14 Ehrs Jobs

As a Palantir Foundry Developer at OneDose, you will play a crucial role in revolutionizing medication management by utilizing advanced AI and data-driven solutions. Your main objective will be to enhance the intelligence, safety, and accessibility of every dose on a large scale. Key Responsibilities: - Integrate formulary data, supplier inventories, salt compositions, and clinical guidelines into a unified ontology - Develop a clinical decision support system that offers automated suggestions - Deploy real-time recommendation pipelines using Foundry's Code Repositories and Contour (ML orchestration layer) - Construct and manage data integration pipelines - Create analytical models and enhan...

Role Overview: 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. Key Responsibilities: - Process and submit Spravato/Mental Health claims - Verify insurance eligibility - Obtain prior authorizations - Follow up on denied/r...

option 1 - HealthCare Integration. HL7, FHIR, and healthcare data standards option 2 - IBM Sterling B2B Integrator, ITX, ITXA, SSP, ICC, LW, AWS Services Exp 5-10 yr CTC OPEN

Job Description Assistant Manager (Billing & Coding Department) Position Title: Assistant Manager Billing & Coding Department: Revenue Cycle Management (RCM) Reports To: CEO/Director Billing & Coding Location: Ahmedabad Employment Type: Full-Time Position Overview The Assistant Manager Billing & Coding is responsible for supporting the overall management of the billing and coding operations within the Revenue Cycle Management (RCM) department. This role ensures timely and accurate claim submissions, coding compliance, denial management, and team performance. The Assistant Manager will serve as a bridge between the billing/coding staff and senior management, focusing on operational efficiency...

You are an experienced and motivated Team Lead Medical Coder seeking to join our team at the Vizag office in Visakhapatnam, Andhra Pradesh. Your role will involve overseeing a group of medical coders, ensuring accurate and timely coding, monitoring quality and productivity, providing guidance, and acting as the main point of contact between team members and management. As a Team Lead Medical Coder, your key responsibilities will include supervising, mentoring, and training a team of medical coders to achieve defined quality, accuracy, and productivity targets. You will allocate work, track team performance, ensure deadlines are consistently met, and conduct regular audits of coded charts to ...

The IPDRG QA role involves conducting quality assurance reviews of inpatient medical records to ensure accurate assignment of DRGs, ICD-10-CM/PCS codes, and adherence to coding and clinical documentation standards. This position plays a crucial role in upholding compliance with federal coding guidelines, regulatory mandates, and maintaining revenue cycle integrity. Key responsibilities of the role include conducting retrospective and concurrent quality reviews of inpatient coding and DRG assignments, validating the accuracy and completeness of coding based on clinical documentation, auditing DRG assignments to ensure appropriate severity of illness (SOI), risk of mortality (ROM), and reimbur...

As a Revenue Cycle Management (RCM) Analyst at Orchestrate Medical, you will play a crucial role in transforming healthcare data into actionable insights. Your expertise in Power BI, SQL, Excel, and comprehensive understanding of the U.S. medical billing lifecycle will be instrumental in driving revenue recovery initiatives for our tech-forward team. Your responsibilities will include building and maintaining RCM dashboards using Power BI and SQL, creating customized reports to monitor collections, denial rates, and reimbursement trends, assisting in financial forecasting, scenario planning, and KPI tracking, presenting data-driven insights to internal teams and U.S.-based clients, and enhan...

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...

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. A...

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 insur...

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 t...

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 ...

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., lu...

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 Owners...