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14.0 - 18.0 years

0 Lacs

navi mumbai, maharashtra

On-site

As an Accounts Receivables (AR) professional within Revenue Cycle Management (RCM) and Medical Billing in the US Healthcare domain, you will be a valuable asset to RevUpside Business Solutions Pvt Ltd. Located in Vashi, Navi Mumbai, we are a rapidly expanding provider of RCM services to physician groups and hospitals in the United States. With a focus on end-to-end Revenue Cycle Management, including AR resolution for healthcare clients, we are committed to ensuring financial health for providers, allowing them to concentrate on patient care. In this role, your responsibilities will include following up with insurance companies on outstanding claims, analyzing and resolving denied and unpaid claims, working on aging reports for timely recovery, documenting all follow-up activities, meeting productivity and quality targets, and collaborating with internal teams to enhance process efficiency. To excel in this position, you should have at least 4 years of experience in US Healthcare AR calling or Medical Billing with a solid understanding of denial management and revenue cycle workflow. Strong communication skills, familiarity with practice management systems and EHRs, and the ability to thrive in a fast-paced, growth-oriented environment are essential. At RevUpside, we prioritize internal career growth, offering rapid advancement opportunities and a supportive work culture that promotes continuous learning and development. Join our dynamic team at our office in Vashi, Navi Mumbai, and contribute to our success in the healthcare RCM industry. If you are enthusiastic about healthcare revenue cycle management and seek to create a meaningful impact in the industry, we invite you to apply by sending your resume to hr@revupside.com. Take the opportunity to grow with us and be part of our journey towards excellence.,

Posted 2 days ago

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5.0 - 9.0 years

0 Lacs

pune, maharashtra

On-site

As a Technical Lead in Data Governance at CitiusTech, you will play a crucial role in an Agile team by designing and constructing healthcare applications, as well as implementing new features while adhering to the highest coding development standards. Your responsibilities will include owning and managing metadata documentation, such as table and column descriptions, across enterprise data platforms. You will be responsible for generating, presenting, and explaining metric definitions and metadata standards to various stakeholder groups. Collaboration with data owners and stewards to ensure consistency and accuracy of business definitions and data lineage will be a key aspect of your role. Additionally, you will support the implementation and maintenance of the Advanced Analytics Governance Framework and work closely with analytics teams to ensure that governed metrics align with business objectives and are consistently applied across dashboards and reports. You will also be responsible for maintaining and enhancing metadata repositories using tools like Databricks Unity Catalog and Metric Insights, as well as promoting the adoption of AI tools that leverage metadata to improve data discovery and usage. Acting as a liaison between technical teams and business stakeholders to ensure that metadata is understandable and actionable, as well as contributing to the continuous improvement of governance processes, standards, and documentation practices will also be part of your responsibilities. The ideal candidate for this role should have 5-7 years of experience, an Engineering Degree (BE/ME/BTech/MTech/BSc/MSc), and a background in information systems, Data Science, or Business Analytics. Mandatory technical skills include over 3 years of experience in data governance, metadata management, or data cataloging, a strong understanding of data modeling, data lineage, and business glossary concepts, excellent communication skills, and familiarity with tools like Databricks Unity Catalog and Metric Insights. Knowledge of healthcare data and analytics, as well as experience in Epic and other EHRs, are also required. Join CitiusTech and be a part of an organization that is committed to combining the best of 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. Embrace our core values of Passion, Respect, Openness, Unity, and Depth (PROUD) of knowledge, and enjoy a fun, transparent, non-hierarchical, diverse work culture focused on continuous learning and work-life balance. Experience a rewarding career with comprehensive benefits at CitiusTech, where you can thrive both personally and professionally. Let's shape the future of healthcare together and positively impact human lives. To learn more about CitiusTech, visit https://www.citiustech.com/careers. Happy applying!,

Posted 3 days ago

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1.0 - 5.0 years

0 Lacs

karnataka

On-site

You are required to have 1-2 years of experience in US healthcare RCM to fill the role of a Spravato/Mental Health Biller & Caller. Your main responsibilities will include processing and submitting Spravato/Mental Health claims, verifying insurance eligibility, obtaining prior authorizations, following up on denied/rejected claims, and resolving outstanding AR. It is essential to possess strong communication skills as you will be interacting with insurance companies, providers, and patients to ensure timely reimbursement. Your skills should include experience in medical billing & coding (CPT, HCPCS, ICD-10), a solid understanding of denial management & claim follow-up, familiarity with insurance portals, EHRs & clearinghouses, as well as excellent communication & analytical abilities. If you join us, you can expect a competitive salary & incentives, the opportunity to work with global clients, and growth prospects in US healthcare RCM. If you are interested in this position, you can apply now or contact us for more details at hr@finnastra.com.,

Posted 2 weeks ago

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1.0 - 5.0 years

0 Lacs

karnataka

On-site

You are in search of a Spravato/Mental Health Biller & Caller with 1-2 years of experience in US healthcare RCM. In this role, you will be responsible for billing, claims processing, denial management, and AR follow-ups specifically for Spravato (Esketamine) & Mental Health services. It is essential to possess strong communication skills to effectively engage with insurance companies, providers, and patients to ensure timely reimbursement. Your primary responsibilities will include processing and submitting Spravato/Mental Health claims, verifying insurance eligibility, obtaining prior authorizations, following up on denied/rejected claims, and resolving outstanding AR. A crucial aspect of this role will be to have a comprehensive understanding of medical billing & coding (CPT, HCPCS, ICD-10), a strong knowledge of denial management & claim follow-up, familiarity with insurance portals, EHRs & clearinghouses, as well as excellent communication & analytical skills. Joining our team comes with the promise of a competitive salary & incentives, the opportunity to work with global clients, and growth prospects in the realm of US healthcare RCM. If you are eager to be a part of our dynamic team, do not hesitate to apply now or reach out for more details at hr@finnastra.coom.,

Posted 3 weeks ago

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1.0 - 5.0 years

0 Lacs

maharashtra

On-site

Job Description We are seeking for skilled and dedicated AR Caller to join our esteemed healthcare team @ PUNE. You will be responsible for making calls to insurance companies to follow-up on pending claims If you have a deep understanding of end-to-end US Healthcare billing insurance industry, possess excellent communication skills with logical reasoning abilities and have AR Calling experience between 1 and 2 years, we are looking forward for your application About Us: Acrev Solutions is a leading Healthcare billing organization committed to providing exceptional RCM services. Our team of dedicated professionals works tirelessly to ensure a seamless billing process, and we are now looking for more experienced AR Callers to further strengthen our revenue cycle management operations. Job Requirements & Responsibilities- To be considered for this position, applicants need to meet the following qualification criteria: Excellent verbal and written communication skills (English) to interact effectively with patients, insurance companies, and internal teams Work in fixed continuous night shifts (US Shifts) Fast learner with the ability to collaborate effectively with team members and supervisors, adapt well to different situations for meeting operational goals Should be able to work on MS office Excel & Word Any Graduate/Undergraduate Thorough understanding of insurance verification, claim submission, AR Follow-up and denials management Initiate timely and accurate follow-ups with insurance companies Collaborate with our billing team to ensure accurate and compliant claim documentation and submission Maintain detailed records of all interactions, follow-ups, and billing activities, and generate reports to monitor performance and trends Familiarity with CPT, ICD-10 codes, and HCPCS Level II codes Proficiency in billing software and EHRs (Preferred) Strong problem-solving abilities Ability to multitask, prioritize work, and meet deadlines in a dynamic and fast-paced environment Attention to detail to ensure accurate claim handling Collaborative mindset to work effectively with other team members and departments Education: Any Graduate/Undergraduate Ability to commute self to Hinjewadi, Phase2; Pune, Maharashtra Shifts: Fixed US Night Shift Job Types: Full-time, Experienced How to Apply: Email your resume to hiring@acrevsolutions.com,

Posted 3 weeks ago

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0.0 - 2.0 years

0 - 2 Lacs

Bilaspur, Chhattisgarh, Chhattisgarh, India

On-site

The Consultant General Physician is responsible for providing comprehensive medical care to patients with a wide range of acute and chronic illnesses. This includes outpatient consultations, inpatient management, preventive care, and coordination with specialists as needed. Key Responsibilities: Diagnose and treat general medical conditions across all age groups. Provide outpatient and inpatient consultations for common and complex internal medicine cases. Manage chronic diseases such as diabetes, hypertension, thyroid disorders, asthma, and infectious diseases. Respond to medical emergencies and stabilize patients before referral if necessary. Perform or supervise minor procedures (e.g., lumbar puncture, pleural tap, ascitic tap). Collaborate with other specialists for multidisciplinary care. Maintain clear and accurate medical records and documentation. Advise patients on lifestyle modifications, preventive health, and vaccinations. Participate in hospital rounds, case discussions, and audits. Contribute to CME programs, health camps, and awareness drives. Key Skills and Competencies: Clinical Skills: Strong foundation in diagnosis and management of general medical conditions. Proficiency in interpreting lab investigations, ECGs, X-rays, and basic imaging. Ability to manage common medical emergencies confidently. Familiarity with hospital infection control and patient safety practices. Soft Skills: Excellent clinical judgment and decision-making ability. Compassionate communication and counseling skills. Strong interpersonal skills and the ability to work well in teams. Good time management and multitasking abilities. Professional Skills: Knowledge of electronic health records (EHRs) and basic IT skills. Awareness of medico-legal responsibilities and patient confidentiality. Willingness to continuously update clinical knowledge and participate in academic activities.

Posted 2 months ago

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3.0 - 5.0 years

0 - 3 Lacs

Pune

Work from Office

Dear Candidates, We are hiring Data Analyst at Saisystems Health Engineering and Product. Please find below job details and job descriptions. Experience - 3+ years Location - Pune Mode of Work - Office Notice Period - Immediate - 15 days Job Description Position Summary: We are seeking a highly motivated Data Analyst / Product Owner to join our healthcare product team. This hybrid role requires a unique blend of analytical rigor, technical proficiency, product ownership, and client engagement. You will play a key role in bridging business needs with data-driven product enhancements, working closely with both internal teams and external healthcare clients. Key Responsibilities: Product Ownership Serve as the voice of the customer in product planning, prioritizing features and data capabilities based on user needs and business goals. Own and manage the product backlog for data and reporting features. Translate business requirements into detailed user stories and technical specifications for the development team. Lead cross-functional sprint planning and backlog grooming sessions. Data Analysis & Reporting (Required) Conduct deep-dive analysis using SQL to support product decisions and client requests. Build and maintain a comprehensive data dictionary and system map across product modules. Develop prototype reports, dashboards, and KPIs to support operational, clinical, and financial workflows. Analyze product usage and client behavior to uncover insights and opportunities. Power BI Development (Nice to Have) Design and build insightful Power BI dashboards and visualizations. Collaborate with clients to understand reporting needs and translate them into functional outputs. Ensure data accuracy, integrity, and performance in visualizations and datasets. Client Engagement & Communication (Required) Act as a key point of contact for clients regarding reporting and analytics needs. Lead client discovery sessions to understand business goals, workflows, and data requirements. Provide product demos, reporting walkthroughs, and documentation for stakeholders. Work closely with client success and implementation teams to support on boarding and long-term success. Qualifications: Required: 3+ years of experience in a Data Analyst, Business Analyst, or Product Owner role (healthcare domain preferred). Advanced proficiency in SQL , including complex joins, sub queries, CTEs, and performance optimization. Working knowledge of Power BI capable of building interactive reports and dashboards. Experience with data modeling, normalization, and working with large datasets. Strong analytical thinking and attention to detail. Exceptional written and verbal communication skills with both technical and non-technical audiences. Proven ability to self-direct, organize and document work, and manage multiple priorities. Understanding of healthcare data (EHRs, RCM, claims, encounters, patient data, etc.) is highly preferred. Preferred: Experience with Agile/Scrum methodologies. Exposure to healthcare compliance frameworks such as HIPAA. Familiarity with HL7, FHIR, or healthcare interoperability concepts. What You’ll Love About This Role: The opportunity to shape data tools that improve healthcare outcomes. High visibility across product, engineering, and client teams. A supportive team that values innovation, initiative, and results. Flexibility and autonomy in shaping your roadmap and deliverables.

Posted 2 months ago

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