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0.0 - 4.0 years
0 Lacs
navi mumbai, maharashtra
On-site
The job involves working on Denials, Rejections, and LOA's in accounts and making necessary corrections to claims. You will be responsible for interacting with insurance companies and documenting the actions taken in claims billing summary notes. Handling accounts receivable for US Healthcare providers, Physicians, and Hospitals is a key aspect of this role. Ensuring that the deliverables to the client meet the required quality standards will be part of your responsibilities. Strong verbal communication skills are essential as you will be liaising with insurance companies, patients, and internal teams. The role often requires working night shifts from Monday to Friday. Basic computer proficiency is necessary, and familiarity with medical billing software, EHR/EMR systems, and other relevant applications will be advantageous. This is a Full-Time position with 5 days working, based in Navi Mumbai, with a night shift timing from 6:30 PM to 3:30 AM. The mode of work is from the office. The salary offered is 2.8 Lac CTC (18K Take-home) along with quarterly incentives. The selection process includes an Assessment, Technical Round, and HR Discussion. Immediate joining is required for this role, and the age limit is below 30 years. If you meet the prerequisites and agree to the terms and conditions, you can register for this position.,
Posted 6 days ago
5.0 - 9.0 years
0 Lacs
coimbatore, tamil nadu
On-site
You are an experienced Billing Specialist (Cardiology) with a minimum of 5 years of expertise in cardiology billing. You possess a deep understanding of medical billing, coding, insurance claims, and revenue cycle management specific to cardiology. Your role involves accurately processing cardiology-related claims (CPT, ICD-10, HCPCS codes), verifying insurance eligibility, and ensuring timely submission to insurance providers. You must maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations while collaborating with physicians, administrative staff, and insurance providers to resolve billing discrepancies. Utilization of EHR/EMR systems (e.g., Epic, Athenahealth, NextGen) for billing and claims processing is essential. Monitoring accounts receivable (A/R) reports and ensuring timely collections and follow-ups are part of your responsibilities. Your qualifications include a minimum of 5 years of medical billing experience in cardiology, strong knowledge of cardiology procedures, diagnostic tests, and insurance guidelines. Proficiency in CPT, ICD-10, and HCPCS coding specific to cardiology, experience with EHR/EMR and medical billing software, and strong analytical and problem-solving skills for claim resolutions and denial management. Excellent communication skills are required for patient and insurance coordination. Possession of Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) certification is a plus. If you meet the above qualifications and are passionate about cardiology billing and revenue cycle management, we encourage you to apply for this full-time, permanent position with a work schedule including Monday to Friday, night shifts, and rotational shifts at the in-person work location.,
Posted 2 weeks ago
5.0 - 9.0 years
0 Lacs
dharwad, karnataka
On-site
We are seeking a Senior Backend Developer with a demonstrated history of constructing secure and scalable systems within the healthcare industry. Your primary responsibility will involve designing and executing backend solutions to facilitate clinical workflows, manage patient data, and adhere to healthcare compliance standards. This pivotal technical position requires both domain expertise and coding proficiency. Responsibilities: - Design, create, and sustain secure and scalable backend services utilizing technologies such as Python, Node.js, Java. - Develop and oversee APIs that connect with EHRs, health applications, and third-party healthcare platforms. - Ensure adherence to healthcare privacy and security standards like HIPAA, HITECH, and GDPR. - Collaborate closely with clinical, product, and data teams to implement features aligned with healthcare use cases. - Integrate FHIR and HL7 to support data exchange and interoperability. - Uphold stringent standards of data security, integrity, and availability, particularly for PHI. - Conduct code reviews and architectural planning with a focus on healthcare workflows. - Mentor junior developers and contribute to enhancements in processes and technologies. Requirements: - Minimum 5 years of backend development expertise utilizing contemporary frameworks and languages. - Previous leadership or contribution to a major healthcare project is essential. - Profound understanding of healthcare data standards like FHIR, HL7, DICOM, and coding systems such as ICD-10 and CPT. - Experience with EHR/EMR systems like Epic, Cerner, Allscripts, or other healthcare platforms. - Knowledge of compliance and regulatory frameworks including HIPAA, GDPR, and HITECH. - Proficiency in relational and NoSQL databases, RESTful and/or GraphQL APIs. - Familiarity with authentication protocols (OAuth2, OpenID) and secure data management. - Hands-on experience with cloud services (AWS, Azure, GCP) and containerization (Docker, Kubernetes). - Excellent communication skills and the ability to collaborate across functions. This is a full-time position based in Dharwad, Karnataka. The role requires in-person presence during day shifts. The candidate must be willing to commute or relocate to Dharwad before commencing work. Application Question: "Do you have professional experience working on backend systems in the healthcare domain " Experience: Senior backend developer - 5 years minimum If you are interested, kindly contact the employer at +91 9035812371.,
Posted 2 weeks ago
0.0 - 4.0 years
0 Lacs
coimbatore, tamil nadu
On-site
You should have a Bachelor's degree or equivalent (preferred but not mandatory) and knowledge in claims management, AR follow-up, and RCM. It is essential to have knowledge of CPT, ICD-10, and HCPCS coding, as well as familiarity with EHR/EMR systems and medical billing software. Strong analytical and problem-solving skills are required, along with excellent communication and interpersonal abilities. Attention to detail and the ability to work under tight deadlines are also important. This is a full-time position located in Coimbatore with a day shift schedule. The benefits include health insurance. If you are interested in this opportunity, please contact lavanya.p@findq.in or call 9629667621.,
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
kochi, kerala
On-site
As a Medical Coder specializing in Surgery Coding (Series 1 to 6) based in Kochi, Kerala, you will be responsible for reviewing and analyzing medical records to accurately assign surgical procedure codes. Your role will involve applying ICD-10-CM, CPT, and HCPCS Level II coding guidelines to ensure correct reimbursement while maintaining coding accuracy and compliance. Collaboration with physicians, healthcare providers, and billing teams will be essential to resolve any coding discrepancies that may arise. You will conduct coding audits and quality reviews to uphold high accuracy and compliance standards. Additionally, you will assist in appeals and denials management by providing proper coding justifications. It is imperative to maintain confidentiality and adhere strictly to HIPAA regulations in all aspects of your work. To excel in this role, you must possess a CPC or equivalent coding certification along with a minimum of 2 years of experience in medical coding, particularly in surgery coding (Series 1-6). A strong understanding of surgical procedures and operative reports is crucial, along with proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems. Experience with EHR/EMR systems and medical coding software, preferably 3M, will be beneficial. Your role will require strong analytical and problem-solving skills, excellent communication and collaboration abilities, keen attention to detail, and the capacity to work independently. This is a full-time position based on a day shift schedule, with a hybrid work arrangement initially based in the office in Kochi for the first 3 months, eventually transitioning to a hybrid remote setup in Ernakulam, Kerala. In return for your dedication and expertise, we offer a comprehensive benefits package that includes health insurance, paid sick time, paid time off, and Provident Fund. This position provides an opportunity for professional growth and development in the dynamic field of medical coding.,
Posted 2 weeks ago
3.0 - 7.0 years
0 Lacs
haryana
On-site
As an MLOps Engineer at Neolytix, you will play a crucial role in developing and implementing intelligent claims analysis, prioritization, and denial resolution models for our AI-driven healthcare claims management application. This involves working closely with healthcare experts and engineers to orchestrate Large Language Models (LLMs) and Small Language Models (SLMs) to optimize revenue cycle processes, minimize Accounts Receivable (AR) dollars, and enhance claim resolution efficiency. Your responsibilities will include designing and implementing AI/ML models for claims prioritization, denial resolution, and revenue cycle optimization. You will be tasked with developing and fine-tuning LLMs and SLMs to increase automation in claims management workflows, preprocessing and structuring claims data for effective model training, as well as deploying, managing, and scaling AI models using Azure-based cloud services. Monitoring model performance, retraining, refining algorithms, ensuring compliance with HIPAA and PHI security standards, and documenting technical solutions will also be part of your role. To qualify for this position, you should hold a Bachelor's or Master's degree in computer science, AI/ML, Engineering, or a related field, along with at least 3 years of experience in AI/ML engineering, preferably in healthcare claims automation. Proficiency in Python, strong knowledge of LLMs, NLP, and text analytics for claims processing, experience with Azure ML services, and familiarity with healthcare claims data formats (EDI 837/835) and revenue cycle processes are essential. Additionally, possessing strong analytical, problem-solving, and teamwork skills is crucial for success in this role. Preferred skills for this position include experience with AI-driven denial resolution and automated claims adjudication, understanding of EHR/EMR systems and insurance reimbursement processes, as well as familiarity with DevOps, CI/CD pipelines, and MLOps for scalable AI deployments. Joining Neolytix offers you a competitive salary and benefits package, an opportunity to contribute to innovative AI solutions in the healthcare industry, a dynamic and collaborative work environment, and opportunities for continuous learning and professional growth.,
Posted 1 month ago
7.0 - 11.0 years
0 Lacs
pune, maharashtra
On-site
As a Senior Healthcare BA - FHIR at CitiusTech, you will be part of an Agile team responsible for designing and building healthcare applications while implementing new features in adherence to the best coding development standards. Your responsibilities will include analyzing healthcare data exchange requirements and designing HL7/FHIR-based integration solutions. You will provide guidance on FHIR resource modeling, profiling, and implementation strategies, as well as collaborate with product, engineering, and clinical teams to ensure interoperability. Additionally, you will review and validate HL7 messages and FHIR APIs for conformance and performance, lead the development of FHIR Implementation Guides (IGs) and terminology bindings, and monitor changes in HL7/FHIR standards and regulatory frameworks. Conducting training sessions and workshops on HL7/FHIR standards and best practices will also be part of your role. The ideal candidate for this position should have 7-8 years of experience and hold an Engineering Degree in BE/ME/BTech/MTech/BSc/MSc. Mandatory technical skills required include expertise in HL7 v2.x, FHIR standards, API, resources, profiles, extensions, and implementation guides. Proficiency in clinical data modeling and terminology such as SNOMED CT, LOINC, and ICD-10, as well as experience with healthcare integration engines like Mirth Connect, Rhapsody, and InterSystems Ensemble is essential. Familiarity with FHIR or Firely Tools, EHR/EMR systems such as Epic, Cerner, Allscripts, and SMART on FHIR Cloud platform, among other skills, will be beneficial. CitiusTech is committed to combining IT services, consulting, products, accelerators, and frameworks with a client-first mindset and next-gen tech understanding to humanize healthcare and make a positive impact on human lives. The company values a collaborative culture that fosters innovation and excellence, driven by a passion to transform the healthcare industry. Life at CitiusTech revolves around building highly motivated engineering teams and thought leaders with a focus on core values like Passion, Respect, Openness, Unity, and Depth (PROUD) of knowledge. The company's success is attributed to creating a fun, transparent, non-hierarchical, diverse work culture that emphasizes continuous learning and work-life balance. CitiusTech has been rated as a Great Place to Work according to the Great Place to Work survey, offering comprehensive benefits to support long and rewarding careers. CitiusTech's EVP, "Be You Be Awesome," underscores the company's commitment to creating a great workplace where employees can thrive personally and professionally. This EVP encompasses unique benefits and opportunities to support growth, well-being, and success throughout one's journey with CitiusTech and beyond. Joining CitiusTech means collaborating with global leaders to shape the future of healthcare and positively impact human lives. For more information about CitiusTech and to explore career opportunities, visit https://www.citiustech.com/careers. Follow CitiusTech on social media to stay updated on the latest developments in healthcare technology. Happy applying!,
Posted 1 month ago
7.0 - 11.0 years
0 Lacs
karnataka
On-site
You are an experienced Business Analyst specializing in US healthcare clinical workflows. You possess a strong understanding of EHR/EMR systems, clinical documentation, CCDA standards, and HL7/FHIR protocols. Your role involves bridging the communication gap between clinical teams and technical teams to ensure the development of efficient and compliant solutions. You excel in gathering and analyzing requirements related to clinical decision support, patient data exchange, care transitions, and regulatory compliance. Your responsibilities include writing Business Requirement Documents (BRDs), creating workflow diagrams, and conducting User Acceptance Testing (UAT) for clinical applications. You are adept at collaborating with various stakeholders to ensure the successful implementation of projects. This is a full-time position based in the US Healthcare sector with a hybrid work schedule. The role offers a competitive salary in the range of 22 to 24 LPA with additional benefits such as health insurance. The work location includes Ascendion offices in Bangalore, Hyderabad, Chennai, Pune, and Vadodara. The shift timings are from 4:00 PM to 12:00 AM / 12:30 AM, allowing flexibility in work hours.,
Posted 1 month ago
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