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2.0 years
0 Lacs
uttar pradesh
On-site
Create the future of e-Health together with us by becoming a Manager – Process Excellence (RCM) At CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient outcomes. As one of the Best in KLAS organizations in the industry, we offer a full scope of Electronic Health Records (EHR), Billing, Payment services, and Revenue Cycle Management (RCM) services. We provide our team members with training and solutions to grow across various technologies and processes. What You Can Expect from Us: High Performing...
Posted 1 month ago
12.0 years
0 Lacs
pune, maharashtra, india
On-site
Job Roles & Responsibilities: Strategic Claims Reimbursement & Revenue Cycle Management: Oversee the entire claims reimbursement process, ensuring that claims from payers (insurance companies, government programs, etc.) are processed accurately and promptly. Analyze claims data to identify reimbursement trends and develop strategies to optimize claim submission, reduce denials, and improve reimbursement rates. Collaborate with finance, billing, and coding teams to ensure seamless claims submission, compliance with payer requirements, and financial success. Client Engagement & Relationship Management: Act as the primary point of contact for clients regarding claims reimbursement and revenue c...
Posted 1 month ago
1.0 years
0 Lacs
andhra pradesh, india
On-site
At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. In operations and solutions at PwC, you will focus on providing consulting services to optimise overall operational performance and develop innovative solutions. You will work closely with clients to analyse operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. Working in this area, you...
Posted 1 month ago
12.0 - 16.0 years
35 - 40 Lacs
kolkata, hyderabad, bengaluru
Hybrid
We have an opportunity Healthcare Data Modeler in PWC AC Position: Healthcare Data Modeler Experience Required: 12-16 Years Notice Period: Immediate to 60 Days Locations: Bangalore, Hyderabad, Kolkata, Chennai, Pune, Gurgaon & Mumbai Work Mode: Hybrid Professional and Educational Background: BE / B.Tech / MCA / M.Sc / M.E / M.Tech / MBA Must Have Skills: 1) Healthcare Data modeler 2) FHIR 3) Payor & Provider Domain AWS/Azure/GCP Deep understanding of US healthcare ecosystem, including both payer and provider domains, healthcare operations, and regulatory requirements Experience with healthcare data standards (especially FHIR), a strong grasp of the US healthcare ecosystem (Payor and Provider...
Posted 1 month ago
1.0 - 6.0 years
1 - 5 Lacs
bengaluru
Work from Office
We are looking for a skilled E/M Coder with 1-6 years of experience to join our team. The ideal candidate will have expertise in coding and analyzing medical data, ensuring accurate and efficient processing. Roles and Responsibility Analyze medical records to assign accurate codes for diagnoses and procedures. Review and interpret medical information to identify relevant details for coding purposes. Assign appropriate codes using knowledge of coding systems and regulations. Collaborate with healthcare professionals to clarify coding discrepancies or issues. Maintain confidentiality and adhere to privacy policies when handling sensitive patient information. Stay updated with changes in coding...
Posted 1 month ago
1.0 - 6.0 years
1 - 5 Lacs
salem
Work from Office
We are looking for a highly skilled E/M Coder with 1-6 years of experience to join our team. The ideal candidate will have expertise in coding and analyzing medical data, ensuring accurate and efficient processing. Roles and Responsibility Analyze medical records to assign accurate codes for diagnoses and procedures. Review and interpret medical information to identify relevant details for coding purposes. Assign appropriate codes using knowledge of coding systems and regulations. Collaborate with healthcare professionals to clarify coding discrepancies or issues. Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive patient information. Stay updated with changes in...
Posted 1 month ago
3.0 years
1 - 4 Lacs
mumbai metropolitan region
On-site
Staff Nurse Job Description Position Summary We are seeking a compassionate and highly skilled Staff Nurse to provide exceptional patient care. The ideal candidate will be a critical thinker with strong clinical skills, dedicated to promoting a safe and effective environment for patients. This role involves collaborating with a multidisciplinary team to develop and implement care plans, administer medications, and ensure patient well-being and recovery. Key Responsibilities Patient Care: Assess, plan, implement, and evaluate the care of assigned patients. Monitor and record vital signs and other patient data. Administer medications and treatments as prescribed by a physician. Assist with dia...
Posted 1 month ago
0 years
0 Lacs
noida, uttar pradesh, india
On-site
Job Description: Experience in Revenue Cycle Management and the ability to demonstrate industry expertise and consultative characteristics when working with customers and providing problem resolution Deep knowledge of the Epic EHR system and its various functionalities Proficiency with relevant software and tools, including Microsoft Office. Eligibility and benefits technical and business experience required, including working knowledge of EDI, transaction clearinghouse technologies, and ability to understand payer benefits transactions (270/271) Requires certification of EPIC modules, include RTE, Prelude, and ADT systems Requires strong decision-making skills, analytical skills with abilit...
Posted 1 month ago
0 years
0 Lacs
new delhi, delhi, india
On-site
MedTech Domain -Medical Technology-SME Skills: Medical Electronics – Design & Consulting, Medical Technology introduction Exp-10+yrs- Job Code: 3529311 Location- Bangalore, Hyderabad, Ahmedabad, Noida, Chennai Experience in complete Medical electronic devices/equipment/product Design Lifecycle covering Value Discovery, architecting, Design, Testing Exposure to current architectures like Internet of Medical Things (IoMT), Microservices/SoA, AI enabled therapeutics/diagnostics/medical imaging/personalized medicine/prognostics/telemedicine, SaMD, Digital healthcare/surgical platforms, etc Knowledge of Robotics and Automation in healthcare Experience working on one or more medical device types –...
Posted 1 month ago
2.0 - 4.0 years
0 Lacs
navi mumbai, maharashtra, india
On-site
Key Responsibilities for AR: Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis. Understand the reason for rejection, denials, or no status from the payer. Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e., calling, IVR, web, or email. Take appropriate action to move the account towards resolution, including rebilling the claim, sending claims for reprocessing, reconsideration, redetermination, appeal (portal/web, fax, mail), verifying eligibility and benefits, and managing management hand-off with the client and internal teams. Documentation of ...
Posted 1 month ago
0.0 years
0 - 0 Lacs
uthangudi, madurai, tamil nadu
On-site
Job Title: Duty Medical Officer Location : Uthangudi, Madurai Tamil Nadu region candidates most preferred. Job Type : Full Time Job Summary : The Deputy Medical Officer is a key member of the hospital's medical administration team. This role involves assisting the Chief Medical Officer (CMO) or Medical Superintendent in the overall management of clinical services. The DMO will be responsible for ensuring the smooth and efficient functioning of all medical departments, with a specific focus on the Nephrology and multispeciality units. Roles and Responsibilities: The DMO's responsibilities are multifaceted and include, but are not limited to: 1. Clinical and Patient Care Management: Medical Ov...
Posted 1 month ago
3.0 years
0 Lacs
bengaluru, karnataka, india
On-site
Job Description Our team is focused on modernizing the Electronic Health Record (EHR) to empower the front line of health care to work at the top of their license, focus more on patients and less on the computer, and achieve peak efficiency –supported by the power of generative AI and modernized applications. Our approach to modernizing is to invest in new capabilities that provide cutting-edge AI, user experience advancements, and offer open APIs for customers and third parties to create innovative, integrated solutions.As a Senior Member of Technical Staff, you will play a pivotal role in designing, implementing, and optimizing Oracle Health applications. You will work in an innovative, dy...
Posted 1 month ago
15.0 - 19.0 years
0 Lacs
hyderabad, telangana
On-site
Job Description: You will be responsible for reviewing and following up on unpaid or denied insurance claims, analyzing Explanation of Benefits (EOBs) and Remittance Advice (RA) to determine appropriate action, working denials and rejections in a timely manner, collaborating with coding and billing teams to resolve discrepancies or missing documentation, updating claim status and notes in the billing system (e.g., EPIC, Kareo, eClinicalWorks), and meeting productivity and quality targets such as the number of claims worked per day and resolution rate. Key Responsibilities: - Review and follow up on unpaid or denied insurance claims (primary and secondary). - Analyze Explanation of Benefits (...
Posted 1 month ago
3.0 - 8.0 years
3 - 7 Lacs
bengaluru
Work from Office
About The Role 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 : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as a software detective, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software prob...
Posted 1 month ago
1.0 - 4.0 years
3 - 7 Lacs
hyderabad
Work from Office
About The Role 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 : NA Minimum 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 that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...
Posted 1 month ago
1.0 - 4.0 years
3 - 7 Lacs
chennai
Work from Office
About The Role 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 : NA Minimum 2 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as a software detective, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software prob...
Posted 1 month ago
2.0 - 5.0 years
5 - 9 Lacs
chennai
Work from Office
About The Role Project Role : Custom Software Engineer Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Custom Software Engineer, you will develop custom software solutions to design, code, and enhance components across systems or applications. Your typical day will involve collaborating with cros...
Posted 1 month ago
3.0 - 8.0 years
3 - 7 Lacs
chennai
Work from Office
About The Role 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 : NA Minimum 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 that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...
Posted 1 month ago
2.0 - 5.0 years
5 - 9 Lacs
navi mumbai
Work from Office
About The Role Project Role : Custom Software Engineer Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Custom Software Engineer, you will develop custom software solutions to design, code, and enhance components across systems or applications. Your typical day will involve collaborating with cros...
Posted 1 month ago
1.0 - 4.0 years
3 - 7 Lacs
chennai
Work from Office
About The Role 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 : NA Minimum 5 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 that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...
Posted 1 month ago
1.0 - 4.0 years
3 - 7 Lacs
pune
Work from Office
About The Role 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 : NA Minimum 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 that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...
Posted 1 month ago
2.0 - 5.0 years
5 - 9 Lacs
pune
Work from Office
About The Role Project Role : Custom Software Engineer Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Custom Software Engineer, you will develop custom software solutions to design, code, and enhance components across systems or applications. Your typical day will involve collaborating with cros...
Posted 1 month ago
2.0 - 5.0 years
5 - 9 Lacs
bengaluru
Work from Office
About The Role Project Role : Custom Software Engineer Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs. Must have skills : Electronic Medical Records (EMR) Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Custom Software Engineer, you will develop custom software solutions to design, code, and enhance components across systems or applications. Your typical day will involve collaborating with cros...
Posted 1 month ago
5.0 - 10.0 years
3 - 7 Lacs
chennai
Work from Office
About The Role 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 : EPIC Systems Good to have skills : NA Minimum 5 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. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glit...
Posted 1 month ago
3.0 - 8.0 years
3 - 7 Lacs
hyderabad
Work from Office
About The Role 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 : NA Minimum 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 that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software probl...
Posted 1 month ago
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