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3.0 - 8.0 years
3 - 7 Lacs
Chennai
Work from Office
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
Posted 4 days ago
2.0 - 7.0 years
3 - 7 Lacs
Hyderabad
Work from Office
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
Posted 4 days ago
3.0 - 8.0 years
3 - 7 Lacs
Hyderabad
Work from Office
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
Posted 4 days ago
3.0 years
0 Lacs
Indore, Madhya Pradesh, India
On-site
Job Title: Bench Sales Recruiter Location: Indore, India (Onsite) Shift: Night Shift – 7:00 PM to 4:00 AM IST Employment Type: Full-Time Salary - 15-20k Job Summary: We are seeking a dynamic and result-oriented Bench Sales Recruiter to join our team in Indore . The ideal candidate will be responsible for marketing our bench consultants to preferred vendors, direct clients, and system integrators in the US market. This is a full-time onsite opportunity with night shift hours to align with US business timings. Key Responsibilities: Actively market bench consultants (H1B, GC, USC, OPT, CPT) to new and existing clients. Maintain relationships with implementation partners, Tier 1 vendors, and direct clients. Submit consultants to suitable job requirements and coordinate interviews. Negotiate contract terms, rates, and close deals with clients. Regularly update and maintain the internal database with consultant and client activity. Prepare consultants for client interviews and ensure proper follow-up. Stay updated with market trends, technologies, and client needs. Ensure compliance with all US staffing and immigration guidelines. Requirements: Minimum 1–3 years of experience in US IT Bench Sales Recruitment. Strong understanding of US IT staffing processes and visa classifications. Proven track record in marketing bench consultants and achieving closures. Excellent communication and negotiation skills. Ability to work independently and in a team environment. Strong interpersonal and relationship-building skills. Familiarity with job boards such as Dice, Monster, CareerBuilder, and LinkedIn. Preferred Qualifications: Bachelor’s degree in any discipline. Experience working with consulting/staffing firms in the US market. Show more Show less
Posted 4 days ago
0.0 - 3.0 years
0 Lacs
Thaltej, Ahmedabad, Gujarat
On-site
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
Posted 4 days ago
0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
Job Description #KGS As an Assistant Manager you will be in a business critical role in operations for a dynamic and fast growing team. You Will Be Responsible For Reporting Preparation of Weekly & Monthly dashboards Monitoring compliance with wider KGS & On-shore timesheets Weekly and Monthly reconciliation of various timesheets Variance analysis on weekly, monthly and YTD basis for IPT and Sync/SAP timesheet Reporting weekly and monthly Borrowed hours Project Management Sanitization of timesheets Publish defaulter's list every week for timesheets Keep a control on timesheet defaults by regular reminders and reconciling to ensure the corrections are reflecting in the respective systems HC Reconciliation (KGS vs. On-shore HR Report Validation) On-boarding / Off-boarding of team members Tracking all data related to Invoicing Managing Software/Database licenses for business teams Preparing and reviewing of SOWs/Contractual agreements Raising Project code against the SOWs for engagements & dedicated FTEs Reporting of hours for project billing purposes (lending and borrowing activity) Stakeholder Management Proactively engaging with relevant Businesses, HR, IT, Admin, CPT to develop and prioritize requirements Reporting to key stakeholders, on a monthly basis and ad-hoc as required Personal Performance & Development Ensuring all Personal Development Plan goals and objectives are met or exceeded Taking responsibility for own development needs and ensuring that any personal development objectives are met or exceeded Promptly and professionally seeking and acting upon all feedback received (both positive and negative) in order to support continuous personal development Always demonstrating the KPMG values and playing your part in the citizenship and sustainability agenda Qualifications Knowledge of automation tools like Alteryx, Tableau, Power BI, etc. would be an advantage not mandatory Excellent in verbal and written communication skills Have excellent knowledge of MS Excel Show more Show less
Posted 5 days ago
3.0 - 7.0 years
0 Lacs
India
On-site
Job Title: Healthcare AR Specialist Industry: US Healthcare Employment Type: Full-Time | Night Shift (US Time Zone) Location: Office-Based | Immediate Joiners Preferred Join a leading US healthcare revenue cycle team. We’re hiring experienced Healthcare AR Specialists to manage accounts receivable, resolve denied claims, and drive reimbursement outcomes using top-tier EMR and RCM tools. Key Responsibilities Track and follow up on unpaid/denied claims via Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. Investigate denials, correct errors, and prepare appeals with supporting documentation. Engage with US payers and patients to resolve payment issues and clarify balances. Analyze AR aging to prioritize collections and reduce outstanding receivables. Ensure compliant, audit-ready documentation aligned with HIPAA and payer rules. Collaborate across coding, billing, and revenue cycle teams to streamline workflows. Generate reports and KPIs to monitor performance and identify denial trends. Required Qualifications 3-7 years of experience in US medical AR (Hospital billing), denial resolution, or insurance follow-up. Proficient in EMR/RCM systems: Epic, Cerner, Meditech, CPSI, NextGen, Athena and Artiva. Strong knowledge of CPT, ICD-10, HCPCS codes and AR workflows. Excellent communication, analytical, and time management skills. Preferred Bachelor’s degree in life sciences, healthcare, finance, or related field. Certifications: CMRS, CRCR, or equivalent. Experience handling Medicare, Medicaid, and commercial payers. Why Join Us: Be a part of a high-performance team transforming healthcare revenue cycles. Work with industry-leading tools and processes. Exposure to advanced US RCM operations. Ongoing training and career progression opportunities. Job Types: Full-time, Permanent Benefits: Health insurance Provident Fund Schedule: Monday to Friday Night shift Supplemental Pay: Overtime pay Work Location: In person
Posted 5 days ago
1.0 years
4 - 4 Lacs
India
On-site
We are hiring for CLINICAL INVESTIGATOR/CLINICAL REVIEWER Bsc Nurse/BPT/BDS can apply Should have exp on ICD 10 coding , CPT coding Salary upto 5LPA work location : Hyderabad Immediate joiners should have 1 year exp in US HEALTH CARE Please reach me at 9902419093 Job Type: Full-time Pay: ₹400,000.00 - ₹450,000.00 per year Schedule: Night shift Education: Bachelor's (Required) Experience: US HEALTH CARE: 1 year (Required) Work Location: In person
Posted 5 days ago
1.0 - 4.0 years
3 - 4 Lacs
Hyderābād
On-site
Role: AR Calling – Physician RCM Location: Hyderabad Experience: 1 - 4 Years Job Description: We are looking for candidates with 1–4 years of experience in Physician RCM (Revenue Cycle Management) for a voice-based AR Calling role. Key Requirements: Experience with claim form 1500 and provider-side RCM Knowledge of CPT codes, modifiers, and coding tools (CCI, McKesson) Familiar with specialties like Cardiology, Radiology, Ortho, etc. Understanding of clearinghouses (e.g., Waystar, eCommerce) Strong analytical and communication skills Willingness to work from office and learn new areas Job Type: Full-time Pay: ₹300,000.00 - ₹450,000.00 per year Schedule: Night shift Language: Hindi (Preferred) English (Preferred) Work Location: In person
Posted 5 days ago
2.0 - 5.0 years
0 - 0 Lacs
India
Remote
Key Responsibilities: Source and identify qualified candidates through various channels (LinkedIn, job boards, internal databases, networking, referrals, etc.) Conduct initial screening interviews to evaluate technical skills, experience, and cultural fit Coordinate and schedule interviews with hiring managers and follow up throughout the hiring process Maintain relationships with candidates, ensuring a positive experience from application through onboarding Collaborate closely with Account Managers, Hiring Managers, and Clients to understand job requirements and provide market insights Build a pipeline of candidates for current and future hiring needs Negotiate offers, compensation, and close candidates effectively Ensure all recruitment activities comply with federal and state employment laws (e.g., EEO) Requirements: Bachelor’s degree in Human Resources, Business, or a related field (preferred) 2-5 years of experience in US IT/Technical recruitment (Corp-to-Corp, W2) Strong knowledge of US hiring practices and work authorizations (H1B, GC, USC, OPT, CPT, etc.) Excellent sourcing skills using LinkedIn Recruiter, Dice, Monster, Indeed, etc. Proven experience working with applicant tracking systems (ATS) and recruitment CRMs Exceptional communication and negotiation skills Ability to multitask and manage time efficiently in a remote or hybrid environment Comfortable working in US time zones Preferred Qualifications: Experience recruiting for Fortune 500 clients or enterprise technology companies Prior experience with VMS tools (Fieldglass, Beeline, etc.) Familiarity with niche technologies (Cloud, DevOps, Data Engineering, Cybersecurity, etc.) Job Type: Full-time Pay: ₹30,000.00 - ₹75,000.00 per month Benefits: Health insurance Schedule: Night shift Work Location: In person
Posted 5 days ago
4.0 - 6.0 years
3 - 6 Lacs
Mohali
On-site
About the Role We are seeking a proactive and experienced Team Lead – AR Medical Billing with in-depth knowledge of US healthcare revenue cycle management. The ideal candidate will oversee a team of AR specialists responsible for claim follow-up, denial management, and collections, ensuring timely reimbursement and accurate resolution of outstanding accounts. Key Responsibilities Supervise and coordinate day-to-day operations of the AR medical billing team. Monitor and manage AR aging reports, ensuring timely follow-up on unpaid claims. Review and analyze claim denials, initiate appropriate corrective actions, and guide the team in resolution strategies. Ensure compliance with payer-specific guidelines, HIPAA regulations, and industry standards. Serve as a point of escalation for complex billing and reimbursement issues. Track team KPIs (e.g., DSO, collections rate, denial resolution rate) and generate performance reports. Provide ongoing training, coaching, and performance feedback to team members. Collaborate with coding, charge entry, and payment posting teams to streamline workflows and reduce billing errors. Assist with internal and external audits as needed. Qualifications Bachelor’s degree preferred (Healthcare Administration, Finance, or related field) or equivalent work experience. 4–6 years of experience in US medical billing with a minimum of 1–2 years in a team lead or supervisory role. Strong knowledge of AR processes, claim life cycle, CPT/ICD-10 codes, and EOBs. Familiarity with major US insurance payers (Medicare, Medicaid, commercial) and clearinghouses. Proficient in medical billing software (e.g., Athenahealth, Kareo, NextGen, eClinicalWorks). Excellent communication, problem-solving, and leadership skills. Job Types: Full-time, Permanent Pay: ₹300,000.00 - ₹600,000.00 per year Benefits: Provident Fund Schedule: Night shift Work Location: In person
Posted 5 days ago
0 years
0 Lacs
Coimbatore
On-site
Job Summary: We are seeking a qualified and detail-oriented individual to join our healthcare team as a Medical Coding and Hospital Administration Executive. This role combines the critical responsibilities of accurate medical coding with the administrative functions of hospital and clinical operations. Key Responsibilities: Medical Coding: Assign appropriate ICD-10-CM, CPT, and HCPCS codes to diagnoses and procedures. Ensure accurate medical documentation for billing and insurance claims. Work with physicians and clinical staff to clarify diagnosis or documentation issues. Maintain compliance with HIPAA, ICD guidelines, and payer policies. Submit and follow up on insurance claims and denials. Hospital Administration: Manage daily administrative tasks in the hospital or clinical environment. Assist in patient registration, scheduling, and record maintenance. Coordinate with internal departments for smooth functioning of clinical operations. Monitor inventory, procurement, and facility compliance. Maintain accurate records and reports related to billing, patient data, and regulatory compliance. Support hospital leadership in implementing healthcare policies and SOPs. Job Types: Full-time, Permanent Pay: ₹15,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Work Location: In person Application Deadline: 15/06/2025 Expected Start Date: 18/06/2025
Posted 5 days ago
1.0 - 3.0 years
4 Lacs
India
On-site
Job Description: The role involves managing inpatient billing by generating accurate bills based on physician orders and coordinating with clinical departments to ensure complete charge capture. Responsibilities include verifying ICD-10/CPT codes, resolving billing discrepancies, and processing discharge-related charges. It also covers insurance billing functions such as submitting claims, handling rejections, and coordinating with TPAs for approvals and reimbursements. The candidate must maintain updated knowledge of insurance policies and effectively communicate with patients regarding coverage, co-payments, and exclusions. Qualifications: Bachelor’s degree in Commerce, Business Administration, or related field. 1–3 years of experience in hospital billing and/or insurance claims processing preferred. Knowledge of medical terminology, billing software, ICD/CPT codes. Familiarity with TPA/insurance claim processes and health insurance policies. Job Type: Full-time Pay: Up to ₹450,000.00 per year Benefits: Provident Fund Schedule: Day shift Rotational shift Education: Bachelor's (Preferred) Experience: Medical billing: 3 years (Preferred) Work Location: In person
Posted 5 days ago
1.0 - 3.0 years
1 - 6 Lacs
Chennai
On-site
Omega Healthcare Management Services Private Limited TAMIL NADU Posted On 11 Jun 2025 End Date 25 Jun 2025 Required Experience 1 - 3 Years Basic Section No. Of Openings 20 Grade 1C Designation Senior Coder Closing Date 25 Jun 2025 Organisational Country IN State TAMIL NADU City CHENNAI Location Chennai-I Skills Skill MEDICAL CODING HEALTHCARE HIPAA CPT ICD-9 EMR MEDICAL BILLING HEALTHCARE MANAGEMENT REVENUE CYCLE ICD-10 Education Qualification No data available CERTIFICATION No data available Job Description Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) ing the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 5 days ago
1.0 years
1 - 2 Lacs
Chennai
On-site
Chennai, IN-TN Position Type Full Time Requisition ID 12272 Level of Education Years of Experience About Exela Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune® 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner. Health & Wellness We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental income protection including short term insurance coverage is available. We also offer a 401(k)-retirement savings plan to assist eligible employees in saving for their retirement. Participants are provided access to financial wellness resources and retirement planning services. Military Hiring: Exela seeks job applicants from all walks of life and backgrounds including, but not limited to, those who are transitioning military members, veterans, reservists, National Guard members, military spouses and their family members. Individuals will be considered no matter their military rank or specialty. LexiCode Medical Coders, Inpatient Facility Work from one of our company offices Job Summary- As a Medical Coder at LexiCode, you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be accurately assigning medical codes, ensuring compliance with coding guidelines and regulations. Job Description Essential Job Responsibilities Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. Accurately assign medical codes to precisely reflect clinical documentation. Ensure the integrity and precision of coded data. Stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research. Actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards. Maintain optimal productivity levels while adhering to established coding quality and efficiency benchmarks. Uphold strict patient confidentiality and privacy standards in strict compliance with HIPAA regulations. Minimum Qualifications Possession of one of the following AHIMA credentials: CCS; or one of the following AAPC credentials: CPC, or CIC. Minimum of 1 year of experience coding Inpatient Facility Proficiency in ICD-10-CM, ICD-10-CM, CPT and/or HCPCS codes as appropriate, and comprehensive knowledge of guidelines and conventions. Competence in utilizing coding software and electronic health record (EHR) systems. Strong analytical aptitude to interpret intricate medical documentation accurately. Detail-oriented approach, ensuring precision and accuracy in all coding assignments. Exceptional communication skills to facilitate effective collaboration with healthcare professionals. Disclaimer: Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws. Exela recruiters or representatives will only contact you from emails ending with @exelaonline.com, @exelatech.com, @lexicode.com, @rustconsulting.com or @ersgroup.com. We would never ask you for payment or ask you to deposit a check into your personal bank account during the recruitment process.
Posted 5 days ago
0 years
3 - 6 Lacs
Chennai
On-site
Job Purpose The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners Assign and sequence all CPT and ICD-10 codes for services rendered when required Work with billing staff and system WQ’s to ensure proper payment of claims Comply with all Medicare policy requirements including coding initiatives and guidelines Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications CPC certification AAPC or CCS certification from AHIMA High School graduate or equivalent Minimum two years of coding experience related to the specialty needed (IP DRG, OP, Denials, SDS, etc.) Knowledge of Microsoft Word, Outlook, Excel Must be able to use job-related software Surgical coding experience a plus Strong interpersonal skills, ability to communicate well at all levels of the organization Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses High level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills required Gracious and welcoming personality for customer service interaction 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 5 days ago
2.0 - 4.0 years
0 - 0 Lacs
Vadodara
Remote
Key Responsibilities: Source and identify qualified candidates through various channels (LinkedIn, job boards, internal databases, networking, referrals, etc.) Conduct initial screening interviews to evaluate technical skills, experience, and cultural fit Coordinate and schedule interviews with hiring managers and follow up throughout the hiring process Maintain relationships with candidates, ensuring a positive experience from application through onboarding Collaborate closely with Account Managers, Hiring Managers, and Clients to understand job requirements and provide market insights Build a pipeline of candidates for current and future hiring needs Negotiate offers, compensation, and close candidates effectively Ensure all recruitment activities comply with federal and state employment laws (e.g., EEO) Requirements: Bachelor’s degree in Human Resources, Business, or a related field (preferred) 2–4 years of experience in US IT/Technical recruitment (W2 & Corp-to-Corp) Strong knowledge of US hiring practices and work authorizations (H1B, GC, USC, OPT, CPT, etc.) Excellent sourcing skills using LinkedIn Recruiter, Dice, Monster, Indeed, etc. Proven experience working with applicant tracking systems (ATS) and recruitment CRMs Exceptional communication and negotiation skills Ability to multitask and manage time efficiently in a remote or hybrid environment Comfortable working in US time zones Preferred Qualifications: Experience recruiting for Fortune 500 clients or enterprise technology companies Prior experience with VMS tools (Fieldglass, Beeline, etc.) Familiarity with niche technologies (Cloud, DevOps, Data Engineering, Cybersecurity, etc.) Job Type: Full-time Pay: ₹15,000.00 - ₹40,000.00 per month Benefits: Health insurance Schedule: Night shift Supplemental Pay: Commission pay Work Location: In person
Posted 5 days ago
12.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Role Description Job Description – BA - Business Analyst – US Medicare – Claims Management System Job Summary: We are seeking a highly motivated and detail-oriented Business Analyst to join our team, focusing specifically on our US Medicare Claims L2 Software support project. The successful candidate will play a crucial role in bridging clients’ business needs, issue resolution, servicing the client requirement, ensuring our software effectively meets the evolving demands of the healthcare claims processing landscape. You will be responsible for gathering, analyzing, and documenting service requests and defect raised by the client. As a part of this role, you will be defining and documenting requirements, facilitating communication between stakeholders within and outside of the organization. Your role will remain critical point of contact with the clients. Responsibilities: Requirements Gathering and Analysis: o Conduct thorough analysis of Service Request, Enhancement, Defects raised by the healthcare claims management clients. Translate business requirements, enhancement into clear and concise specifications for development and the quality assurance teams. o Document and manage detailed functional and non-functional requirements. o Effectively communicate with stakeholders, including developers, testers, product managers, and clients, to ensure alignment and understanding. o Prepare RCA(Root Cause Analysis), findings and recommendations to stakeholders in a clear and professional manner. o Ensure that the ticketing system is well updated o Collaborate with development, quality assurance and product management teams throughout the SDLC, from planning the resolution to implementation in the production systems. o Participate in sprint planning, reviews, and retrospectives. o Provide support for testing and user acceptance testing (UAT), provide demo to UAT teams and Client in the test environment. o Assist in the creation of test cases and ensure requirements traceability. o Ensure that the ticketing tool is up to the date from the documentation point of view and transactional parameters o Identify opportunities for process improvement and optimization within the US Medicare Claims Software and related workflows. o Analyze data and metrics to identify trends and areas for improvement. o Mentor junior Business Analyst Healthcare Claims Expertise: o Develop and maintain a strong understanding of healthcare claims processing, including industry standards (e.g., HIPAA, ICD-10, CPT), regulations, and best practices o Experience with claims management software is a significant plus. o Stay up-to-date on industry trends and emerging technologies related to claims management. o Act as a subject matter expert on healthcare claims within the organization. Qualifications: Bachelor's degree in Business Administration, Computer Science, Healthcare Administration, or a related field. Certified in healthcare related certification such as AHM250 would be a plus Minimum of 12 years of experience as a Business Analyst, preferably in the healthcare industry. Strong understanding of healthcare claims processing and related workflows. Proven experience in requirements gathering, analysis, and documentation. Excellent communication, interpersonal, and presentation skills. Strong analytical and problem-solving abilities. Ability to work independently and as part of a team. Familiarity with Agile software development methodologies Knowledge of SQL, or database concepts is a plus. Skills Excellent Communication,Healthcare,Claims,Problem Solving Show more Show less
Posted 5 days ago
3.0 years
0 Lacs
India
On-site
Description About Norstella At Norstella, our mission is simple: to help our clients bring life-saving therapies to market quicker—and help patients in need.We turn that into a reality by helping our clients navigate the complexities at each step of the drug development life cycle, from pipeline to patient. As one of the largest global pharma intelligence solution providers, Norstella unites market-leading companies that all have a shared goal of helping bring life-saving therapies to market quicker—and help patients in need. Each Organization (Citeline, Evaluate, MMIT, Panalgo, The Dedham Group) Delivers Must-have Answers For Critical Strategic And Commercial Decision-making. Together, We Help Our Clients Assess the market need and competitive landscape Know precisely which drugs to prioritize in their portfolios Connect the dots between patients and clinical trials Reduce costs, mitigate risk and stay in compliance Find out where the launch difficulties will be—before they’re difficulties By combining the efforts of each organization under Norstella, we can offer an even wider breadth of expertise, cutting-edge data solutions and expert advisory services alongside advanced technologies such as real-world data, machine learning and predictive analytics. At Norstella, we don’t just deliver information and insights. We deliver answers you can act on. The Position & Team Norstella is seeking an Analyst with a life science clinical, HEOR, epidemiology, commercial, and market access analytics experience to join Norstella's pre-sales Solution Consulting team. The Solution Consulting team plays an integral role in introducing business leaders and healthcare organizations to Norstella capabilities and aligning our software solutions with their analytic needs to improve healthcare. This position will focus on supporting life science organizations and analytic teams generating real world insights and evidence within commercial, market access, clinical, and HEOR departments. At Norstella, bringing solutions to our clients is a team effort, with solutions and sales working in tandem. The solution consulting team infuses deep knowledge of healthcare patient data, analytic precision, and key industry challenges in the sales process, acting as peers to the buyers and users of our software and RWD data. The team leads the capability portion of every sales engagement, including use case development, product demonstration, and software evaluations. The ideal candidate for this position will have a strong interest in healthcare and technology, experience analyzing large databases, (such as claims, EMR, and lab data), expertise with applications of study design and common analytic methods for healthcare research, expertise in commercial analytics for brand launch/ management, field team targeting, patient outcomes, prescriber trends, and/or clinical trial feasibility. In this role you will focus on evaluating patient treatment regimens across multiple lines of therapy, utilizing clinical trial data, EMR, and other healthcare datasets. Your expertise in data analysis will provide valuable insights into treatment effectiveness, therapy progression, and patient outcomes, ultimately supporting clinical decision-making and strategy development. The candidate must also possess excellent written and verbal communication skills to work effectively in cross-functional internal teams. An ability to work in a fast-paced environment, s, remaining flexible, proactive, resourceful, and efficient, with a high level of professionalism is crucial to this role at Norstella. Key Responsibilities Analyze epidemiological data to identify trends, disease patterns, and risk factors across populations. Process, analyze, and interpret lab biomarker data to assess health outcomes, disease progression, and treatment efficacy Become proficient with various large and complex real world healthcare data assets Conduct data extraction and analysis from various healthcare databases to derive actionable insights. Contribute to the design, execution, and analysis of epidemiological studies and clinical research projects. Investigate the relationship between lab /biomarker data and clinical or epidemiological outcomes, providing insights into disease mechanisms Analyze patient treatment data to evaluate the efficacy of different lines of therapy (LoT) for specific diseases, identifying patterns in treatment progression and patient outcomes. Identify trends in treatment response, patient demographics, and other factors that influence the choice and success of therapies across treatment lines. Develop predictive models to forecast patient responses to different lines of therapy, helping to inform personalized treatment strategies Develop and execute SQL queries to retrieve specific healthcare data points and generate comprehensive reports. Become an expert in our market leading low-code real world evidence platform: IHD. Independently develop analytic projects in IHD for the purpose of showcasing product features, study examples, and analytic methods for product demonstrations and evaluation of software/real world data Collaborate with internal teams to understand the data requirements and objectives for each query and analysis. Clean, organize, and validate data to ensure accuracy and consistency across different datasets (i.e. open claims, closed claims, lab data, prescription data, EMR data, mortality data, etc.) Perform regular database health checks to ensure smooth querying and maintain optimal performance. Document query processes, methodologies, and insights for easy reference and future use by stakeholders. Provide ad-hoc reporting and custom queries based on specific stakeholder requests or business needs. Qualifications And Required Skills Experience designing healthcare analytic studies, structuring analysis ready datasets, choosing proper analytical methods, and employing appropriate visualization depending on project needs. Strong understanding of lab biomarker data, including the processing, interpretation, and analysis of clinical or laboratory biomarkers Knowledge of high-throughput data analysis, such as genomics, lab testing, or biomarkers focused data Strong experience with clinical data analysis, particularly in the context of treatment regimens and patient outcomes. Proven experience in data analysis and querying: Strong proficiency in SQL and other data querying languages to extract, manipulate, and analyze data from large healthcare databases. Strong technical skills: Familiarity with database management systems (e.g., MySQL, Oracle, SQL Server) and data analysis tools (e.g., Excel, Python, R). Experience with healthcare data: Understanding of healthcare terminologies, data structures (ICD codes, CPT codes, claims data), and healthcare-specific regulations like HIPAA. Ability to work independently: Comfortable working autonomously with minimal supervision during off-hours, ensuring tasks are completed within deadlines. Time zone flexibility: Ability to align with off-hours or late-night shifts based on business needs and provide consistent results during non-standard working hours. Problem-solving skills: Capable of identifying issues in data, database queries, or processes and troubleshooting them independently. Data visualization expertise: Familiarity with data visualization tools (e.g., Tableau, Power BI) to present insights effectively. Effective communication skills: Ability to clearly document findings and communicate insights via email, reports, or presentations, often during non-business hours. Adaptability and flexibility: Ability to adjust to evolving data needs and shifting priorities, especially when working during off-hours. Experience with automation tools: Familiarity with automation scripts or tools to streamline repetitive tasks and queries would be a plus. Proactive mindset: Ability to anticipate issues and take initiative to resolve them without waiting for direction, especially during off-hours. Collaboration and reporting skills: Ability to collaborate effectively with onshore teams in different time zones and provide clear, actionable insights to stakeholders. Education Master’s (3+ years) in a technical field (e.g. biostatistics, health economics, epidemiology, engineering) or Bachelors (5+ years) and outstanding industry experience (in outcomes research, health economics, epidemiology, consulting for life sciences companies, or academic institutions) Benefits Health Insurance Provident Fund Reimbursement of Certification Expenses Gratuity 24x7 Health Desk Our guiding principles for success at Norstella 01: Bold, Passionate, Mission-First 02: Integrity, Truth, Reality 03: Kindness, Empathy, Grace 04: Resilience, Mettle, Perseverance 05: Humility, Gratitude, Learning Norstella is an equal opportunities employer and does not discriminate on the grounds of gender, sexual orientation, marital or civil partner status, pregnancy or maternity, gender reassignment, race, color, nationality, ethnic or national origin, religion or belief, disability or age. Our ethos is to respect and value people’s differences, to help everyone achieve more at work as well as in their personal lives so that they feel proud of the part they play in our success. We believe that all decisions about people at work should be based on the individual’s abilities, skills, performance and behavior and our business requirements. Norstella operates a zero tolerance policy to any form of discrimination, abuse or harassment . Sometimes the best opportunities are hidden by self-doubt. We disqualify ourselves before we have the opportunity to be considered. Regardless of where you came from, how you identify, or the path that led you here- you are welcome. If you read this job description and feel passion and excitement, we’re just as excited about you. Show more Show less
Posted 5 days ago
2.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview At Zelis, the Itemized Bill Review Facility Reviewer I is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA’s to ensure adherence to proper coding and billing guidelines. They will work closely with Hospital Bill Review and Concept Development staff to efficiently identify billing errors and adhere to policies and procedures for claims processing. This is a production-based role with production and quality metric goals. Key Responsibilities Conduct detailed review of hospital itemized bills for identification of billing and coding errors for all payor’s claims Contribute process improvement and efficiency ideas to team leaders and in team meetings Translate client reimbursement policies into Zelis coding and clinical concepts Understand payor policies and their application to claims processing Prepare and upload documentation clearly and precisely identifying findings Accurately calculate/verify the value of review and documentation for claim processing Monitor multiple reports to track client specific requirements, turnaround time and overall claims progression Maintain individual average productivity standard of 10 processed claims per day Consistently meet or exceed individual average quality standard of 85% Ability to manage a variety of claim types with charges up to $500,000 Collaborate between multiple areas within the department as necessary Follow standard procedures and suggest areas of improvement Remain current in all national coding guidelines including Official Coding Guidelines and AHA Coding Clinic and share with review team Maintain awareness of and ensure adherence to Zelis standards regarding privacy Skills, Knowledge, And Experience CPC credential preferred 1 – 2 years of applicable healthcare experience preferred Graduate Working knowledge of health/medical insurance and handling of claims General knowledge of provider claims/billing, with medical coding and billing experience Knowledge of ICD-10 and CPT coding Ability to manage and prioritize multiple tasks Attention to detail is essential Accountable for day-to-day tasks Excellent verbal and written communication skills Proficient in Microsoft Office Suite Show more Show less
Posted 5 days ago
5.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview Data Analyst with deep experience in the US Healthcare industry with the skills around ML About Zelis Zelis is a leading payments company in healthcare, guiding, pricing, explaining, and paying for care on behalf of insurers and their members. We align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. Partnering with 700+ payers, supporting 4 million+ providers and 100 million members across the healthcare industry. About ZDI Zelis Data Intelligence (ZDI) is a centralized data team that partners across Zelis business units to unlock the value of data through intelligence and AI solutions. Our mission is to transform data into a strategic and competitive asset by fostering collaboration and innovation. Enable the democratization and productization of data assets to drive insights and decision-making. Develop new data and product capabilities through advanced analytics and AI-driven solutions. Collaborate closely with business units and enterprise functions to maximize the impact of data. Leverage intelligence solutions to unlock efficiency, transparency, and value across the organization. Key Responsibilities Conduct comprehensive data analysis using statistical and exploratory methods to uncover patterns and insights that drive data-driven decision-making in the US healthcare domain. Work with large datasets, including healthcare business unit (BU)-specific data such as claims, eligibility, provider networks, patient demographics, payments, and utilization trends. Leverage knowledge of healthcare industry metrics (e.g., HEDIS, CMS Star Ratings, risk adjustment models, and revenue cycle data) to optimize analytics strategies. Collaborate with data science and engineering teams to ensure data quality, availability, and reliability for AI/ML-driven healthcare analytics solutions. Design and maintain data pipelines for efficient ingestion, transformation, and storage of claims, electronic health records (EHR), HL7/FHIR data, and real-world evidence (RWE). Ensure compliance with HIPAA, PHI, and other regulatory requirements when handling healthcare datasets. Develop and maintain dashboards and reports that translate complex healthcare data into actionable insights for business stakeholders. Use visualization tools such as Streamlit over Snowflake, Power BI, or similar platforms to represent key healthcare metrics, trends, and performance indicators. Apply expertise in healthcare cost, quality, and operational performance analytics to deliver meaningful insights. Work closely with cross-functional teams, including data science, engineering, API development, and healthcare operations, to understand data needs and deliver tailored solutions. Partner with healthcare payers, providers, and revenue cycle management teams to enhance data quality and ensure alignment with industry standards. Actively engage with Data Science, Data Engineering, and Business Units to enhance process understanding and ensure data accuracy for regulatory and business reporting. Maintain a proactive mindset in exploring new analytical techniques, regulatory changes, and healthcare industry trends. Engage with industry experts, attend relevant healthcare and data science conferences, and contribute to continuous learning within the team. Qualifications 5-8 years of hands-on experience in data analysis, preferably within the US healthcare domain, with exposure to payer, provider, claims, and financial data analytics. Strong proficiency in SQL and Python, including libraries such as pandas for data manipulation and analysis. Experience with healthcare data visualization and storytelling using tools such as Streamlit, Snowflake, Power BI, Tableau, or similar. Familiarity with ETL pipelines, data warehousing, and cloud platforms (AWS, Azure, GCP) for healthcare data processing. Deep understanding of US healthcare data, including claims, payments, eligibility, patient encounters, and provider networks. Strong knowledge of healthcare standards and regulations (HIPAA, PHI, HL7, FHIR, CMS, Medicare/Medicaid reporting, NCQA, HEDIS, and risk adjustment models). Experience in revenue cycle management (RCM), medical coding (ICD, CPT, DRG), and healthcare cost/utilization analytics is a plus. Ability to analyze complex healthcare datasets and derive meaningful insights that impact operational efficiency, patient outcomes, and cost optimization. Experience working with predictive modeling and AI-driven healthcare analytics is an advantage. Excellent communication and stakeholder management skills, with the ability to translate technical findings into business insights. Strong collaboration skills to work effectively with healthcare business teams, IT, and data science professionals. A curious mindset with a willingness to explore new challenges and drive innovation in healthcare analytics. Show more Show less
Posted 5 days ago
5.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
We are seeking an experienced Accounts Receivable Manager with expertise in Hospital Billing and US Healthcare. The Accounts Receivable Manager will be responsible for managing the billing and collection of payments for medical services provided by the hospital. They will work closely with the billing team and other departments to ensure timely and accurate billing, posting of payments, and follow-up on outstanding balances. Responsibilities: Oversee the hospital’s accounts receivable operations, including billing, collections, and follow-up on outstanding balances Manage a team of billing specialists and other staff responsible for accounts receivable functions Ensure timely and accurate posting of payments, adjustments, and denials to patient accounts Develop and implement processes to improve billing and collections efficiency and effectiveness Analyze accounts receivable reports and key performance indicators to identify trends, opportunities for improvement, and potential issues Work collaboratively with other departments to ensure accurate billing and timely resolution of payment-related issues Maintain knowledge of current US healthcare regulations and reimbursement policies to ensure compliance with billing requirements Implement and manage effective policies and procedures for accounts receivable management Provide training and support to staff regarding billing procedures, policies, and regulations Perform other duties as assigned Requirements: Bachelor's degree in Healthcare Administration, Business Administration, or related field At least 5 years of experience in hospital billing and accounts receivable management, preferably in a leadership role Thorough understanding of US healthcare regulations and reimbursement policies Knowledge of healthcare billing and coding systems, including ICD-10 and CPT coding Experience managing and leading teams Excellent communication, analytical, and problem-solving skills Strong attention to detail and ability to work under pressure to meet deadlines Proficient in Microsoft Office Suite, particularly Excel, and Word Ability to adapt to changing priorities and handle multiple tasks simultaneously If you meet the above qualifications and are interested in this opportunity, please submit your resume to mvuyyala@primehealthcare.com Show more Show less
Posted 5 days ago
2.0 - 8.0 years
0 Lacs
Chennai, Tamil Nadu, India
Remote
Responsibilities Develop and execute test plans, test cases, and test scripts for healthcare claims processing systems. Perform functional, integration, regression, and end-to-end testing of claims applications. Verify the accuracy of claims data, including patient demographics, medical codes (CPT, ICD-10), and payment information. Test claims adjudication logic, ensuring compliance with payer rules and regulations. Validate electronic data interchange (EDI) transactions related to claims processing (e.g., 837, 835). Identify, document, and track software defects using bug tracking systems. Collaborate with developers to resolve defects and ensure timely resolution. Perform root cause analysis of defects to prevent recurrence. Work closely with business analysts, developers, and project managers to ensure quality throughout the software development lifecycle. Participate in requirements review and design sessions. Required Skills And Qualifications Bachelor's degree in a related field (e.g., Computer Science, Healthcare Administration). Experience - 2 - 8 years of testing exp. 3-4 of relevant experience working in US Healthcare Claims projects Technical skill - Ability to execute SQL queries for data verification fluent in excel formulas & macros Proven experience in quality assurance testing, preferably in the healthcare industry. Strong understanding of US healthcare payer systems and claims adjudication processes. Knowledge of medical coding (CPT, ICD-10) and healthcare terminology. Familiarity with EDI transactions (837, 835). Experience with test management and bug tracking tools (e.g., Jira, TestRail). Excellent analytical and problem-solving skills. Strong attention to detail and accuracy. Excellent communication and interpersonal skills. Preferred : AHIP AHM 250 certification. What We Offer We offer a market-leading salary along with a comprehensive benefits package to support your well-being. Enjoy a hybrid or remote work setup that prioritizes work-life balance and personal well-being. We invest in your career through continuous learning and internal growth opportunities. Be part of a dynamic, inclusive, and vibrant workplace where your contributions are recognized and rewarded. We believe in straightforward policies, open communication, and a supportive work environment where everyone thrives. (ref:hirist.tech) Show more Show less
Posted 5 days ago
1.0 - 31.0 years
0 - 0 Lacs
Manikonda, Hyderabad
Remote
💼 Job Opportunity: AR Calling / Physician RCM Specialist (Voice Process Only) 📍 Location: Manikonda| 💬 Process: Voice 🕒 Experience Required: 1–4 Years in Physician RCM / AR Calling / Denial Management ✨ Overall Summary we’re on the lookout for skilled AR Calling professionals with expertise in Physician Revenue Cycle Management (RCM) – NOT hospital billing. If you thrive on resolving denials, speaking with payers, and working on claim follow-ups, this is the perfect role for you! 🚫 Do NOT Apply If You Belong To: 🔴 HGS (not handling RCM AR services) 🔴 Overpayments-only background 🔴 Hospital AR / DME / Claims Adjudication experience ✅ We’re Looking for Candidates With: ✔️ Experience: 1–4 years in Physician RCM / AR Calling (Voice-based only) ✔️ Skills: – Strong verbal communication 🗣️ – Analytical thinking 🧠 – Adaptable to office setup 🏢 – Eagerness to learn & grow 🚀 📚 Knowledge You Must Have: 📄 Claim Form: CMS-1500 🔧 Coding Tools: CCI edits, McKesson 🧑⚕️ Specialties: Cardiology, Radiology, Ortho, Peds, Surgery 💻 Clearinghouse Platforms: Waystar, eCommerce 📌 CPT Codes & Modifiers (Voice AR Calling experience is a must!) 🎯 Your Responsibilities (L2 - AR Calling): 📞 Follow up on Accounts Receivable (AR) ❗ Denial management and resolution 📈 Achieve daily production & quality goals 🕘 Adhere to shift schedules and maintain productive hours
Posted 5 days ago
3.0 years
0 Lacs
Ahmedabad, Gujarat, India
Remote
Location: Remote / Onsite (as applicable) Shift Timing: Night Shift (7:30 PM – 4:30 AM IST) Experience: 0.6 – 3 Years (Freshers with excellent communication skills can apply) ⸻ 📌 Job Summary: We are looking for a highly motivated and goal-oriented Bench Sales Executive to join our growing US IT Staffing team. The ideal candidate will be responsible for marketing our bench consultants (US Citizens, GC, H1B, EAD, OPT, CPT) to various implementation partners, direct clients, and vendors in the US market. If you have the drive to hustle, strong communication skills, and a passion for achieving sales targets — we want you in our team! ⸻ 📌 Key Responsibilities: • Market bench consultants to various Tier 1 vendors, direct clients, and implementation partners in the US. • Establish and maintain a strong relationship with existing clients and vendors. • Regularly update and maintain the database of consultants, vendors, and client interactions. • Negotiate rates and terms with clients and vendors to close deals. • Work closely with the recruitment team to understand the availability of consultants and client needs. • Submit consultants to job requirements on portals like Dice, Monster, CareerBuilder, and other job boards. • Follow up with vendors and clients for interview schedules, feedback, and offer negotiations. • Achieve daily, weekly, and monthly sales targets. ⸻ 📌 Required Skills: • Excellent verbal and written communication skills. • Knowledge of US IT Staffing, US Tax terms (W2, C2C, 1099), and visa classifications (H1B, GC, OPT, CPT, etc.). • Strong networking and relationship-building skills. • Good negotiation, convincing, and closing skills. • Quick learner with the ability to adapt to new technologies and market trends. ⸻ 📌 Preferred Qualifications: • Bachelor’s degree in any stream. • 0.6 to 3 years of experience in Bench Sales / US IT Staffing. • Experience working with Job Portals like Dice, Monster, CareerBuilder, and LinkedIn. ⸻ 📌 Perks & Benefits: • Competitive Salary + Incentives • Performance-based bonuses • Excellent growth opportunities • Fun, positive work environment • Night shift allowances (if applicable) Show more Show less
Posted 5 days ago
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