracy and completeness. Work closely with team leads or senior billing staff to resolve any data issues. Meet daily productivity and accuracy targets. Ensure compliance with HIPAA guidelines and internal data policies. Eligibility & Skills Required: Fresher or up to 1 year of experience in medical billing or data entry . Strong computer skills , including typing speed , MS Excel/Word , and email communication . Good attention to detail and ability to work with numeric and coded data. Strong willingness to learn US healthcare billing concepts. Prior knowledge of medical billing software (like Kareo, ECW, ChiroTouch, or Genesis) is a plus , but not mandatory . Basic understanding of CPT/ICD/HCPCS codes is an added advantage. Additional Tasks: Assist senior executives in data clean-up and correction . Support QA audits for charge entry. Coordinate with internal teams to streamline the billing workflow. Working Conditions: Job Type: Full-time Shift Timing: Day Shift / Flexible Shift Location: Remote (Work from Home) Training: On-the-job training will be provided for suitable fresh candidates. Job Title 3: Payment Posting Executive/Specialist - Remote Detail-oriented and dedicated Payment Posting Executive to join our team. The Payment Posting Executive will be responsible for accurately posting payments from insurance companies and patients to the appropriate accounts. Key Responsibilities: Payment Posting: Accurately post payments received from insurance companies, patients, and other third-party payers to the correct accounts in the billing system. Reconciliation: Reconcile posted payments with corresponding EOBs (Explanation of Benefits) and ensure that discrepancies are identified and resolved. Denial Management: Identify and document reasons for payment discrepancies or denials and work with the billing team to resolve them. Adjustment Posting: Post adjustments, write-offs, and refunds as necessary, ensuring all transactions are accurately recorded. Account Balances: Maintain accurate patient account balances by ensuring all payments and adjustments are posted correctly. Documentation: Ensure all payment postings and adjustments are properly documented and filed for future reference. Reporting: Generate and review payment posting reports to ensure accuracy and completeness. Show more Show less

Role Overview As a Data Scientist / Research Scientist, you will work on generating cohorts, and developing and validating machine learning models using EHR and clinical datasets. You will be responsible for data preprocessing, exploratory analysis, feature engineering, model development, and documentation of your findings. You’ll collaborate closely with domain experts, engineers, and stakeholders to deliver impactful AI solutions for disease prediction and personalized medicine. Key Responsibilities Execute end-to-end data science projects involving clinical data. Process and analyze complex datasets, including EHR and other real-world data sources. Develop predictive models using machine learning frameworks (e.g., BERT, CNN, etc.). Conduct exploratory data analysis and statistical hypothesis testing. Communicate findings via well-documented code, reports, and presentations. Collaborate with cross-functional teams, including clinicians, engineers, and product managers. Stay up-to-date with advances in machine learning, healthcare AI, and relevant research. Required Qualifications PhD or a Master’s degree (with 2–3 years of relevant experience) in Data Science, Biological Sciences, Computational Biology, or a related discipline. Candidates with a degree in Computer Science and demonstrated experience working with biological or clinical data are also encouraged to apply. Strong proficiency in Python, especially for data analysis (e.g., pandas, PyTorch, matplotlib, sci-kit-learn). Experience working with biological, clinical, or healthcare-related datasets in academia or industry. Solid understanding of statistical concepts and ability to apply them practically. Strong communication skills with an ability to document and explain technical work clearly. Preferred Qualifications (Nice to Have) Hands-on experience working with real-world or EHR data (structured/unstructured). Published or contributed to academic/industry research projects. Demonstrated use of programming/coding in research or work projects (GitHub, papers, or project links). Familiarity with healthcare data standards such as ICD, CPT, LOINC, HL7, or FHIR. Experience with ML pipelines and tools like scikit-learn, TensorFlow, PyTorch, or similar. Experience with Git or other version control systems. Show more Show less

App Marketing: Customer retention & engagement Marketing Running Digital Campaigns on the App (CPI/ CPR/ CPT) to get maximum revenue on through Mobile App. Knowledge of integration of App analytics tools (apps flyer & others) to capture app data and evaluate performance. Knowledge of mapping App data with analytics systems (Google analytics, Adobe Marketing Optimization) to track overall performance and channel contribution. Integrating different notification, marketing partners to introduce new channels of communication, and marketing to create multiple touchpoints for tapping the user. Knowledge of AdWords & Facebook Business Suite to track the performance of Digital campaigns for App promotion. Email Marketing Planning & tracking overall email activity for customers, leads & triggered mailers. Knowledge of tracking parameters (open rate, CTR, conversions) with an ability to manage databases and an understanding of email marketing metrics. Should be able to come up with innovative ideas for campaigns on emails to derive maximum ROI from Emailers. Communication: Excellent command over the language and good communication skills to manage & curate content for internal and external communication. Show more Show less

Improve profitability • Manage Pricing cell department to ensure adherence to CPT pricing policy • Manage front end fix costs for FME & BTL marketing activities • Prepare value chain sales data and monitor value chain P & L Budgeting & MTP • Prepare revenue budget for CPT at BU level and at value chain level • Prepare Medium-term Plan for CPT at BU level and at value chain level • Prepare cost budget and monitor the progress Customer Satisfaction • Monitor voice of customer through organized feedback and take corrective measures • Undertake customer engagement program to improve the customer satisfaction Manage Project Management function • Manage project management function to drive success metrics like DIFOT and NPS as per target • Reduce average delay in project execution, take/suggest corrective measures as and when required Manage Order Execution team • Manage O2C process by ensuring timely order execution timely claim settlements Manage MIS team • Prepare and monitor standard MIS reports, study industry data on regular basis and track & study global trends in the glass industry to suggest/incorporate best practices where applicable Show more Show less

Essential Job Functions Customer Obsession - Consistently provide exceptional experience for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas - Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence - Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. Work with Training Manager, to identify training need analysis (TNA) for all employees. Work with Training Manager to Develop and update training content based on process updates, inputs. Deliver training sessions for new hires and upskilling for existing staff in RCM verticals (Medical coding, charge entry, AR, payment posting, etc.). Leverage different modes of training delivery methods - including classroom instruction, e-learning and on-the-job training. Assess trainee performance through evaluations, feedback sessions, and certification tests. Review training needs and performance monthly basis and perform focus group and monitor progress of the batches till they become 100% productive. Maintain training MIS reports and ensure documentation of all training activities including bottom quartile management. Conduct refresher training at the defined frequency. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Education, Certifications & Experience Graduate in any discipline (B.Sc./M.Sc. Nursing, B. Pharm, M. Pharm, or Life Sciences education is preferred). 3+ years of overall experience with minimum of 2+ years of experience in training for Medical Coding (Inpatient or Outpatient) in Healthcare operations / Revenue cycle Management (RCM). In-depth understanding of RCM lifecycle and terminology (ICD, CPT, HCPCS, EOBs, etc.) Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC), Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA). Strong presentation and facilitation skills and Ability to evaluate training effectiveness and improve learning programs. Proficiency in MS Office tools and LMS platforms. Excellent communication and interpersonal skills. Show more Show less

Job Title: US IT Recruiter – Night Shift (EST/MST) 📍 Location: Remote – India (Work from Home) 🏢 Company: Infiligence 🕒 Shift: Full-time | Night Shift (US EST/MST) 💼 Experience: Minimum 2 years in US IT Recruitment About Infiligence At Infiligence, we specialize in delivering cutting-edge IT services and talent solutions to US-based clients. We are expanding our India-based recruitment team and are looking for an experienced US IT Recruiter who thrives in a fast-paced, target-driven environment. If you’ve got solid experience with direct clients or Tier 1 vendors and enjoy hunting top tech talent across the US, we’d love to talk. Key Responsibilities Handle end-to-end US IT recruitment, focusing on niche and high-demand tech roles like Full Stack, DevOps, Cloud (AWS, Azure, GCP), Data Engineering, Cybersecurity, AI/ML, Salesforce, and more. Source candidates through job boards (Dice, Monster, CareerBuilder), social media (LinkedIn, GitHub, Slack), and internal ATS (e.g., CEIPAL). Use Boolean search, filters, and automation tools to proactively build and maintain strong talent pipelines. Communicate effectively with candidates via email, phone, and messages; conduct detailed interviews to assess fit, availability, and work status. Work with various US employment types (W2, C2C, 1099) and understand relevant visa classifications (USC, GC, H1B, OPT, CPT, etc.). Track metrics like submissions, interviews, offers, and hires; generate reports using Excel or ATS tools. Maintain accurate candidate records, engage past applicants for new roles, and consistently follow up. Promote Infiligence's employer brand professionally across channels. Required Skills & Qualifications Bachelor’s degree (preferably B.Tech or equivalent). Minimum 2 years of US IT recruitment experience , with exposure to working with direct clients or Tier 1 vendors. Strong knowledge of various US employment types and visa categories. Familiarity with top IT skill sets: Full Stack (React/Node), Java, .NET, Python, AWS, Azure, GCP, Salesforce, DevOps, Data Science, QA Automation, ServiceNow, etc. Experience with ATS tools like CEIPAL , and reporting via Excel/Sheets. Previous experience in BPO or customer service environments is nice to have. Excellent verbal and written English communication skills. Ability to work independently during night shifts (aligned with EST or MST). Strong organizational and time-management skills. Why Join Infiligence? Work-from-home flexibility with structured US shift hours. Collaborative and supportive team culture. Competitive compensation and performance-based incentives. Exposure to the US market and top-tier clients. Clear growth paths for top performers. Show more Show less

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, amongst Top 50 Best Workplaces™ for Millennials, Top 50 for Women, Top 25 for Diversity and Inclusion and Top 10 for Health and Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Designation : Operations Manager Location: Hyderabad Reports to (level of category) : Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties And Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Day-to-day operations People Management (Work Allocation, On job support, Feedback & Team building) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) Reports (Internal and Client performance reports) Work allocation strategy CMS 1500 & UB04 AR experience is mandatory. Span of control - 80 to 100 Thorough knowledge of all AR scenarios and Denials Expertise in both Federal and Commercial payor mix Excellent interpersonal skills Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests. Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com Visit us on Facebook Show more Show less

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Health Insurance Operations Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. You will oversee the application development process and ensure successful implementation. Roles & Responsibilities:- Facets skill experience is mandatory- Participate in code reviews and quality gate definitions.- Collaborate with the development team to complete unit testing.- Develop strategic plans for testing efforts and create test estimates.- Define and build reusable testing assets for large/complex projects.- Provide technical leadership and support the creation of complex tests.- Identify and describe appropriate test techniques and supporting tools.- Define and maintain a Test Automation Architecture.- Specify and verify the required Test Environment Configurations.- Verify and assess the Test Approach.- Define and carry out plans and strategies for performance risk management of business products.- Inspire developers, designers, and product owners to be quality conscious by providing extensive training and workshops about testing culture and best practices.- Plan and prioritize different strategies according to business needs.- Improve quality practices across functional and non-functional testing. Professional & Technical Skills: - 5+ years of experience in FACETS development and customization.-Proficiency in SQL, PL/SQL, and FACETS extensions.-Familiarity with healthcare EDI transactions (837, 835, 270/271, 276/277, etc.).-Strong understanding of healthcare domain standards and HIPAA compliance.-Preferred Skills: Experience with .NET or Java technologies.-Knowledge of FACETS workflow management and integration frameworks.-Understanding of Agile/Scrum development methodologies.-Strong problem-solving and analytical skills.-Excellent communication and teamwork abilities.- Ready to work in shifts - 12 PM to 10 PM Additional Information:- The candidate should have a minimum of 3 years of experience in Health Insurance Operations.- This position is based at our Hyderabad office.- A 15 years full-time education is required. Qualification 15 years full time education

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. Your day will involve troubleshooting and resolving technical issues to ensure seamless operations. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Proactively identify and resolve technical issues within critical business systems.- Collaborate with cross-functional teams to troubleshoot and address system malfunctions.- Develop and implement solutions to enhance system performance and reliability.- Provide technical support and guidance to end-users on system functionalities.- Document and maintain system configurations and troubleshooting procedures. Professional & Technical Skills: - Must To Have Skills: Proficiency in Electronic Medical Records (EMR).- Strong understanding of system architecture and database management.- Experience in diagnosing and resolving software and hardware issues.- Knowledge of ITIL framework and incident management processes.- Hands-on experience with system monitoring and diagnostic tools. Additional Information:- The candidate should have a minimum of 3 years of experience in Electronic Medical Records (EMR).- work from office is mandatory for all working days- This position is based at our Chennai office.- A 15 years full time education is required. Qualification 15 years full time education

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. Your typical day will involve troubleshooting and resolving software-related issues to ensure seamless operations. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Proactively identify and resolve software issues.- Collaborate with cross-functional teams to address system challenges.- Develop and implement software solutions to enhance system performance.- Conduct regular system audits to ensure data integrity and security.- Provide technical support and guidance to end-users. Professional & Technical Skills: - Must To Have Skills: Proficiency in Electronic Medical Records (EMR).- Strong understanding of database management systems.- Experience with troubleshooting and debugging software applications.- Knowledge of ITIL framework for service management.- Hands-on experience with incident management tools. Additional Information:- The candidate should have a minimum of 2 years of experience in Electronic Medical Records (EMR).- work from office is mandatory for all working days- This position is based at our Hyderabad office.- A 15 years full time education is required. Qualification 15 years full time education

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. Your day will involve troubleshooting, analyzing system performance, and collaborating with cross-functional teams to ensure seamless operations. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Proactively identify and resolve technical issues within critical business systems.- Collaborate with cross-functional teams to analyze system performance and optimize operations.- Develop and implement solutions to enhance system efficiency and reliability.- Provide technical support and guidance to end-users on system functionalities.- Document and maintain system configurations, troubleshooting steps, and resolutions. Professional & Technical Skills: - Must To Have Skills: Proficiency in Electronic Medical Records (EMR).- Strong understanding of database management and SQL queries.- Experience in system monitoring and performance optimization.- Knowledge of ITIL framework and incident management processes.- Hands-on experience with system troubleshooting and issue resolution. Additional Information:- The candidate should have a minimum of 3 years of experience in Electronic Medical Records (EMR).- work from office is mandatory for all working days- This position is based at our Hyderabad office.- A 15 years full time education is required. Qualification 15 years full time education

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. Your typical day will involve troubleshooting and resolving software-related issues to ensure seamless operations. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Proactively identify and resolve software issues.- Collaborate with cross-functional teams to troubleshoot and debug software problems.- Develop and implement software solutions to enhance system performance.- Document software defects and solutions for future reference.- Provide technical support and guidance to end-users. Professional & Technical Skills: - Must To Have Skills: Proficiency in Electronic Medical Records (EMR).- Strong understanding of database management systems.- Experience with software troubleshooting and debugging.- Knowledge of software development lifecycle.- Hands-on experience with scripting languages like Python. Additional Information:- The candidate should have a minimum of 2 years of experience in Electronic Medical Records (EMR).- This position is based at our Gurugram office.- A 15 years full time education is required. Qualification 15 years full time education

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. Your typical day will involve troubleshooting and resolving software-related issues to ensure seamless operations. Roles & Responsibilities:- Expected to perform independently and become an SME.- Required active participation/contribution in team discussions.- Contribute in providing solutions to work related problems.- Proactively identify and resolve software issues.- Collaborate with cross-functional teams to address system challenges.- Develop and implement software solutions to enhance system performance.- Conduct regular system audits to ensure data integrity and security.- Provide technical support and guidance to end-users. Professional & Technical Skills: - Must To Have Skills: Proficiency in Electronic Medical Records (EMR).- Strong understanding of database management systems.- Experience in troubleshooting software applications.- Knowledge of ITIL framework for service management.- Hands-on experience with incident management tools. Additional Information:- The candidate should have a minimum of 3 years of experience in Electronic Medical Records (EMR).- This position is based at our Gurugram office.- A 15 years full time education is required. Qualification 15 years full time education