13 Ehr Systems Jobs

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance, state reporting, billing, and business intelligence. The company's mission is to be an innovative and trusted technology partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts offers a comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, catering to the entire behavioral health, rehabilitative, and human services market. With a loyal customer base of over 2,500 customers and more than 6 million patients served, Qualifacts has been recognized for having the top-ranked Behavioral Health EHR solutions in the 2022 and 2023 Best in KLAS: Software and Services report. If you are seeking to work in an environment where innovation is purposeful and your ambition contributes to supporting customers and their communities, then consider applying for the following role: This position is for an onsite Director of Revenue Cycle Management (RCM) based in the Vadodara office, working the NIGHT SHIFT from 6:30 pm to 3:30 am IST, 5 days a week. Remote applicants will not be considered. As the Director of RCM Operations, you will be responsible for leading and optimizing end-to-end revenue cycle operations for the company's US-based healthcare clients. This role requires deep expertise in US healthcare RCM processes, including medical billing, coding, insurance claims, accounts receivable (A/R) management, denials management, and compliance. You will drive process efficiency, ensure regulatory adherence, implement automation solutions, and lead a high-performing team to achieve revenue and operational goals. Key Responsibilities: - Develop and implement best practices, policies, and workflows to optimize revenue cycle performance and ensure compliance with US healthcare regulations. - Drive automation and process improvement initiatives leveraging technology, analytics, and AI-driven solutions. - Set performance metrics, monitor KPIs, and ensure achievement of key revenue cycle objectives. - Foster a culture of accountability, continuous learning, and process excellence within the team. - Analyze revenue cycle trends, identify revenue leakage, and implement corrective actions to improve financial outcomes. - Partner with technology teams to implement and optimize RCM tools, EHR systems, and automation solutions. - Stay updated on industry trends, regulatory changes, and emerging technologies in healthcare RCM. Qualifications: - Advanced degree in Business Administration, Healthcare Management, Finance, or a related field. - Minimum 12+ years of experience in US healthcare RCM, with at least 5+ years in a senior leadership role. - Proven experience in managing large RCM teams and driving performance improvements. - Certifications such as CRCR, CPC, or CRCE are preferred. - Experience in healthcare technology firms, BPO/KPO, or RCM service providers catering to US healthcare clients is preferred. **Qualifacts is an equal opportunity employer that celebrates diversity and is dedicated to fostering an inclusive environment for all employees.**,

You are an experienced and detail-oriented DME Billing & Audit Specialist sought by Unify Healthcare Services to join the Audit & Compliance team. Your expertise in Durable Medical Equipment (DME) billing, strong grasp of documentation compliance, and understanding of Medicare LCD guidelines are vital for ensuring billing accuracy, reducing denials, and maintaining audit readiness. Your responsibilities will include reviewing DME claims for accuracy, ensuring alignment with LCD and NCD policies, identifying documentation deficiencies, and collaborating with billing and intake teams to address issues efficiently. Your role will also involve providing recommendations for enhancing documentation quality, tracking audit outcomes, and contributing to compliance education through internal training sessions. To qualify for this position, you must have a minimum of 2 years of experience in DME medical billing and documentation review, comprehensive knowledge of Medicare LCD/NCD guidelines, familiarity with medical necessity documentation, CMNs, and physician orders, proficiency in DME billing software and EHR systems, exceptional attention to detail, and effective communication skills. Preferred skills for this role include prior experience in internal audits or compliance review, ability to manage high claim volumes effectively, and knowledge of denial management and appeals processes.,

The Medical Receptionist position at DR. HALDARS ORTHOVISION HEALTHCARE is seeking a professional individual to serve as the primary point of contact for patients, ensuring a welcoming and efficient experience at our healthcare facility. In this role, you will be responsible for managing scheduling, information handling, insurance processing, and providing excellent customer service while maintaining accuracy and privacy standards. Key Responsibilities Warmly greet patients and visitors, offering assistance in a friendly and professional manner. Handle all incoming phone calls, including scheduling appointments, responding to inquiries, and directing calls appropriately. Manage appointment scheduling, changes, cancellations, reminders, and walk-in patients. Update and maintain patient records in electronic health record (EHR) systems while adhering to strict confidentiality and HIPAA guidelines. Facilitate communication between patients and medical staff, including notifying clinicians of patient arrivals and relaying messages accurately. Maintain the reception area by ensuring cleanliness, stocking forms and supplies, and creating an organized and welcoming environment. Perform general administrative tasks such as filing, scanning, faxing, mailing, ordering supplies, and providing support to clinic staff as needed. Required Skills & Qualifications Education: High school diploma or equivalent required; certification in Medical Office Administration or related field is a plus. Experience: Ideally 1-2 years in a medical office or similar administrative/customer service role. Technical proficiency: Comfortable using EHR systems, office scheduling software, and Microsoft Office suite. Medical knowledge: Familiarity with medical terminology, insurance verification, and basic billing procedures. Communication skills: Excellent verbal and written communication with an empathetic, clear, and professional demeanor. Organization & multitasking: Ability to efficiently prioritize tasks in a fast-paced environment. Attention to detail: Accurate data entry, scheduling, and record maintenance. Confidentiality: Understanding and adherence to HIPAA/regulatory standards for patient privacy. Customer service orientation: Friendly, composed, and patient-focused approach. This is a full-time position with a fixed shift schedule that requires in-person work. The expected start date for this role is 01/08/2025.,

The EHR Customer Support Representative position involves providing frontline support to clients in the healthcare industry. The ideal candidate should have a minimum of 1-year experience in a healthcare IT or EHR support role. You will be responsible for troubleshooting software issues, assisting users, and ensuring a positive customer experience. Your key responsibilities will include providing technical support via phone, email, and remote sessions, efficiently resolving EHR-related issues, documenting client interactions and solutions, collaborating with internal teams to escalate complex issues, delivering excellent customer service, and assisting in training clients on EHR features and updates. In addition to a competitive salary, we offer a comprehensive benefits package, ongoing training, and professional development opportunities. You will have the chance to grow within our fast-paced and innovative company. The qualifications for this role include a minimum of 1 year of experience in EHR or healthcare IT support, strong problem-solving and communication skills, the ability to work independently and manage multiple tasks, familiarity with medical terminology and clinical workflows (a plus), experience with EHR systems (preferred), and a high school diploma (associate or bachelor's degree preferred). This position involves a fixed night shift with a competitive salary, allowances, and insurance benefits.,

As a member of our healthcare team, you will be responsible for accurately documenting patient history, physical exams, diagnoses, treatment plans, and other relevant information as dictated by the healthcare provider during patient visits. Your key duties will involve entering this data promptly and accurately into Electronic Health Records (EHR), ensuring all documentation complies with medical, legal, and regulatory standards, and maintaining patient confidentiality according to HIPAA guidelines. Additionally, you will assist providers with administrative tasks related to medical documentation, review and update patient charts, and collaborate with other healthcare team members to facilitate efficient patient flow. The ideal candidate for this role will possess a degree in a health-related field, although prior experience as a medical scribe or in healthcare documentation will be considered a plus. It is essential to have a strong knowledge of medical terminology, anatomy, and healthcare procedures, as well as proficient computer skills, especially with EHR systems. Attention to detail, organizational skills, the ability to multitask, and work efficiently in a fast-paced clinical environment are also key qualities we are looking for. Strong communication skills and the ability to work well with healthcare professionals are highly valued in this position. You can expect to work in a clinical or hospital setting alongside healthcare providers, with the possibility of standing or sitting for extended periods. Your work hours may vary depending on clinic or hospital schedules, and this position is of a permanent nature. In addition to a challenging and rewarding work environment, we offer benefits such as health insurance, paid sick time, and Provident Fund. The schedule for this position is a day shift, morning shift, and the work location is in person. If you meet the qualifications and are excited about the opportunity to contribute to our healthcare team, we encourage you to apply for this position.,

You will be responsible for managing accounts receivable for healthcare services using Advanced MD software. Your duties will include submitting accurate and timely billing to insurance companies and patients, following up on claims and denials, and analyzing billing trends through Advanced MD reports. Working closely with the billing team, you will ensure compliance with healthcare regulations, identify process improvements, and address billing discrepancies. Effective communication with patients, insurance companies, and internal stakeholders is crucial for resolving billing inquiries. To qualify for this role, you should have 1-3 years of experience in insurance denial and calling, preferably with Advanced MD software knowledge. A strong grasp of medical billing processes, analytical skills, and the ability to work both independently and collaboratively in a fast-paced environment are essential. Attention to detail, accuracy, and excellent communication skills, both written and verbal, are required. This is a full-time position with a night shift schedule. You will need to work onsite and should be comfortable with the location in Delhi/NCR. The role requires immediate availability, so please provide details on your medical billing work experience, current and expected CTC, notice period, and AR Caller experience in your application.,

You are required to be an experienced Cerner FSI (Foreign System Interface) Onshore Lead with 5-9 years of experience, responsible for managing and overseeing interface development and support activities in a healthcare IT setting. Your role will involve collaborating with both onshore and offshore teams, ensuring efficient delivery and compliance with healthcare data exchange standards. Your key responsibilities include leading and managing onshore Cerner FSI operations, coordinating with offshore teams, gathering interface requirements from clinical and technical teams, overseeing the development, testing, deployment, and maintenance of Cerner FSI interfaces, troubleshooting interface-related issues, ensuring timely resolutions, complying with healthcare data exchange standards, performing root cause analysis, creating and maintaining interface documentation, facilitating stakeholder communication, and working closely with other EHR systems and integration partners. To excel in this role, it is preferred that you are Cerner Certified and have prior experience leading healthcare IT projects. Your expertise in Cerner FSI architecture, HL7, interface design, and collaboration with offshore teams will be crucial for success in this position.,

As a certified medical coder joining the Optical Medicare Coding team at Walmart Pharmacy and Sams Club, your primary responsibility will involve accurately coding procedures, diagnoses, and services related to vision, optical, and dental care. Your role will be crucial in ensuring compliance with Medicare guidelines and maximizing reimbursement for in-house operations. Your day-to-day tasks will include reviewing and analyzing medical records and documentation for vision, optical, and dental services, ensuring coding accuracy in line with federal regulations and internal policies, collaborating with billing and clinical teams to resolve coding discrepancies and denials, participating in audits and quality assurance reviews, as well as providing support in training and mentoring junior coders when necessary. To excel in this role, you must hold a mandatory certification such as CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) from AAPC, or CCS (Certified Coding Specialist) from AHIMA. Additionally, having a preferred certification like CPMA (Certified Professional Medical Auditor) or specialty certification in ophthalmology or dental coding would be advantageous. You should possess a minimum of 5 years of experience in medical coding, with at least 1 year in optical or dental coding. Familiarity with Medicare Advantage and traditional Medicare billing is essential, along with proficiency in coding software and EHR systems. Your success in this role will be supported by your strong understanding of medical terminology, anatomy, and physiology, excellent attention to detail, analytical skills, as well as effective communication and teamwork abilities. Joining Walmart Global Tech, you will have the opportunity to work in a dynamic environment where your contributions can impact millions of people. The team comprises software engineers, data scientists, cybersecurity experts, and service professionals dedicated to driving innovation in the retail sector. Continuous learning and growth are encouraged, with roles available for individuals at every stage of their career. The work environment currently follows a hybrid model, with flexibility in working hours and office visits. The organization values diversity and inclusivity, striving to create a workplace where every associate feels valued and respected. Walmart promotes a culture of belonging, where opportunities are created for all associates, customers, and suppliers, aligning with the vision of "everyone included." As an Equal Opportunity Employer, Walmart, Inc. is committed to understanding, respecting, and valuing the uniqueness of individuals while fostering inclusivity for all. The minimum qualifications for this position include a bachelor's degree in life sciences or a related field with 4 years of experience in pharmacy or optical billing, or 6 years of experience in pharmacy or optical billing. A Certified Medical Coder certification (e.g., CPC, CCS, or equivalent) is also required. If you are looking to be part of a team that values innovation, diversity, and inclusivity, this role at Walmart Pharmacy and Sams Club could be the perfect fit for you.,

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying root causes of denials. Strong understanding of billing regulations, CPT, ICD-10, HCPCS codes, and compliance standards (HIPAA, CMS guidelines). Appeals - - Understand 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP - Prepare, submit, and follow up on appeals ensuring all necessary documentation is included - Revie Review assigned denials and EOBs for appeal filing information. Gather any missing information - Review case history, payer history, and state requirements to determine appeal strategy - Obtain patient and/or physician consent and medical records when required by the insurance plan or state - Gather and fill out all special appeal or review forms - Create appeal letters, attach the materials referenced in the letter, and mail them Maintain a record of all appeals and responses to track appeal outcomes and recovery rates Monitor payer response timelines to ensure appeal filing deadlines are met Track insurance company and state requirements and denial trend changes

As a skilled Denial Coder with at least 1 year of experience in Denials and Radiology coding, your main responsibility will be to analyze denied claims, pinpoint root causes, and implement corrective actions to ensure accurate claim processing and reimbursement. You will review and analyze denied radiology claims, identifying denial reasons and applying correct CPT, ICD-10, and HCPCS codes. Collaboration with billing teams to resolve coding discrepancies will be essential, along with the submission of corrected claims and the appeal of denials when necessary. To qualify for this role, you must hold a certification as a medical coder (CPC, COC, CCS, or equivalent) and have a minimum of 1 year of experience in denial management and radiology coding. Proficiency with medical billing software and EHR systems is also required. In return for your expertise, we offer a competitive salary and incentives, along with health benefits and opportunities for professional growth. If you are interested in this position, please share your resume at saranya@intignizsolutions.com or call 8919956083.,

Key Responsibilities: As a Senior Product Manager you will be pivotal to creating roadmap owning release plan for multiple capabilities that is futuristic and meets industry and client needs You will be responsible for continuous backlog management prioritizing the backlog considering the needs and objectives of every stakeholder As a thought leader in your business domain bring in industry best practices learnings from client demos and interactions into designing You will anchor business pursuit initiatives sales demo You will have the opportunity to shape the Infosys platform that enables payers and providers to deliver better care Technical Requirements: Payer Provider PBM organizations Product Management Product Engineering Healthcare Operations Experience working with industry leading Enrollment Claims Billing or EHR systems Managing product lifecycle in whole from ideation exploration approval development implementation measurement and ongoing development Expertise in US Government Program Line of Business Medicare Medicaid Duals Marketplace Plan Sponsor Product Enrollment Billing Provider Data Management Provider Network Management Claims Encounters Medicare and Marketplace Risk Adjustment Developing results oriented strategies to solve complex and open ended business problems Market Analysis and Product fitment Communicating and facilitating architecture design discussions decisions and impacts to key stakeholders Customer success on managing customer engagements and requirements Leading business pursuits and product demonstrations Agile Product Development Methodology Additional Responsibilities: Experience in market leading healthcare products key emphasis Proven track record of at least 8 years in software product management roles Capability Feature planning and design manage the specifications of their development and monitor their on going operation to better understand customer experiences Clearly communicating progress towards delivery technical challenges that may occur Act as a thought leader and subject matter expert in the assigned product area develop essential product documentation including business case business requirements and use cases Own product backlog and collaborate closely with the platform engineering team Create Journey Maps that re imagine re define the healthcare problematic process areas Understanding of trends affecting customer adoption Experience of working with enterprise customers both technical and business and at all levels Influence leaders in diverse functional areas Strong business acumen including experience in estimation and pricing market research Demonstrated ability to navigate ambiguity and adapt quickly to modern technology and processes Strong analytical ability with exposure to data science and automation Teaming Collaboration Demonstrates exceptional leadership and team management skills with a collaborative and empowering approach to achieve results through influence Excellent communication presentation and interpersonal skills to develop lasting relationships with senior business or technical leaders with the highest levels of business acumen and technical expertise Preferred Skills: Domain->Healthcare->Healthcare - ALL

Key Deliverables: Oversee accurate medical data processing and support care coordination Implement and monitor adherence to medical protocols and guidelines Enhance patient experience during admissions, transfers, and discharges Track medical service KPIs and support process improvement initiatives Role Responsibilities: Collaborate with clinical and administrative teams to optimize care quality Manage patient inquiries and ensure timely issue resolution Support documentation, EHR use, and regulatory compliance Stay informed on pediatric healthcare trends and operational standards

EHR (Electronic Health Record) Analyst Roles and Responsibilities: Manage and optimize electronic health record systems. Ensure EHR systems meet the needs of healthcare providers and patients. Analyze data to improve EHR system performance. Train healthcare staff on EHR system usage. Collaborate with IT departments to implement system updates. Required Skills: Knowledge of EHR systems Proficiency in data analysis Attention to detail Strong organizational skills Ability to train healthcare staff