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Elico Healthcare Services Ltd

10 Job openings at Elico Healthcare Services Ltd
Prompt Engineers -Computational Linguists India 0 years Not disclosed On-site Contractual

Job Overview : We are hiring Linguists skilled in prompt engineering and Computational Linguists . This role combines expertise in language, critical thinking, and structured data interpretation to create meaningful interactions in the form of generating question-and-answer (Q&A) pairs from a range of inputs. Key Responsibilities: · Review a variety of content including textual documents, charts, tables, and graphs and craft high-quality question/answer pairs. · Analyze structured and semi-structured data (e.g., charts, tables, graphs) to extract key information, patterns, and concepts relevant to question formulation. · Design and generate accurate, relevant, and linguistically diverse Q&A pairs that reflect the core content and insights of each source. · Leverage knowledge of prompt engineering, linguistic analysis and data interpretation techniques to form well-grounded question/answer pairs. · Ensure linguistic clarity, factual accuracy, and relevance of Q&A items. · Apply knowledge of semantics, syntax, and pragmatics to ensure natural language quality. · Engage in iterative refinement based on feedback and evaluation metrics. Requirements: Native fluency in English Strong analytical, critical thinking, interpretive, and linguistic skills. Keen attention to detail and a high standard of quality control. Experience with prompt optimization or content creation or content validation or retrieval-augmented generation (RAG). Experience analyzing and interpreting structured data and creating linguistically meaningful outputs. Degree in Computational Linguistics, Applied Linguistics, Data Science with a linguistic focus, or a closely related discipline would be an added advantage. A working knowledge of or familiarity with analytical tools and programming environments (such as Python, R, and Excel) is advantageous for this role. Show more Show less

Medical Billing(Payment Posting) Associate Hyderabad,Telangana,India 0 - 3 years Not disclosed On-site Full Time

We are looking for candidates who are having experience with Medical Billing(Payment Posting) in US Healthcare Industry Experience: 0 to 3 years Skills : Understand Revenue Cycle Management (RCM) of US Health-care providers. Learn and excel in Medical Billing Concepts Day to Day Medical billing production (Charges/Demo/Payment Posting/Rejections/Document verification/Listing/Merging) Able to meet client requirements as per SLA Good Communication Skills, Good Knowledge In MS Excel, Typing Skills Ensure deliverables adhere to quality standards. Show more Show less

Medical Billing(Payment Posting)- Freshers Hyderabad,Telangana,India 0 - 3 years Not disclosed On-site Full Time

We are looking for candidates who are having experience with Medical Billing(Payment Posting) in US Healthcare Industry Experience: 0 to 3 years Skills : Understand Revenue Cycle Management (RCM) of US Health-care providers. Learn and excel in Medical Billing Concepts Day to Day Medical billing production (Charges/Demo/Payment Posting/Rejections/Document verification/Listing/Merging) Able to meet client requirements as per SLA Good Communication Skills, Good Knowledge In MS Excel, Typing Skills Ensure deliverables adhere to quality standards. Show more Show less

Medical Billing(Payment Posting)- Associate Hyderabad,Telangana,India 0 years Not disclosed On-site Full Time

1. Should have good understanding on Insurance Payments Posting, Self pay Posting and Recoupment posting. 2. Should have good ERA/Manual posting experience , denial code/processing skills, correspondence capture and basic Medical Billing knowledge. 3. Should have experience in capturing & addressing denials. 4. Should have good EOB reading skills. 5. Understand Revenue Cycle Management (RCM) of US Healthcare providers. Show more Show less

AR Manager- Credentialing Hyderabad,Telangana,India 10 years None Not disclosed On-site Full Time

The Credentialing Manager oversees day-to-day credentialing operations, ensuring team efficiency, compliance with regulatory standards, and timely processing of provider applications. The role includes managing associates, training, quality control, and client coordination. Experience Required: 7–10 years (including 3–4 years in a leadership role) Location: Hyderabad Shift: US Shift Key Responsibilities: • Supervise and guide a team of credentialing associates, ensuring adherence to SLA and quality benchmarks. • Allocate workloads, track performance, and conduct regular quality audits. • Act as a point of contact for internal stakeholders and clients for escalations and updates. • Monitor credentialing and re-credentialing pipelines to ensure deadlines are met. • Train new hires and provide refresher training for existing team members. • Analyze process gaps and recommend continuous improvement measures. • Prepare and share weekly/monthly reports with management and clients. • Stay updated on payer-specific credentialing requirements and regulatory updates. Qualifications: • Bachelor’s degree require. • Strong understanding of credentialing processes, CAQH, PECOS, NPPES, etc. • Prior team management experience in an RCM/healthcare BPO setting. • Excellent leadership, communication, and problem-solving skills. • Experience working with US healthcare payers and credentialing portals. Show more Show less

Credentialing AR Manager- (US Health Care) Hyderabad,Telangana,India 10 years None Not disclosed On-site Full Time

The Credentialing Manager oversees day-to-day credentialing operations, ensuring team efficiency, compliance with regulatory standards, and timely processing of provider applications. The role includes managing associates, training, quality control, and client coordination. Experience Required: 7–10 years (including 3–4 years in a leadership role) Location: Hyderabad Shift: US Shift Key Responsibilities: • Supervise and guide a team of credentialing associates, ensuring adherence to SLA and quality benchmarks. • Allocate workloads, track performance, and conduct regular quality audits. • Act as a point of contact for internal stakeholders and clients for escalations and updates. • Monitor credentialing and re-credentialing pipelines to ensure deadlines are met. • Train new hires and provide refresher training for existing team members. • Analyze process gaps and recommend continuous improvement measures. • Prepare and share weekly/monthly reports with management and clients. • Stay updated on payer-specific credentialing requirements and regulatory updates. Qualifications: • Bachelor’s degree require. • Strong understanding of credentialing processes, CAQH, PECOS, NPPES, etc. • Prior team management experience in an RCM/healthcare BPO setting. • Excellent leadership, communication, and problem-solving skills. • Experience working with US healthcare payers and credentialing portals.

Elico Healthcare Services - Credentialing AR Manager - US Health Care Hyderabad,Telangana,India 7 - 10 years None Not disclosed On-site Full Time

The Credentialing Manager oversees day-to-day credentialing operations, ensuring team efficiency, compliance with regulatory standards, and timely processing of provider applications. The role includes managing associates, training, quality control, and client coordination. Experience Required: 7-10 years (including 3-4 years in a leadership role). Location: Hyderabad. Shift: US Shift. Key Responsibilities:. Supervise and guide a team of credentialing associates, ensuring adherence to SLA and quality benchmarks. Allocate workloads, track performance, and conduct regular quality audits. Act as a point of contact for internal stakeholders and clients for escalations and updates. Monitor credentialing and re-credentialing pipelines to ensure deadlines are met. Train new hires and provide refresher training for existing team members. Analyze process gaps and recommend continuous improvement measures. Prepare and share weekly/monthly reports with management and clients. Stay updated on payer-specific credentialing requirements and regulatory updates. Qualifications:. Strong understanding of credentialing processes, CAQH, PECOS, NPPES, etc. Prior team management experience in an RCM/healthcare BPO setting. Excellent leadership, communication, and problem-solving skills. Experience working with US healthcare payers and credentialing portals. (ref:iimjobs.com)

Optics Engineer Hyderabad,Telangana,India 2 years None Not disclosed On-site Full Time

Essential Skills / Aptitude: • Strong analytical, communication and problem solving skills • Must be well organized, methodical, and detail-oriented • Should be able to work independently. • Should be proactive & possess good interpersonal skills. • Ability to work in fast paced environment and be self-driven with strong commitment to work. Key Responsibilities : • Analyze the Optical requirements and specification for Analytical Instrument design and development. • Design and experiment using simulation Tools like ZeMax or any other. • Development and integration of Optical Modules independently. • Ability to communicate concepts, interface with Mechanical and Embedded Teams • Design validation test results and report the progress of projects to core team. • Assess risks, identify issues and provide timely and effective solutions • Troubleshooting Optics Design and optimize performance. • Design Documentation Key Measurable : • At least 2 Year of Experience in optics design in the area of Spectroscopy (UV-VIS and NIR) • Minimum 1 Year of Experience in complete Product design life cycle

SME - AR Calling hyderabad,telangana 3 - 7 years INR Not disclosed On-site Full Time

The subject matter expert (SME) in this role is responsible for providing in-depth knowledge and expertise in medical billing, insurance follow-ups, and claim resolutions. By leveraging this expertise, you will play a crucial role in ensuring efficient cash flow and reducing outstanding accounts receivable (AR) days. Having prior experience in Emergency Medical Services (EMS) would be an additional advantage for this position. Your essential skills for this role include excellent analytical, problem-solving, and communication skills. You should also have experience in working with aging reports, denials, and appeals processing. Your key responsibilities will revolve around monitoring and managing the AR process, which includes claim submissions, follow-ups, and appeals. You will be tasked with ensuring timely follow-up on unpaid claims, denials, and appeals with insurance companies. Additionally, you will need to analyze aging reports to take necessary actions to reduce outstanding receivables. Categorizing denials to identify trends and root causes, working with clients and insurance providers to resolve recurring denial issues, and serving as a primary point of contact for clients, insurance providers, and internal stakeholders are also important aspects of this role. You will also be responsible for providing regular reports on AR performance, collections, and outstanding receivables. The key measurables for your performance in this role will be AR aging reduction, denial resolution rate, and escalation resolution rate.,

Quality Analyst - AR Calling hyderabad,telangana,india 0 years None Not disclosed On-site Full Time

We are seeking a detail-oriented and analytical Quality Analyst to monitor and evaluate the performance of the AR team involved in medical claims follow-up and denial resolution. The QA will ensure compliance with payer policies, improve process quality, and drive continuous improvements in collections and customer satisfaction. Responsibilities : · Audit AR processes including claim status, denial resolution, and payment posting. · Identify performance gaps and provide feedback to AR agents. · Track quality metrics such as accuracy rate, productivity, and FTR (First Time Right). · Perform root cause analysis of denials and billing errors. · Develop and maintain QA reports and dashboards. · Ensure compliance with HIPAA and other federal regulations. · Collaborate with training and operations teams for upskilling initiatives. · Experience in Hospital & Physician Billing · HIPAA Compliance Training