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3.0 - 7.0 years
0 Lacs
vadodara, gujarat
On-site
As a Rejection Specialist Team Manager at Qualifacts, you will be responsible for leading and mentoring a team of rejection specialists to ensure productivity and quality targets are consistently met. You will supervise the team, conduct performance reviews regularly, and implement process improvements to enhance efficiency. Collaboration with other Revenue Cycle Management (RCM) teams, such as Billing, Accounts Receivable (AR), and Denials, will be essential to optimize claim processing efficiency. Your role will also involve overseeing daily rejection reports, addressing rejections promptly to prevent claim denials, and identifying recurring rejection patterns. By working closely with the team, you will implement corrective actions to minimize rejections and improve clean claim submission rates. Analyzing rejection trends will be a key aspect of your responsibilities, where you will provide recommendations for process enhancements. Developing and maintaining standard operating procedures (SOPs) for handling various types of rejections will be crucial, along with collaborating with billing, coding, and credentialing teams to reduce avoidable rejections. In terms of reporting and communication, you will prepare and present rejection analysis reports, including root cause analysis and resolution strategies. Accurate documentation of rejection trends, team performance, and corrective actions taken will be maintained to ensure transparency and accountability. To qualify for this role, a Bachelor's degree in Healthcare Administration, Business, or a related field is preferred, along with a minimum of 3-5 years of experience in RCM medical billing, including at least 1-2 years in a supervisory role. Proficiency in EHR systems (e.g., Insync, Credible) and claim management software is required, along with strong analytical skills to identify root causes of rejections and implement improvements efficiently. Problem-solving skills are essential to address complex claim rejections effectively. Preferred qualifications include experience with automated rejection management tools, familiarity with EDI transactions (such as 837, 835, 270, 271, 277, 999, etc.), and knowledge of denial management and coordination with AR teams. At Qualifacts, we are an equal opportunity employer dedicated to fostering diversity and creating an inclusive workplace for all employees.,
Posted 20 hours ago
5.0 - 9.0 years
0 Lacs
pune, maharashtra
On-site
The ideal candidate for this role should have at least 5 to 7 years of experience, with a strong background in Workday Finance. As a Senior Integration Engineer, you will be responsible for designing and managing integrations with Workday. It is crucial to have proficiency in API development, EDI transactions, and Workday-related customizations. In addition to that, a solid understanding of integration platforms like Dell Boomi and experience with monitoring tools like Splunk and Datadog is highly preferred. Having certification in integration platforms or Workday tools would be considered a plus for this position.,
Posted 2 days ago
4.0 - 6.0 years
18 - 20 Lacs
Chennai
Work from Office
We're hiring an Integration (EDI) Tester in Chennai (4–6 yrs exp). Must have experience in EDI standards, API testing, automation, and Agile. Join a global team ensuring accurate, compliant EDI flows. Required Candidate profile Experienced EDI Tester with expertise in X12/EDIFACT, EDI mapping, API & automation testing. Strong collaboration in Agile environments, capable of validating and troubleshooting data integrations.
Posted 1 month ago
7.0 - 11.0 years
0 Lacs
chennai, tamil nadu
On-site
Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.Job Description- SAP EWM Role Purpose SAP EWM Consultant Minimum 7 10 years experience as a functional analyst or business analyst with SAP EWM domain expertise Good experience in SAP EWM implementation and support Knowledge of integration between SAP modules including capabilities, limitations & best practices; Working knowledge and understanding of Handling Unit Management, Bin and Storage locations, Movement types, Picking and Putaway strategies, Experience with EDI / SAP IDOCs and data exchanges in a logistics environment. Knowledge of EDI transactions and standards; with Monitoring Strong knowledge of Radio Frequency systems with the ability to configure / design custom EWM RF transactions. Good to have performed data migration activities (e.g. LSMW for inventory loads); Demonstrated ability to translate detailed functional specifications into clearly documented technical specifications. SAP certification is a definite asset; Do 1. Bridging the gap between project and support teams through techno-functional expertise For a new business implementation project, drive the end to end process from business requirement management to integration & configuration and production deployment Check the feasibility of the new change requirements and provide optimal solution to the client with clear timelines Provide techno-functional solution support for all the new business implementations while building the entire system from the scratch Support the solutioning team from architectural design, coding, testing and implementation Understand the functional design as well as technical design and architecture to be implemented on the ERP system Customize, extend, modify, localize or integrate to the existing product by virtue of coding, testing & production Implement the business processes, requirements and the underlying ERP technology to translate them into ERP solutions Write code as per the developmental standards to decide upon the implementation methodology Provide product support and maintenance to the clients for a specific ERP solution and resolve the day to day queries/ technical problems which may arise Create and deploy automation tools/ solutions to ensure process optimization and increase in efficiency Sink between technical and functional requirements of the project and provide solutioning/ advise to the client or internal teams accordingly Support on-site manager with the necessary details wrt any change and off-site support 2. Skill upgradation and competency building Clear wipro exams and internal certifications from time to time to upgrade the skills Attend trainings, seminars to sharpen the knowledge in functional/ technical domain Write papers, articles, case studies and publish them on the intranet Deliver No. Performance Parameter Measure 1. Contribution to customer projects Quality, SLA, ETA, no. of tickets resolved, problem solved, # of change requests implemented, zero customer escalation, CSAT 2. Automation Process optimization, reduction in process/ steps, reduction in no. of tickets raised 3. Skill upgradation # of trainings & certifications completed, # of papers, articles written in a quarter Reinvent your world.We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention. Come to Wipro. Realize your ambitions. Applications from people with disabilities are explicitly welcome.,
Posted 1 month ago
3.0 - 8.0 years
6 - 15 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Role & responsibilities Job Title: EDI Analyst Logistics & Navigation Years of Experience: 4+ Years Job Overview: The EDI Analyst in logistics is responsible for overseeing Electronic Data Interchange processes and systems related to Shipping, Transportation, supply chain, and inventory management. They ensure the efficient and accurate exchange of data between the company and its logistics partners. Strong understanding of EDI concepts and delivery mechanisms like AS2, VAN, SFTP, HTTPS and other protocols. Experience with ANSI X12 and EDIFACT standards Responsibilities: 1. EDI System Management: Configure and maintain EDI systems, including communication protocols and software. Monitor and manage data transmissions to and from logistics partners. Set up and manage automated data exchange processes for Shipping and Logistics operations. 2. Trading Partner Coordination: Collaborate with logistics partners (Carriers, 3PLs, Operation Users) to establish and maintain EDI connections. Onboard new logistics partners by defining data requirements and communication standards. Address logistics partner inquiries and resolve data exchange issues. 3. Data Mapping and Transformation: Translate and transform data between different formats and systems, ensuring compatibility with logistics partners' systems. Create and maintain mapping specifications for data transformation, including order processing, shipment notifications, and inventory updates. 4. Error Handling and Troubleshooting: Monitor error logs and proactively troubleshoot data transmission issues. Identify and resolve data validation errors and discrepancies. Implement solutions to prevent recurring issues and improve the efficiency of logistics data exchange. 5. Compliance and Standards: Stay updated with industry-specific standards and regulations relevant to logistics (e.g., EDIFACT, ANSI X12, customs regulations). Experience with EDI transactions 204, 210, 214, 300, 301, 310, 315 at a minimum and possibly 810, 856 6. Documentation : Maintain documentation for logistics EDI processes, including partner agreements, data mappings, and system configurations. Create and update process and procedure manuals for internal and external reference. 7. Reporting and Analysis: Generate reports and analyse logistics EDI transaction data to identify trends and performance issues. Recommend process improvements to enhance logistics operations and data exchange efficiency. Qualifications: Bachelor's degree in logistics, supply chain management, or a related field (or equivalent experience). Proven experience working with logistics EDI systems and data exchange protocols. Strong understanding of EDI standards and formats (e.g., EDIFACT, ANSI X12) relevant to logistics. Proficiency in EDI mapping and translation. Strong problem-solving and troubleshooting skills. Familiarity with data security and encryption techniques as they relate to logistics data. Excellent communication and interpersonal skills for collaborating with logistics partners and cross-functional teams. Attention to detail and a commitment to data accuracy. Ability to work independently and as part of a team. Skills: EDI software and mapping tools proficiency Data analysis and problem-solving in a logistics context Communication and collaboration with logistics partners Documentation and reporting Compliance and standards knowledge related to logistics Technical acumen in logistics and supply chain operations The role of an EDI Analyst in Shipping and logistics is essential for ensuring the efficient and accurate flow of data in the supply chain, which contributes to the overall success of logistics operations and inventory management.
Posted 1 month ago
3.0 - 5.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a EDIFECS developer to join our team in Chennai, Tamil N?du (IN-TN), India (IN). Job Responsibilities: . Involved in gathering requirements, installing, configuring and overseeing the implementation of EDIFECS. . Interface with the clients business and technical resources. . Design, build, and test the client's systems. . Working with an established and dynamic development team, with both clients and onsite team members. Required Experience and Skills: . 3+ years of experience working for Health care. . 3+ years of experience with Healthcare Electronic Data Interchange (EDI) mapping and EDI analysis. . 3+ Experience using Edifecs Tool set,Edifecs SpecBuilder, Edifecs MapBuilder, Edifecs XEngine, Edifecs XEngine Server, Edifecs Transactions Management, Edifecs, Trading Partner Management Edifecs Application Manager (EAM),Edifecs GBD repository, HIPAA X12,Unix/Linux Java Understanding of EDI Transactions. . Experience working in Edifecs 8.4. . 3+ years of experience managing, working in or developing and deploying Java or Middleware based applications. . Ability to use strong industry knowledge to relate to customer needs and dissolve customer concerns and high level of focus and attention to detail. . Work within the EDIFECS tools for migration. . Understands HIPAA requirements inside/out. . Experience working in EDIFECS migration. . Health Care Knowledge is a must. . Agile Methodology. Skills required - Java, Edifecs, SpecBuilder,XESuite,Dashboards,Transaction Management,FHIR Work timing - 2.30pm - 12.30am About NTT DATA NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at NTT DATA endeavors to make accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click . If you'd like more information on your EEO rights under the law, please click . For Pay Transparency information, please click.
Posted 2 months ago
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