Get alerts for new jobs matching your selected skills, preferred locations, and experience range.
0.0 - 4.0 years
0 Lacs
Thanjavur, Tamil Nadu
On-site
Job Title: AR Caller (Accounts Receivable Caller)Position Summary: The AR Caller is responsible for following up on unpaid or denied medical claims, working with insurance companies and patients to resolve outstanding accounts, and ensuring timely collections. The role includes analyzing account balances, identifying payment trends, and escalating complex issues to the appropriate departments. As a senior member of the team, the Senior AR Caller provides mentorship to junior team members and contributes to process improvements within the revenue cycle. Key Responsibilities: Accounts Receivable Follow-Up: Follow up with insurance companies on unpaid, underpaid, or denied claims through phone calls or electronic communication. Resolve outstanding AR by reviewing account details, verifying claim status, and ensuring timely payment. Research and refile corrected claims or appeal denied claims as necessary to maximize revenue collection. Claims Management: Review insurance payments, denials, and Explanation of Benefits (EOBs) to ensure accuracy and compliance with payer guidelines. Escalate complex or unresolvable claims issues to supervisors or appropriate departments. Ensure all necessary documentation and patient information is available for claim resolution. Communicate with billing and coding departments to resolve discrepancies related to coding and claim submissions. Insurance and Patient Communication: Communicate with insurance companies to verify the status of claims, appeal denied claims, and resolve payment issues. Contact patients regarding unpaid balances and assist them with payment options or resolving issues with their insurance provider. Compliance and Documentation: Ensure compliance with HIPAA, payer-specific regulations, and internal company policies. Maintain detailed records of all interactions with insurance companies and patients. Document follow-up actions and payment outcomes in the billing system for accurate tracking. Qualifications: Education: Bachelor's degree in healthcare administration, finance, or a related field (preferred). Experience: 1-4 years of experience in AR follow-up or medical billing in the U.S. healthcare industry. Strong understanding of healthcare billing and insurance claim processes (Medicare, Medicaid, and commercial insurances). Skills and Knowledge: In-depth knowledge of medical billing codes (ICD-10, CPT, and HCPCS), payer rules, and regulations. Proficient in billing software, Electronic Health Records (EHR), and Microsoft Office Suite (Excel, Word). Strong verbal and written communication skills for interacting with insurance companies, patients, and internal departments. Excellent analytical and problem-solving skills with the ability to manage complex claims. Ability to multitask and work efficiently in a fast-paced environment. Work Environment: Office-based Full-time position with standard business hours, though additional hours may be required to meet goals. Job Types: Full-time, Permanent Pay: ₹12,000.00 - ₹22,000.00 per month Benefits: Paid time off Schedule: Night shift US shift Ability to commute/relocate: Thanjavur, Tamil Nadu: Reliably commute or planning to relocate before starting work (Preferred) Language: English (Preferred) Location: Thanjavur, Tamil Nadu (Preferred) Shift availability: Night Shift (Preferred) Work Location: In person
Posted 3 weeks ago
4.0 - 9.0 years
9 - 19 Lacs
Hyderabad, Chennai, Bengaluru
Hybrid
Greetings from HCL! Currently Hiring for "RIS PACS" JD: Familiar connect with radiologist Skill : RIS , VNA, Enterprise Imaging, HL7, DICOM , PACS Dictation/Speech Recognition software, Image Exchange software, Intelerad PACS , Fuji EIS Powerscribe360 Good knowledge of RISPACSDICOM/HL7 standards Experience - 3-12 years Location - Bangalore / Chennai / Noida / Pune / Hyderabad Notice period - Immediate to 30 days Only CTC - Can be discussed Interested candidate please share below details along with updated resume Candidate Name- contact Number- Email ID- Total Experience- Relevant Experience- Skill- Current company- Preferred location- Notice Period- Current CTC- Expected CTC- Interested candidate please drop mail to "kushmathattanda.baby@hcltech.com" Regards, Kushma kushmathattanda.baby@hcltech.com
Posted 4 weeks ago
0.0 - 1.0 years
0 Lacs
Thrissur, Kerala
On-site
(Qualification : BCA/BTECH/MCA/BSC COMPUTER SCIENCE) Install, configure, and maintain computer hardware, software, and networks Troubleshoot system, hardware, and software issues Monitor system performance and ensure reliability and security Provide technical support to hospital staff and end-users Implement system policies and best practices Maintain backups and disaster recovery protocols Stay up to date with emerging technologies and security standards Provide first-line support for hospital software applications, including electronic health records (EHR), laboratory information systems (LIS), pharmacy and billing systems. Troubleshoot and resolve software issues reported by end-users in a timely manner. Assist in the implementation and upgrades of hospital software systems. Monitor system performance and recommend improvements or changes as needed. Work closely with clinical and administrative teams to understand their software needs and provide solutions. Collaborate with IT team members to ensure integrated support across different systems. Maintain accurate records of support requests, resolutions, and software documentation. Prepare reports on software usage and support trends. Ensure all software use complies with hospital policies and regulatory requirements. Assist in maintaining the security and integrity of sensitive patient information. Job Type: Full-time Pay: ₹15,000.00 - ₹25,000.00 per month Shift: Day shift Night shift Ability to commute/relocate: Trichur, Kerala: Reliably commute or planning to relocate before starting work (Preferred) Education: Bachelor's (Preferred) Experience: Computer networking: 1 year (Preferred) Hardware support: 1 year (Preferred)
Posted 4 weeks ago
3 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Title: Inpatient DRG Coder Years of Exp: More than 3 years Location : Chennai Job Summary: We are seeking a skilled and detail-oriented Inpatient DRG Coder with a minimum of 3 years of hands-on coding experience in an inpatient hospital setting. The ideal candidate will be responsible for accurate assignment of ICD- 10-CM/PCS codes and DRGs (Diagnosis Related Groups), ensuring compliance with coding guidelines and hospital policies. Key Responsibilities: Review and analyze inpatient medical records to assign accurate ICD-10- CM and ICD-10-PCS codes. Assign appropriate MS-DRGs and APR-DRGs based on clinical documentation. Ensure coding meets accuracy and productivity standards. Query physicians when documentation is incomplete or unclear. Work collaboratively with CDI teams, billing departments, and compliance to ensure proper documentation and reimbursement. Stay current with coding updates, CMS regulations, and DRG guidelines. Participate in coding audits and implement corrective actions as needed. Qualifications: Experience: Minimum 3 years of recent experience in inpatient coding with DRG assignment. Certification: One or more of the following required: o CCS (Certified Coding Specialist) o CIC (Certified Inpatient Coder) o CPC (Certified Professional Coder) Proficiency in electronic health records (EHR) and coding software (e.g., 3M, EPIC, Cerner). Show more Show less
Posted 4 weeks ago
8 - 10 years
0 Lacs
Pune, Maharashtra, India
On-site
Technical Delivery Manager We are looking for a seasoned Technical Delivery Manager to oversee the delivery of data-driven projects within the H ealthcare sector . The ideal candidate will possess strong Technical depth in data engineering and analytics, combined with extensive experience managing distributed delivery teams, ensuring high performance and client satisfaction. Roles and Responsibilities: Lead and manage end-to-end data platform deliveries, including architecture, implementation, and integration. Collaborate closely with healthcare clients to translate business needs into technical solutions. Drive technical planning, sprint management, resource allocation, and risk mitigation. Act as the bridge between client teams and internal engineering teams. Ensure data security and compliance with healthcare regulations (HIPAA, GDPR). Report on project progress, budgets, and KPIs to senior stakeholders. Promote innovation and continuous improvement in delivery practices. Technical Expertise Required: Strong experience delivering projects using Azure Data Services, Snowflake, Databricks, or similar platforms, ADO Board, Health Care. Familiarity with ETL/ELT pipelines, DBT, ADF, and data lake architectures. Understanding of healthcare data models, EHR systems, FHIR, HL7 standards. Experience with BI tools like Power BI or Tableau is a plus. Prior experience working with Agile/Scrum methodologies and tools (JIRA, Azure DevOps). Experience: 8- 10 Years Location : Pune, Chennai, Bangalore, Coimbatore, Notice : Immediate to 15 Days Regards, TA Team KANINI Software Solutions Show more Show less
Posted 4 weeks ago
0 years
0 Lacs
Pune, Maharashtra, India
On-site
Responsibilities Strategic Planning and Leadership: Develop and implement the hospital's IT strategy in alignment with its overall objectives and priorities. Provide leadership and direction to the IT department, fostering a collaborative and high-performing team. Evaluate emerging technologies and trends to identify opportunities for improving hospital operations and patient care. Contribute to the development of the hospital's technology roadmap and long-term IT vision. IT Operations and Infrastructure Management: Oversee the management and maintenance of the hospital's IT infrastructure, including hardware, software, networks, and telecommunications systems. Ensure the reliability, security, and optimal performance of all IT systems and services. Develop and implement disaster recovery and business continuity plans for IT systems. Manage vendor relationships and contracts related to IT infrastructure and services. Clinical Systems Support: Collaborate with clinical staff and leadership to understand their technology needs and provide effective IT solutions. Oversee the implementation, maintenance, and support of Electronic Health Records (EHR) and other clinical information systems. Ensure the integration of clinical systems to facilitate seamless data sharing and efficient workflows. Maintain a strong understanding of healthcare-specific technologies and their application in a hospital environment. Data Management and Security: Develop and implement data governance policies and procedures to ensure data integrity, accuracy, and security. Oversee the implementation and maintenance of cybersecurity measures to protect patient data and hospital systems. Ensure compliance with relevant healthcare regulations and standards, such as HIPAA. Manage data backup and recovery processes. IT Project Management: Lead and manage IT projects, including system upgrades, software implementations, and infrastructure improvements, ensuring they are completed on time and within budget. Define project scope, objectives, and deliverables in collaboration with stakeholders. Develop project plans, allocate resources, and monitor progress. Budget and Financial Management: Develop and manage the IT department's budget, ensuring cost-effective use of resources. Monitor IT expenditures and identify opportunities for cost savings. Prepare budget proposals and financial reports for IT initiatives. Team Management and Development: Recruit, train, and manage IT staff, fostering a positive and productive work environment. Set performance goals, provide feedback, and conduct performance evaluations for IT team members. Promote professional development and continuous learning within the IT department. Stakeholder Collaboration: Collaborate with medical, administrative, and other hospital staff to understand their IT needs and provide solutions. Communicate effectively with stakeholders on IT-related matters, including project updates and system changes. Serve as a point of contact for IT-related issues and inquiries. Job Identification 29082 Posting Date 05/13/2025, 07:24 AM Apply Before 05/20/2025, 07:24 AM Degree Level Master's Degree Job Schedule Full time Locations 127, Shankarsheth Rd, , Pune, Maharashtra, 411042, IN Show more Show less
Posted 4 weeks ago
1 years
0 Lacs
Surat, Gujarat, India
On-site
This role is for one of Weekday's clients Min Experience: 1 years Location: Surat, Kosamba JobType: full-time Requirements About the Role We are actively seeking a dedicated and skilled MD Physician to join our growing healthcare team. This role is ideal for a medical professional who is passionate about delivering high-quality patient care, has a strong clinical foundation, and is committed to ongoing learning and development in the medical field. As an MD Physician, you will be responsible for diagnosing, treating, and managing a broad range of health conditions. You will work closely with a multidisciplinary team of healthcare professionals to ensure comprehensive patient care. Whether in a clinical setting, hospital, or healthcare startup, your role will be pivotal in promoting health and improving the well-being of patients through evidence-based practice. Key Responsibilities Provide expert medical consultation and perform physical examinations for patients of all age groups. Diagnose and manage acute and chronic illnesses, ensuring timely and accurate treatment plans. Prescribe medications and other interventions in accordance with national and institutional guidelines. Maintain accurate and up-to-date patient records, treatment notes, and follow-up plans. Collaborate with specialists, nurses, and other health professionals to coordinate comprehensive care. Interpret diagnostic tests, imaging, and lab reports to inform treatment decisions. Participate in health education initiatives, preventive care programs, and wellness planning. Stay current with the latest medical research, clinical guidelines, and industry best practices. Respond to medical emergencies and provide appropriate treatment or referrals. Uphold high standards of medical ethics and patient confidentiality. Required Qualifications And Skills MBBS degree from a recognized medical college or university. Postgraduate degree (MD) in General Medicine or an equivalent specialty. Minimum 1 year of clinical experience post-MBBS/MD. Valid medical license/registration to practice in the relevant region or state. Strong diagnostic and clinical decision-making skills. Excellent interpersonal and communication abilities. Commitment to patient-centered care and compassionate service delivery. Ability to work independently and as part of a collaborative medical team. Preferred Qualifications Experience in hospital or clinical settings with diverse patient populations. Familiarity with EMR/EHR systems and digital health tools. Training in advanced life support (ACLS/BLS) is a plus. Previous experience in community health, telemedicine, or primary care services is advantageous Show more Show less
Posted 1 month ago
0 years
0 Lacs
Kochi, Kerala, India
On-site
Lab Technician Location: Kochi, Kerala Permanent Role As a part of the Laboratory Services team, he/she would be responsible for supporting laboratory operations, performing maintenance functions, and completing non-technical routine laboratory tests and procedures under the direction of the laboratory supervisor at the visa medical center. Job functions include collecting various specimens from the nursing room to perform the requested lab tests and prepare lab results as per the agreed timelines and SOP. Role And Responsibilities The job role is responsible for performing sample analysis of all applicant samples received in the lab accurately and in a timely manner. Perform daily, weekly, and monthly instrument maintenance as per schedule Perform sample analysis for all the tests as per monthly JD - accurately and maintain TAT Ensure meticulously raw data records for all manual tests as per defined recording templates Manual transcription of results in glossy to be done accurately and carefully /all test results to be reviewed carefully Lab inventory -ensure proper storage of lab reagents and consumables as per defined temp conditions; ensure temp monitoring of all storage areas; ensure proper storage in case of ref/freezer malfunctions also Maintain Lab temperature records (RT, Ref, Freezer) are within acceptable limits Comply with defined protocols for sample transfer and in scan of samples Comply with defined protocols for sample processing Inform the concerned in case of delay in report Keep records safely and present the records when required Assist supervisors for smooth functioning of the laboratory Any other work related to the laboratory, as instructed by the Supervisor/ Lab director Metrics & Organization Management: Performance Metrics Turnaround time Accuracy of results produced within the assigned Lab as an individual Adherence to policies & procedures Team satisfaction OM & Reporting Functional reporting to the Lab Supervisor Administrative reporting to the Center Manager Qualifications, Experience And Education Requirements Diploma in Medical Laboratory Technology (DMLT) or equivalent with valid [State/National] Medical Laboratory Technician license and relevant certifications (e.g., ASCP, AMT) are required. Minimum of 4-5 years of experience working as a Medical Laboratory Technician in a clinical or diagnostic laboratory setting. Technical Skills: Proficiency in laboratory techniques and procedures, with strong knowledge of laboratory equipment and instrumentation. Attention to Detail: High level of accuracy and attention to detail in performing tests and recording results. Communication Skills: Excellent verbal and written communication skills, with the ability to interact effectively with patients and healthcare professionals. Problem-Solving: Strong analytical and problem-solving abilities to identify and resolve technical issues. Preferred Qualifications Experience with [specific laboratory instruments/systems relevant to your facility]. Familiarity with electronic health records (EHR) and laboratory information systems (LIS). Show more Show less
Posted 1 month ago
0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Company Description EHNOTE is a healthcare IT company that specializes in offering EHR, Practice Management, and Patient Engagement solutions that cater to physicians' unique specialty needs. Our solutions help streamline clinical operations, enhance administrative activities, and optimize revenue generation. We pride ourselves on innovation, integrity, and our team-oriented approach to solving problems. Role Description This is a full-time, on-site role, located in Hyderabad. The HR Manager will be responsible for overseeing various HR functions and providing support to employees throughout the organization. Day-to-day tasks include, recruitment, managing employee onboarding and offboarding, facilitating training and professional development opportunities, overseeing payroll and benefits administration, facilitating conflict resolution and employee relations, reviewing and updating HR policies, and managing HR-related budgets and resources. Qualifications Must have experience in Technical/Non Technical recruitment. (Must have) Must have 3-4yrs of experience. Deep understanding of HR policies, practices, and regulations Proven ability to manage employee relations, conflict resolution, and disciplinary actions Experience in employee onboarding and offboarding Strong communication, interpersonal, and leadership skills Proficiency in HR software and tools Ability to multitask and prioritize effectively Bachelor's degree in Human Resources, Business Administration, or related field (Master's degree a plus) Work experience in a healthcare IT company or similar industry Show more Show less
Posted 1 month ago
0 years
0 Lacs
India
On-site
About the Role: We are seeking an experienced L2 Clinical Systems Support Specialist to join healthcare IT support team. In this role, you will provide advanced (L2) technical and functional support for critical clinical applications, primarily used in diagnostic imaging, radiology workflows, oncology, and electronic patient management. You will act as a key point of contact for resolving application-related issues, collaborating with internal teams and vendors to ensure system availability and user satisfaction. Key Responsibilities: Provide Level 2 support for clinical systems, resolving incidents, service requests, and escalations from L1 teams. Troubleshoot application issues, perform root cause analysis, and ensure resolution within agreed SLAs. Support users (clinical and administrative) with application usage, configurations, and minor enhancements. Coordinate with vendors and technical teams for complex problem resolution. Document solutions, contribute to knowledge base articles, and provide training where needed. Support system updates, patches, and validation activities under IT governance. Ensure compliance with healthcare regulations and data privacy standards. Desired Knowledge (Hands-on experience with some of the following): Insignia / Intellirad PACS (Picture Archiving and Communication System) IMS Maxims (Electronic Diagnosis Orders & Patient Administration Systems) Magentus RIS (Radiology Information System) Medilogik EMS (Clinical & Cardiology Reporting Solutions) CIMAR (Cloud-based Medical Image Exchange Platform) iQemo (Oncology Treatment Workflow Solution) IEP (Image Exchange Portal) eRS (Electronic Referral System) Ideal Candidate Profile: 4 plus years of experience in Level 2 application support within a healthcare / clinical systems environment. Strong analytical and troubleshooting skills for healthcare IT systems. Good understanding of clinical workflows in radiology, oncology, and patient referrals. Familiarity with PACS, RIS, and EHR integrations. Experience with ITSM tools (e.g., ServiceNow, Jira) for incident & request management. Knowledge of healthcare compliance standards (e.g., GxP, Data Privacy) is desirable. Excellent communication skills with a customer-centric approach. Ability to work collaboratively in a multi-stakeholder environment. Preferred Qualifications: Bachelor’s degree in Life Sciences, Computer Science, Health Informatics, or related field. ITIL Foundation certification (optional but good to have). Basic understanding of DICOM, HL7 (advantageous but not mandatory). Show more Show less
Posted 1 month ago
5 years
0 Lacs
Hyderabad, Telangana, India
On-site
We are seeking a highly skilled Senior Business Analyst with expertise in the healthcare and pharmaceutical domains to join our team. This role will involve analyzing business requirements, translating them into technical specifications, and collaborating with stakeholders to design and implement healthcare IT solutions that enhance clinical workflows, data management, and regulatory compliance. Join our team to drive cutting-edge healthcare solutions that transform patient care and healthcare operations! Responsibilities Conduct stakeholder interviews to gather comprehensive business and technical requirements Assess healthcare workflows, clinical processes, and administrative practices to identify optimization opportunities Create detailed functional specifications, system design documents, and user guides for healthcare IT systems Develop process flow diagrams, wireframes, and prototypes to visualize system requirements and designs Collaborate with development teams, project managers, and UX/UI designers to ensure alignment with healthcare needs Assist in project scoping, estimation, and scheduling to ensure timely delivery of healthcare IT solutions Monitor project progress, identify risks, and facilitate the resolution of project-related issues Develop and execute comprehensive test plans and cases for functional and non-functional requirements Facilitate user acceptance testing (UAT), document feedback, and oversee issue resolution to ensure system quality Create training materials such as user manuals, video tutorials, and guides for healthcare applications Conduct training sessions for end-users and healthcare stakeholders to ensure effective system adoption Stay updated on trends in healthcare technology, data interoperability, and business analysis methodologies Recommend innovative tools and solutions to enhance the development and efficiency of healthcare systems Requirements Bachelor’s degree in Business Administration, Health Informatics, Computer Science, Information Systems, or a related field 5–12 years of experience in the IT industry, including 5+ years in a technical or business analysis role, preferably focused on healthcare IT Knowledge of EHR systems, HIE platforms, and other healthcare technologies Proficiency in SQL, database design, and healthcare data standardization Familiarity with project management tools like JIRA, Confluence, and Microsoft Project Expertise in testing tools such as Selenium, Appium, and Postman for quality assurance Understanding of FHIR standards, OMOP data models, and SDTM standards for clinical data management Experience with Symedical or comparable healthcare data management tools Proficiency in managing standardized vocabularies such as LOINC, SNOMED, and ICD Capability to work with healthcare performance assessment metrics and clinical quality measures Strong analytical thinking coupled with a problem-solving mindset Excellent verbal and written communication skills to engage diverse stakeholders Team collaboration skills to bridge business needs and technical solutions effectively High attention to detail to ensure accuracy in technical designs, documentation, and testing Flexibility to evaluate technical feasibility, system dependencies, and project scope Nice to have Professional certifications like CBAP (Certified Business Analysis Professional) or CHBA (Certified Healthcare Business Analyst) Familiarity with emerging healthcare interoperability standards and frameworks Background in working with clinical trial systems and submissions Show more Show less
Posted 1 month ago
0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Let’s do this. Let’s change the world. In this vital role you will collaborate with teams across multiple time zones to fulfill requests, clarify requirements, escalate issues, and deliver high-quality results. The Associate Biostatistical Programmer will report to a locally based Biostatistical Programming Manager. The Associate Biostatistical Programmer will be responsible for hands-on programming and results delivery. Additionally, they will be responsible for manipulating large databases and generating reports to enable epidemiologists to explore and generate RWE from real-world healthcare data assets. The ideal candidate should possess a bachelor’s degree and have at least two years of relevant career experience in statistical programming. Proficiency in SAS and SQL programming is required, while experience with R and Python is preferred. The successful candidate will demonstrate scientific and technical excellence, exceptional oral and written communication skills, problem-solving abilities, and meticulous attention to detail. The ability to work effectively within a large, globally distributed team is essential. Responsibilities: Write, test and validate software programs in Unix and Databricks to produce analysis datasets and presentation output such as tables and figures, to be included in reports for submission to regulatory agencies, publications and other communications Provide technical solutions to programming problems within CfOR Lead and develop technical programming and process improvement initiatives within CfOR Represent the programming function and participate in multidisciplinary project team meetings Manage all programming activities, according to agreed resource and timeline plans Ensure all programming activities on the project adhere to departmental standards Write and/or review and approve all programming plans Write and/or review and approve analysis dataset specifications Write, test, validate and execute department-, product- and protocol-level macros and utilities Participate in study and systems audits by Clinical Quality Assurance (CQA) and external bodies, and respond to audit questions and findings Actively participate in external professional organizations, conferences and/or meetings Provide input to and participate in intra-departmental and CfOR meetings Contribute to the continuous improvement of programming, CfOR, and Research and Development (R&D) Experience in statistical programming using SAS and SQL At least two (2) years of relevant statistical programming, systems engineering or application programming experience in a clinical development or life sciences setting What We Expect Of You We are all different, yet we all use our unique contributions to serve patients. The [vital attribute] professional we seek is a [type of person] with these qualifications. Basic Qualifications: Bachelor’s degree and 0 to 3 years of Computer Science, Statistics, Mathematics, Life Sciences, Economics or other relevant scientific subject OR Diploma and 4 to 7 years of Computer Science, Statistics, Mathematics, Life Sciences, Economics or other relevant scientific subject Preferred Qualifications: Training or experience using the Observational Medical Outcomes Partnership (OMOP) common data model Experience: Strong individual contributor, proficient in developing analysis datasets, identifying data anomalies, and ensuring program accuracy Global collaboration on studies to clarify and implement analyses described in Statistical Analysis Plans Project fulfillment, statistical programming, issue escalation, results delivery Statistical programming: SAS and SQL required; R and Python preferred Motivated to learn how to work with real-world healthcare data (RWD) such as healthcare claims (MarketScan, Optum Clinformatics, Medicare) and EHR databases (Optum EHR PanTher, Flatiron, CPRD, MDV) Key Competencies Hands-on programming role Expert statistical programming knowledge using SAS or R Required: SAS Required: SQL Preferred: R Preferred: Python Excellent verbal and written communication skills in English Ability to have efficient exchanges with colleagues across geographical locations Real-world data (RWD) including insurance claims databases, electronic medical records and patient registries; for example, MarketScan, Optum, PharMetrics, Flatiron, Medicare Scientific / technical excellence Oral and written communication, documentation skills Leadership Innovation Teamwork Problem solving Attention to detail Learning mindset What You Can Expect Of Us As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we’ll support your journey every step of the way. In addition to the base salary, Amgen offers competitive and comprehensive Total Rewards Plans that are aligned with local industry standards. Apply now and make a lasting impact with the Amgen team. careers.amgen.com Show more Show less
Posted 1 month ago
20 years
0 Lacs
Ahmedabad, Gujarat, India
On-site
Job Title: Director of Sales Job Description: We are seeking a dynamic and experienced Director of Sales to lead our India sales operations, focusing on the US healthcare IT market. The ideal candidate will have a strong background in EHR, RCM, and IT services, coupled with a proven ability to drive revenue growth and manage high-performing teams. Roles and Responsibilities: Sales Strategy Development: Design and execute targeted sales strategies for the US healthcare IT market, emphasizing EHR, RCM, and other healthcare IT solutions. Client Relationship Management: Establish and nurture relationships with key stakeholders, including hospitals, clinics, and healthcare systems, ensuring client satisfaction and long-term partnerships. Revenue Growth: Identify and capitalize on new business opportunities within the healthcare sector, expand the customer base, and consistently achieve ambitious revenue targets. Leadership & Team Development: Lead, mentor, and inspire a high-performing sales team (offshore and onshore), fostering a collaborative and results-driven culture. Market Analysis: Stay ahead of industry trends, competitor activities, and emerging technologies in EHR, RCM, and healthcare IT to refine and adapt strategies. Industry Expertise: Leverage in-depth knowledge of EHR, RCM, and related healthcare IT solutions to address client needs and position the organization as a market leader. Quota Management: Effectively manage large sales quotas, ensuring consistent achievement of targets. Demo and Value Presentation: Serve as a Demo Champion for EHR-PM solutions, delivering compelling, value-focused presentations to clients. Sales Objection Handling: Address client concerns with confidence and expertise, ensuring successful deal closures. Sales Processes & Reporting: Implement and optimize automated sales processes, CRM systems, and reporting tools for performance tracking and process improvement. What We Are Looking For: Experience: 12–20 years of proven sales success, preferably within the healthcare IT / Software development industry, with a strong focus on EHR and RCM solutions. Industry Knowledge: Deep understanding of healthcare workflows, EHR systems, RCM processes, and US healthcare IT regulatory frameworks. Leadership Skills: Demonstrated ability to manage and motivate large, geographically dispersed sales teams. Communication Excellence: Outstanding negotiation, presentation, and interpersonal skills to engage clients effectively. Results-Oriented: Track record of consistently meeting or exceeding sales targets in a competitive environment. Market Expertise: Strong familiarity with US healthcare IT trends and market dynamics. Availability: Willingness to work in the night shift (US Shift) from 5:30 PM to 3:00 AM IST. Show more Show less
Posted 1 month ago
0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
Tele consult - To all assigned members for the month. TAT Calls which need to be completed within the defined time TAT frame. Physician ● Perform daily outbound calls to assess the health status of members, offering necessary advice and support. ● Accurately record medical histories, medical Health Risk Assessment (HRA) and clinical findings and prescribe appropriate medications within the Electronic Health Record (EHR) Portal. ● Respond promptly to incoming calls from members within specified timeframes. ● Provide monthly health recommendations to clients based on employees' medical histories. ● Generate a comprehensive Utilization Report at the end of each month. ● Conduct webinars and health talks, contributing to educational initiatives. ● Attend client meetings, which may require occasional travel. ● Stay up to date with recent advancements in the medical and health and wellness field and share relevant updates. ● Inform the relevant team of any required medicines and equipment for patient care. ● To ensure urgent service requests are closed within a timeframe of 15 minutes. ● Zealver shall arrange for the training to be imparted as specified by Zealver to the Physicians/assigned personnel. ● Physician shall follow the consultation template /structure provided by Zealver for the tele-consults. ● Physician shall complete the ordinary (non-urgent) calls within a stipulated time frame. The deployed Physicians shall update the consult note in the EMR after the appointment is completed within a specified timeline. (***especially the prescription/referral/recommendation if any) ● Physician shall follow the process laid by Zealver for managing of service request on ticketing system, updating EHR, and the process & protocols for service provisioning. ● Prescribe appropriate medications and referrals based on clinical assessments. Physician Responsibilities: - ∙ Provide medical consultation/recommendations/advise to company's consultants, agents, employees and other persons working in the premises ∙ Consultation with members on their health check-up report ∙ Inform the management about any major issue reported in the employee’s annual health check-ups report. ∙ Maintain medical records and case papers capturing medical history as are required to be maintained in the field of medical services with highest professional standards ∙ Offer consultation to patients for first aid treatment. The consultant should take utmost care and conduct himself in highest professional standard and medical ethics in prescribing any medicine/advising any treatment to any patient Show more Show less
Posted 1 month ago
5 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Description Senior Specialist, Data Strategy & Innovation The incumbent is responsible for supporting Human Health (HH) in having an industry-leading strategy and approach to sourcing & creating commercial data assets to inform business critical decisions and actions. Under direction of the Data Strategy & Innovation Leader, the incumbent will be assigned to implement the HH data asset strategy & innovation agenda, as assigned, within the Pharma space. Job Responsibilities Actively maintains a comprehension of the HH commercial data landscape, including assigned 1st, 2nd, and 3rd party data assets, spanning HCP, consumer, payer, patient, account, etc. Maintains a working knowledge of the use cases and value associated with each data asset. Scan the external environment for new valuable data assets. Conducts data needs assessments in assigned areas using input from key analytics and business stakeholders, identifies gaps in current data strategy versus ideal state & prioritizes identified gaps. For assigned areas, executes plans to fill prioritized gaps, including acquisition of new assets from external sources, or identifying partners to create needed assets, or enacting internal initiatives such as gathering new 1st party assets Spearheading enterprise level data integration programs devising short and long term strategies in alignment with business priorities and our data privacy policies Partners with internal team to ingest/review external data sources for use by the analytic teams Conducts assigned data innovation diagnostics including data quality assessments, fit-for purpose analyses, and proof-of-concept use case tests. Works in close association with the data management teams to ensure appropriate implementation and value realization. Accountable for forming and maintaining productive working partnerships with assigned data providers. Creates an environment of high-performance partnership by actively participating on strong cross-functional teams. Qualifications 8+ years of total experience, 5+ years of experience in pharmaceutical product commercialization and analytics, with strong focus on the US market Prior experience in pharma data strategy space in leading and managing the discussions with stakeholders, consumers and data providers Strong business acumen with a keen ability to comprehend how data (HCP, consumer, payer, patient, account, engagement, etc.) can be leveraged to inform critical commercial decisions and actions. Ability to analyze and assess the commercial value of data assets. Strong business acumen necessary to appreciate business stakeholders (marketing, sales, account management, operations, etc..) needs. Excellent interpersonal and communication skills, with the ability to quickly establish productive working relationships with a variety of stakeholders Academic curiosity and ability to identify innovative approaches to addressing data needs. Effective presentation, analytics and communication skills, both written and oral, are to synthesize key issues and convey/persuade constituencies towards specific actions and initiatives. Ability to attain “trusted advisor” status with key stakeholders and business clients. Ability to operate in dynamic, transforming environment. Knowledge & Education Bachelor of Science (or equivalent) in Data Science, Computer Science, Management Information Systems, IT, MBA, or an equivalent scientific/commercial discipline Knowledge in analyzing healthcare administrative data, electronic health records, and/or disease/patient registries for relevant quantitative and qualitative research. Preferred MS (or equivalent) in Data Science, Computer Science, Management Information Systems, IT, MBA, or an equivalent scientific/commercial discipline Current Employees apply HERE Current Contingent Workers apply HERE Search Firm Representatives Please Read Carefully Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Employee Status Regular Relocation VISA Sponsorship Travel Requirements Flexible Work Arrangements Hybrid Shift Valid Driving License Hazardous Material(s) Required Skills Account Management, Business, Business Intelligence (BI), Business Management, Commercial Acumen, Computer Science, Cross-Functional Teamwork, Data Analysis, Data Management, Data Modeling, Data Visualization, Electronic Health Records (EHR), Electronic Medical Record (EMR) Systems, Management Information Systems (MIS), Management Process, Measurement Analysis, Program Implementation, Stakeholder Engagement, Stakeholder Relationship Management, Strategic Sourcing Methodology, Waterfall Model Preferred Skills Job Posting End Date 06/17/2025 A job posting is effective until 11 59 59PM on the day BEFORE the listed job posting end date. Please ensure you apply to a job posting no later than the day BEFORE the job posting end date. Requisition ID R349406 Show more Show less
Posted 1 month ago
0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Applicants will only be selected from the Google form: https://forms.gle/wma3am4pgTnHF2yP7 Internship Type: Paid About Genetico Genetico Research & Diagnostics Pvt. Ltd. was founded in 2019 to revolutionize rare disease diagnosis and medical research using advanced technology. We have developed India’s first specialized Electronic Health Record (EHR) for Genetics & Autism. One of our key products, TherapEZ, is a groundbreaking AI-enabled SaaS platform designed for Autism centers to streamline operations and improve therapy outcomes with high scalability. We are looking for a Marketing Intern to support our team in various marketing efforts. Experience Requirements: Prior experience or coursework in SEO, digital marketing, or data analytics is a plus. Education: Bachelor's degree (or currently pursuing) in Marketing, Business, IT, or a related field. Key Responsibilities 1. SEO Optimization & Content Strategy Conduct keyword research to enhance website visibility. Optimize blogs and website pages for SEO best practices. Analyze search performance using tools like Google Analytics, SEMrush, or Ahrefs. 2. Data Scraping & Cleaning Extract and clean relevant data to support marketing insights. Assist in lead generation efforts by gathering industry-specific datasets. Organize data for easy analysis and actionable decision-making. 3. LinkedIn Marketing & Outreach Develop LinkedIn campaigns to engage with potential clients and industry professionals. Monitor engagement metrics and suggest improvements for better reach. 4. Reporting & CRM Management Maintain accurate records of marketing efforts in Zoho CRM. Prepare reports on SEO performance, LinkedIn engagement, and data insights. What You’ll Gain: Hands-on experience in SEO-driven marketing and data analytics. Exposure to B2B SaaS marketing strategies in healthcare technology. Opportunity to work with a mission-driven team revolutionizing Genetic & Autism care. Show more Show less
Posted 1 month ago
0 - 3 years
0 - 0 Lacs
Ahmedabad, Gujarat
Remote
Job Position Overview: The Account Receivable (AR) Specialist in Medical Billing and Insurance Credentialing is responsible for managing the collection process, ensuring timely payments, and ensuring the accuracy of medical billing and insurance claims. This role also requires proficiency in eligibility benefits verification and insurance credentialing to support accurate billing processes and to ensure that claims are processed efficiently. Key Responsibilities: Medical Billing & Accounts Receivable Management: Process and review medical claims for accuracy before submission to insurance companies. Post payments and adjustments to patient accounts, ensuring all transactions are accurate and up-to-date. Follow up with insurance companies and patients on outstanding balances or denied claims. Maintain detailed records of payment statuses and track overdue accounts to facilitate timely collections. Review patient and insurance payments to ensure compliance with contracted rates. Insurance Credentialing: Manage and maintain the provider’s insurance credentialing and re-credentialing process. Submit applications for new provider enrollments and follow up on approval status. Work with insurance companies to resolve any issues with provider credentials or billing discrepancies. Eligibility and Benefits Verification: Verify patient insurance coverage and benefits prior to providing services. Confirm eligibility, co-pays, deductibles, and patient out-of-pocket responsibilities by contacting insurance carriers. Assist patients with understanding their insurance coverage and financial responsibilities. Claim Denials & Appeals: Investigate and resolve denied, rejected, or unpaid claims by working with insurance carriers and resubmitting claims or filing appeals when necessary. Ensure that proper documentation is in place to support the appeals process and communicate effectively with insurance representatives to resolve issues. Patient Communication: Communicate with patients regarding their outstanding balances, explaining billing statements and payment plans if necessary. Provide assistance in setting up payment arrangements or determining financial assistance options. Compliance & Documentation: Ensure adherence to all healthcare regulations, including HIPAA, while managing patient information. Maintain accurate, organized, and complete billing documentation in compliance with insurance requirements and healthcare regulations. Stay updated on changes in healthcare regulations, insurance policies, and billing practices. Reporting & Analysis: Generate and review accounts receivable reports to track payment trends, aging balances, and collection progress. Assist in the preparation of financial reports related to billing and collections for the management team. Required Qualifications: High school diploma or equivalent (Associate's or Bachelor's degree in Healthcare Administration or related field preferred). Minimum of 2-3 years of experience in medical billing, accounts receivable, or healthcare finance. Familiarity with medical insurance carriers, claims processing, and eligibility verification procedures. Experience with medical billing software and electronic health record (EHR) systems (e.g., Epic, AthenaHealth, Cerner). Knowledge of insurance terminology, coding (ICD-10, CPT), and regulatory guidelines such as HIPAA. Strong organizational, communication, and problem-solving skills. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Desired Skills: Previous experience in insurance credentialing and provider enrollment. Ability to handle complex billing and insurance inquiries. Proficient with Microsoft Office Suite (Excel, Word, Outlook). Work Environment: Office setting with potential for remote work depending on the organization’s policies. Compensation: Competitive salary based on Benefits Job Type: Full-time Pay: ₹25,000.00 - ₹35,000.00 per month Schedule: Monday to Friday Night shift US shift Work Location: In person
Posted 1 month ago
0 years
0 Lacs
Chandigarh
Remote
ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB
Posted 1 month ago
0 years
0 Lacs
Delhi, Delhi
Remote
ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB
Posted 1 month ago
0 years
0 Lacs
Gurugram, Haryana
Remote
ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB
Posted 1 month ago
0 years
0 Lacs
Pune, Maharashtra
Remote
ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB
Posted 1 month ago
0 years
0 Lacs
Mumbai, Maharashtra
Remote
ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB
Posted 1 month ago
0 years
0 Lacs
Jaipur, Rajasthan
Remote
ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead. RESPONSIBILITIES Complete provider enrollments with Medicare / Medicaid and all Private Payers. Set up all ERA and EFT enrollments Perfect provider experience and achieve the shortest turnaround time Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability Send clients a complete checklist of all the documents required to file the ERA enrollment applications. Build Quality Assurance processes for a flawless enrollment submission Perform appeals for closed panels Complete out of network enrollments and NPI registrations on the payer’s website for providers who choose or are forced to stay out of network Follow-up regularly and frequently on enrollment application status until the contract comes through. Set up and maintain CAQH / PECOS Maintain all provider-payer data in support of the best reimbursement performance. Perform payer-provider contract analysis & negotiations. fee rate negotiations for you as well. Maintain a database of the latest fee schedules for all payers. Study the competition and maintain the list of the best possible rates for all relevant procedures for the optimum reimbursement QUALIFICATIONS Five years experience in US-based AR follow-up, Insurance and benefits verification with hands on experience in ERA Enrollment. Familiar with US medical insurance industry and insurance claims processing requirements. Experience of closely working with various clearing houses and Medical softwares. Understand CMS-1500 and UB-04 claim formats Experience in handling Chiropractic and Physical Therapy is an added advantage. Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously. Strong interpersonal and communication skills. College degree in a reputed institution. MUST HAVE : High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB
Posted 1 month ago
0 - 1 years
0 Lacs
Chennai, Tamil Nadu
Remote
Chennai, IN-TN Position Type Full Time Requisition ID 12234 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 Remote Coders, Clinic Work from one of our company office locations 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 CCS-P; or one of the following AAPC credentials: CPC, or CIC. Minimum of 1 year of experience coding Clinics. Proficiency in ICD-10-CM and PCS coding systems, encompassing 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 1 month ago
0 - 1 years
0 Lacs
Chennai, Tamil Nadu
Work from Office
Chennai, IN-TN Position Type Full Time Requisition ID 12232 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 1 month ago
Upload Resume
Drag or click to upload
Your data is secure with us, protected by advanced encryption.
The Electronic Health Records (ehr) job market in India is experiencing rapid growth due to the increasing digitization of healthcare systems. As more healthcare organizations adopt ehr systems to streamline patient data management, the demand for professionals with ehr expertise is on the rise. Job seekers looking to enter this field have a wide range of opportunities available to them across various cities in India.
These cities are known for their thriving healthcare and IT industries, making them hotspots for ehr job opportunities.
The average salary range for ehr professionals in India varies based on experience levels: - Entry-level: INR 3-5 lakhs per annum - Mid-level: INR 6-10 lakhs per annum - Experienced: INR 12-20 lakhs per annum
Salaries may vary depending on the organization, location, and individual skills.
In the ehr field, a typical career path may involve progression from roles such as ehr Analyst or Implementation Specialist to ehr Project Manager, ehr Consultant, and eventually ehr Architect or Director. The advancement often involves gaining deeper technical knowledge, project management skills, and leadership abilities.
In addition to ehr expertise, professionals in this field are expected to have knowledge of healthcare regulations, data security best practices, and IT systems integration. Skills in data analytics, software development, and project management can also be beneficial for career growth.
As you explore career opportunities in the ehr field in India, remember to continuously update your skills and knowledge to stay competitive in the job market. Prepare thoroughly for interviews by familiarizing yourself with common ehr concepts, best practices, and industry trends. With dedication and a proactive approach to learning, you can build a successful career in the dynamic and rewarding ehr industry. Good luck in your job search!
Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.
We have sent an OTP to your contact. Please enter it below to verify.