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4.0 - 8.0 years
0 Lacs
chennai, tamil nadu
On-site
You are a clinically oriented individual with experience in Customer Service/Call Center, particularly in a White Glove setting. You are fluent in medical terminology and have familiarity with major Laboratory Information Systems (LIS) and Electronic Medical Records (EMRs) such as Epic, Cerner/Oracle, Meditech, SCCSoft lab, Sunquest, Orchard, and NextGen. Your skills include exceptional proficiency in Microsoft Excel and ticketing systems like Service Now. You are adept at communicating effectively within your peer group, facilitating customer status calls and working sessions, and monitoring the progression of validation testing. You excel at multitasking and meeting stringent customer deadlines. Providing project status updates to leadership, tracking issues, driving resolutions, and escalating when necessary are all part of your expertise. You have knowledge of interface message routing through various systems and are willing to work US hours to ensure effective team collaboration. As part of your responsibilities, you will act as the primary point of contact for Technology issues from strategic customers. You will triage and prepare customer inquiries for team members or other work groups, monitor and provide status updates to managers for all ongoing issues, and maintain a detailed log of customer inquiries and requests. Given the nature of your role, training will be comprehensive, combining minimal documentation with extensive mentoring. Access to QLS, EBU's (with modified access to limit PHI functions), Qted, eForm, and Clarity will be provided. You should anticipate a ramp-up time of 3+ months to fully acclimate to the position. If you are interested in this position, please share your updated resume with yuvapriya.b@hcltech.com.,
Posted 1 week ago
30.0 years
0 Lacs
Vikroli, Mumbai, Maharashtra
Remote
Hiring Manager: Lenson Fernandes Business Unit: Resolv Job Title: Payment Associate Header: Here at Harris, we have 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family. BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise—including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. As we continue to expand, we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today’s most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we will improve financial performance and patient experience and help build sustainable healthcare businesses. Job Summary: The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related Issues. Primary Functions: 1. Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). • Apply necessary adjustments, refunds, and write-offs per payer guidelines. • Balance and reconcile daily deposits with posted payments. 2. Denial Management & Reconciliation • Identify and post insurance denials while ensuring timely follow-up for resolution. • Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. 3. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). 4. Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications: 1. Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred). 2. 1-3 years of experience in medical billing, payment posting, or revenue cycle management. 3. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner 4. Strong understanding of insurance reimbursement, medical billing, and denial management. 5. Proficiency in MS Excel, accounting principles, and payment reconciliation. 6. Knowledge of HIPAA regulations and compliance standards. Additional Qualifications(Good to Have): Any diploma or Higher Degree. Soft/ Behavior Skills: Good Communication and Collaboration. Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this job. Working Environment: This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers, laptops and other stuffs. This role may occasionally encounter Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training. Expected Hours of Work: 8am to 5pm IST. Work Mode: Work from Office.
Posted 1 week ago
2.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NA Minimum 2 Year(s) Of Experience Is Required Educational Qualification : 15 years full time education Summary: As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and resolves issues within various components of critical business systems. Your typical day will involve collaborating with team members to troubleshoot software problems, analyzing system performance, and ensuring that applications run smoothly to support business operations effectively. You will engage with users to understand their challenges and work towards implementing solutions that enhance system functionality and user experience. Roles & Responsibilities: - Expected to perform independently and become an SME. - Required active participation/contribution in team discussions. - Contribute in providing solutions to work related problems. - Assist in the documentation of processes and procedures to enhance team knowledge. - Engage with stakeholders to gather requirements and provide feedback on system performance. Professional & Technical Skills: - Must To Have Skills: Proficiency in EPIC Systems. - Strong analytical skills to diagnose and resolve software issues. - Experience with troubleshooting and debugging applications. - Familiarity with system integration and data flow management. - Ability to communicate technical information effectively to non-technical users. Additional Information: - The candidate should have minimum 2 years of experience in EPIC Systems. - This position is based at our Chennai office. - A 15 years full time education is required.
Posted 1 week ago
2.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NA Minimum 2 Year(s) Of Experience Is Required Educational Qualification : 15 years full time education Summary: As an Application Support Engineer, you will act as software detectives, providing a dynamic service that identifies and solves issues within multiple components of critical business systems. Your typical day will involve collaborating with various teams to troubleshoot software problems, ensuring that systems operate smoothly and efficiently. You will engage in problem-solving activities, analyze system performance, and implement solutions to enhance the overall functionality of business applications. Your role will be pivotal in maintaining the integrity of software systems and ensuring that they meet the needs of the organization and its users. Roles & Responsibilities: - Expected to perform independently and become an SME. - Required active participation/contribution in team discussions. - Contribute in providing solutions to work related problems. - Assist in the documentation of processes and procedures to enhance team knowledge. - Engage in continuous learning to stay updated with the latest technologies and best practices. Professional & Technical Skills: - Must To Have Skills: Proficiency in EPIC Systems. - Strong analytical and problem-solving skills to diagnose and resolve software issues. - Experience with system monitoring tools to ensure optimal performance. - Ability to collaborate effectively with cross-functional teams to address software challenges. - Familiarity with software development life cycle and application support methodologies. Additional Information: - The candidate should have minimum 2 years of experience in EPIC Systems. - This position is based at our Chennai office. - A 15 years full time education is required.
Posted 1 week ago
2.0 - 3.0 years
0 Lacs
Tamil Nadu, India
On-site
Job Purpose The Insurance Verification Representative II is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies Duties And Responsibilities Work effectively with insurance companies to obtain pre-certification/authorization for services Place calls to various health plans to obtain appropriate precertification prior to the patient`s appointment Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company Fax to pre-certification request form to insurance company Maintain files and security of confidential information utilizing host system to scan and input data as per established procedures Verify medical insurance information and documents in scheduling/registration modules Review claim denials and rejections Accurately enter and update patient data, and other general data, into the computer system Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports Demonstrate knowledge of varied managed care insurance and regulatory guidelines Meet and maintain daily productivity/quality standards established in departmental policies Use the MPower workflow system, client host system and other tools available to collect payments and resolve accounts Adhere to the policies and procedures established for the client/team Communicate effectively with physician offices and patients Place outbound call to patients with precertification notification Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications High school diploma or equivalent required Medical terminology knowledge required Minimum of 2-3 years of healthcare or physician's office related experience in obtaining and handling pre-authorizations Proficiency with MS Office. Must have basic Excel skillset Experience with GE Centricity, EPIC PB, Allscripts, Cerner, preferred Extensive knowledge of individual payor websites, including eviCore, Navinet and Novitasphere Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes Ability to work well individually and in a team environment Strong organizational and task prioritization skills Strong communication skills/oral and written Working Conditions Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Posted 1 week ago
4.0 years
0 Lacs
Delhi, India
On-site
About Us: We are Kraftshala. We are an online skilling institution committed to playing the long game of building a transformative educational experience for the masses. We call this ‘Scaling with Soul’. Scaling with Soul, to us, means we always prioritise student outcomes– specifically our Placement Rate (percentage of students placed)- over other metrics, such as number of enrolments or company valuation in the coming year. This is, of course, easier said than done. There are painful choices to be made at every stage, from admissions to training to placements, that wouldn’t have been needed were we willing to give up on either of high quality or scale. But in the long run, we believe that our obsession over these student outcomes will earn Kraftshala the trust of Indian students, their families, recruiters and the broader ecosystem. That’s why we make each of our Placement Reports public, capturing how many students are placed in each batch, in what companies, at what salaries etc. We don’t need to. None of our competitors do (though we’d be happy to be proven wrong and have more educators join us!). Simply put, we have tasted the benefits of an education model grounded in high quality paired with the transparency of student outcomes and now cannot imagine doing it any other way. We are not the largest in terms of enrollments. Nowhere close, actually. Not yet. However, we are proud to be one of the largest, if not the largest already, in terms of actual, verifiable placements. And in terms of Placement Rate, the metric that matters most to us, we are the absolute best in edtech. In the last 4 years, we have placed more than 2000+ students with a Placement Rate of 94% (and improving). This is our long game- to Scale with Soul. We invite you to join us for the play. Funding: Kraftshala is backed by a number of eminent investors, including: Phanindra Sama and Sudhakar Pasupunuri, co-founders at Redbus Amit Kumar Agarwal, Saurabh Garg and Akhil Gupta, co-founders at Nobroker.com Sujayathi Ali, Co-founder at ShopUp and Voonik Doreswamy Nandkishore (Former Fortune 100 CEO, Head of Asia, Oceania, Africa for Nestlé S.A. and Professor, ISB) Pallav Jain and Sarfaraz Khimani (co-CEOs of Performics, India's largest SEO/ performance marketing agencies) What do we value (the Kraftshala Kode): Kraftshala is on a mission to become the largest career launchpad in the world. Team Kraftshala is for the ambitious, the forever-learners, and most of all, for those who live to add value to others. In a world where education companies often lose sight of their core, we aim to Scale with Soul, to offer greater value to each stakeholder (including our team) everyday we get bigger. Joining Kraftshala now means becoming part of a story still in its early chapters- one you’ll help shape with your ideas, actions, and leadership. Here are things we care for: We seek a value-adding mindset in prospective team mates. Folks who demonstrate a capacity to understand their users' needs and are willing to go the extra mile to deliver on that, fit right in. We value problem solving skills. We look at problems objectively, work backwards from the user, solve for root causes and optimize for their long-term good instead of our short-term gain. We don’t let processes or hierarchies get in the way of adding value. We believe speed matters enormously in business. We value people who move with urgency, have a bias for action and are willing to take calculated risks in the face of uncertainty. We look for people with high learning agility , those truth seekers who pursue the best data, ideas, and solutions with rigour and open mindedness, and are constantly working to become better today than yesterday. We admire people with ambition & courage to take on large goals. We are seeking to build a team of self-starters who demonstrate high ownership. We aim for consistency and reliability and expect the same from others. Predictability just makes everyone’s life a lot smoother. We believe people who demonstrate candour with care are the most effective: real, open and direct in communication, while still being highly empathetic. We have learnt that Scaling with Soul requires frugality . Resource constraints help sharpen focus and breed inventiveness. We are practical optimists . Our team strongly believes in a better future and takes joy and pride in the fact that we are playing our part to make that future a reality. Senior Associate, Program Management - Purpose & Role Description As a Senior Associate, Program Management at Kraftshala, you will be the engine that powers an exceptional student experience. You’ll be responsible for leading and executing various operational and relationship-building activities that ensure each student goes through an epic journey of growth, clarity, and confidence. You’ll be managing multiple batches, solving day-to-day issues, coordinating across stakeholders, and optimizing processes using tools and automation to minimize errors and delays. Specific responsibilities will include: Program Management Taking charge of the entire learning expedition. Metric to Measure: % of students achieving key learning milestones Being the first point of contact for students, solving queries promptly and empathetically. Metric to Measure: Average response/resolution time; Student satisfaction with support Coordinating and executing live sessions and the overall schedule for students seamlessly. Metric to Measure: % of sessions conducted without errors or reschedules Liaising with internal and external stakeholders (trainers, leads, industry experts) to ensure aligned delivery. Metric to Measure: Timeliness and clarity of stakeholder tasks; Stakeholder feedback Closely tracking student progress using internal tools and offer personalized nudges/support. Metric to Measure: % of students receiving timely nudges/support Process Optimization Identifying and improving inefficiencies in program delivery processes. Metric to Measure: # of processes optimized; measurable impact on delivery quality Leveraging automation tools and platforms (e.g., Notion, Zapier, etc.) to streamline workflows and reduce manual errors. Metric to Measure: % reduction in manual interventions; automation coverage across key steps Some of your Monthly Outcomes for the first 4 months in this role: Month 1: Understand Kraftshala’s program workflows, internal tools (Notion, Sheets, Slack), and the student journey end-to-end Shadow ongoing batches and support tasks like session scheduling, student communication, and progress tracking Build familiarity with common student queries and support responses Start documenting inefficiencies or gaps in delivery processes Month 2: Independently manage all core delivery workflows for at least one batch (sessions, progress nudges, presentations) Begin managing student queries and issues directly, with minimal supervision Identify and propose at least one automation/process improvement with expected impact Month 3: Own 2-3 batches independently: ensure smooth execution, stakeholder coordination, and high student satisfaction Drive and implement at least two process improvements with clear metrics (e.g., fewer manual steps, faster turnaround) Consistently hit KPIs on student support, batch operations, and delivery process reliability Top Grading: Student-Centricity: An A-Player engages students with empathy and goes the extra mile to ensure a delightful experience, whereas a B-Player treats queries as tasks and lacks a personal connection. Value Additive Mindset: An A-Player constantly looks for opportunities to make each student interaction more meaningful - whether by connecting them to helpful resources, nudging them toward a breakthrough, or encouraging a growth mindset - and they don’t let internal processes or hierarchies stop them from doing what’s right for the student. In contrast, a B-Player sticks to solving only the stated problem and often lets rigid systems or reporting lines limit the support they provide. Proactiveness: A-Player anticipates and addresses problems before they affect students whereas a B-Player waits for students or stakeholders to raise issues before acting Ownership & Accountability: An A-Player takes full ownership of program delivery and doesn’t let things slip through the cracks, whereas a B-Player completes tasks but may drop follow-ups or need reminders. Process Thinking: An A-Player builds and improves scalable systems proactively, while a B-Player sticks to existing processes without questioning or optimizing them. Attention to Detail: An A-Player spots and fixes small issues before they escalate, while a B-Player misses details that can lead to errors or delays. Impactful Communication: An A-Player communicates clearly, promptly, and with context; a B-Player’s communication is often vague, delayed, or incomplete. Learning Agility: An A-Player regularly identifies and drives process improvements or automation, whereas a B-Player relies on existing systems and seldom suggests change. Must Haves: 1-2 years of experience in managing students or program operations, ideally in an ed-tech organization. (We’re not fussed about the exact years of experience, as that’s just a proxy for your skill level.) Ability to manage independently in a fast-paced, in-office setup, with strong daily execution discipline Experience managing student escalations or delivering difficult feedback empathetically Structured documentation skills, especially for tracking batch progress, student data, and internal workflows Experience in cross-functional coordination, including with trainers, evaluators, and internal teams Hands-on proficiency with tools like MS Excel, PowerPoint, Google Sheets, Notion, Slack, and Zoom Good-to-haves: Comfort working in non-hierarchical, high-trust teams, where initiative and clarity are valued over seniority Track record of process improvements or reducing delivery errors in operational roles Selection Process: As a small team, we must get to know each other before taking the leap. We want to ensure you succeed in your role within our team. Each conversation with us will last about 30-60 minutes. Typically the whole process takes between 7 - 10 business days depending on your and our schedules. Technical Exercise: This is a specific assessment designed to evaluate your fit for this role Setting Expectations: This will be a call to understand your profile briefly and share the details of the selection process. Conversation 1: This will be a detailed assessment review conversation with our Operations Lead to go over your submission for the technical exercise, along with other competencies required for the role. Conversation 2: This will be a conversation with our HR Lead wherein you can expect to be evaluated on the competencies needed for the job (mentioned above). Conversation 3: A conversation with our CEO to ensure that there is a fit with the Kraftshala Kode. Extending an offer: If all goes well, we will extend an offer that will mention the relevant details. Location: Delhi
Posted 1 week ago
8.0 years
0 Lacs
Mumbai, Maharashtra, India
On-site
Yubi, formerly known as CredAvenue, is re-defining global debt markets by freeing the flow of finance between borrowers, lenders, and investors. We are the world's possibility platform for the discovery, investment, fulfillment, and collection of any debt solution. At Yubi, opportunities are plenty and we equip you with tools to seize it. In March 2022, we became India's fastest fintech and most impactful startup to join the unicorn club with a Series B fundraising round of $137 million. In 2020, we began our journey with a vision of transforming and deepening the global institutional debt market through technology. Our two-sided debt marketplace helps institutional and HNI investors find the widest network of corporate borrowers and debt products on one side and helps corporates to discover investors and access debt capital efficiently on the other side. Switching between platforms is easy, which means investors can lend, invest and trade bonds - all in one place. YuCollect (https://www.yucollect.com/), Part of Yubi group - (https://www.go-yubi.com/) YuCollect is India’s first Unified Collections Infrastructure(, designed to transform the debt collections ecosystem at scale. It provides the foundational infrastructure that enables lenders, collection agencies, and regulators to operate on a single, transparent, and technology-driven network. From seamless discovery to compliant execution and real-time governance, YuCollect empowers all stakeholders to build modern, efficient, and trustworthy collection processes. YuCollect is laying down the rails for how collections should function in a rapidly evolving financial landscape. By enabling data-aligned collaboration, scalable integrations, and compliance-by-design, it ensures every participant in the ecosystem, big or small, can grow and operate with confidence. YuCollect is part of the Yubi Group, an end-to-end tech infrastructure powering the entire credit lifecycle for all stakeholders across India’s financial ecosystem. So far, we have on-boarded over 17000+ enterprises, 6200+ investors & lenders and have facilitated debt volumes of over INR 1,40,000 crore. Backed by marquee investors like Insight Partners, B Capital Group, Dragoneer, Sequoia Capital, LightSpeed and Lightrock, we are the only-of-its-kind debt platform globally, revolutionizing the segment. At Yubi, People are at the core of the business and our most valuable assets. Yubi is constantly growing, with 1000+ like-minded individuals today, who are changing the way people perceive debt. We are a fun bunch who are highly motivated and driven to create a purposeful impact. Come, join the club to be a part of our epic growth story Role and Responsibilities Developing a revolutionary finance marketplace product that includes design, user experience, and business logic to ensure the product is easy to use, appealing, and effective. Lead multiple high-performance engineering teams, defining and ensuring adherence to processes. Work closely with the Product Manager and Designer to ideate the product build. Coordinate with Architects to ensure tech alignment Participate in code and design reviews, establishing best software design and development practices. Mentor junior engineers and foster innovation within the team. Design and develop the pod’s software components and systems. Evaluate and recommend tools, technologies, and processes, driving adoption to ensure high-quality products. Participate in technical hiring activities to attract top talent. Requirements Minimum 8+ years of experience in full stack development, delivering enterprise-class web and mobile applications and services. Expertise in Java technologies including Spring, Hibernate, and Kafka. Proven experience in designing scalable applications capable of handling millions of transactions. Strong knowledge of NoSQL and RDBMS, with expertise in schema design and handling large volumes of data. Experience with Kubernetes deployment and managing CI/CD pipelines. Ability to function effectively in a fast-paced environment and manage continuously changing business needs. A strong advocate of code craftsmanship, adhering to good coding standards, and utilising tools to improve code quality. Experience with microservices architecture and RESTful APIs. Familiarity with monitoring and logging tools (Prometheus, Grafana, ELK stack). Competent in software engineering tools (e.g., Java build tools) and best practices (e.g., unit testing, test automation, continuous integration). Experience with the Cloud technologies of AWS and GCP and developing secure applications Proven experience in leading engineering teams and managing projects. Strong understanding of the software development lifecycle and agile methodologies.
Posted 1 week ago
0 years
0 Lacs
Pune, Maharashtra, India
On-site
we are hiring!! #Data Governance Locations - Pune/Chennai Experience & Budget - 8 -10 yrs NP - Immediate Joiner. Mandatory Skills - Data Governance + US HC (EPIC & EMR) Relevant experience with Data Governance should be 5-6 + yrs . Relevant experience for US HC EPIC EMR 1-2 yrs recent and strong. share your CV-asma.r@mftechnologies.in Contact me @7989226903
Posted 1 week ago
1.0 - 4.0 years
2 - 5 Lacs
Navi Mumbai
Work from Office
Designation/ Role: Process Associate/ Sr Process Associate Department: Accounts Receivable Work Timing: Night Shift Qualifications: Minimum HSC/10+2 Equivalent (Any Graduate Preferred) Skills: A successful candidate must have proficient knowledge/capabilities in the following areas: 1. Claims management and/or customer service experience desired. 2. Bachelors degree preferred, or any equivalent combination of education and experience. 3. Ability to perform at a high level of productivity and quality. 4. Capacity to maintain a high level of accuracy. 5. Excellent written and oral communication skills required to represent Infinx Clients. 6. Computer skills including Microsoft Office Suite. 7. Skills to work independently and be resourceful with the ability to multitask. Experience 1-4 years experience US calling process. Job Description The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed. This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol. Job Responsibilities A successful candidate will perform the following activities: 1. Review patient accounts and perform appropriate follow up actions to resolve the outstanding balance according to best practice standards. 2. Complete and send appropriate claim forms according to CMS and third-party payor guidelines. 3. Follow up with medical insurance payors regarding the status of outstanding claims. 4. Contact patients and guarantors regarding outstanding self-pay balances due. 5. Compose correspondence to insurance payors, third parties, and patients regarding the resolution of outstanding balances and claim appeals. 6. Document all actions taken in appropriate Infinx or Client host system. 7. Adhere to HIPAA, patient confidentiality and compliance requirements at all times.
Posted 2 weeks ago
0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Job Summary Ability to perform Authoring in S1000D standards based on the input received for all Airbus programs Ability to create illustration mockups Mechanical & Electrical by studying the inputs Ability to understand aircraft manuals like IPC, AMM, AWL ASM and SRM Good Knowledge and interpretation of engineering drawings. Possess good knowledge of Airbus process and standard guides. Must have good oral, written and organizational skills Must have good knowledge on illustration tools like TECH DRAW, Tech Illustrator Must have good knowledge on Arbor text EPIC Editor, SAMM Must have good knowledge Airbus Tools: SAP, GILDA, ZAMIZ, Airn@v, CIRCE C , GILDA ETC., Relevant Experience Preferred
Posted 2 weeks ago
4.0 years
0 Lacs
Pune, Maharashtra, India
On-site
Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title And Summary Lead Product Manager - Technical-2 Overview Are you a product management professional who wants to shape the cloud platform for Mastercard’s products? Do you want to work for a company that offers above and beyond benefits including paid parental leave, flexible work hours, gift matching, and even volunteer incentives? Do you want to work in an inclusive and nurturing culture that encourages your own professional learning and development? ROLE Be customer obsessed: Develop & provide the organization with a deep appreciation for customer needs, the ecosystem and the key market dynamics Define requirements: Translate product requirements into clearly defined epics, features and stories with clear & measurable outcomes, ensuring mutual understanding Manage strategic alignment across teams: Working with product owners with each scrum team, ensure backlogs are properly prioritized and refined according to anticipated business value & measurable outcomes Agile Mindset: Advocate for taking an agile approach to product development through all activities from defining an epic to writing acceptance criteria on a user story. Lead the design and build of the product with engineering: Work closely- as one agile team- across a product domain Work across cross functional teams: Work with cross functional teams to plan work, understand dependencies, and minimize time to market and errors Oversee delivery and testing of product features (e.g., serving and enabling scrum teams) Measure outcomes & seek continuous improvements: Evaluate & seek to improve existing practices, metrics, and roles to continually optimize. Own and deliver on post-launch reviews and customer feedback, and incorporate this information into the future launch plans ALL ABOUT YOU: 4+ years of product management or new product development and experience shipping high-quality products in the payments industry. Understands and can explain the business context and the associated customer use cases Experience in Lean Product management and Lean management principles and practices. Can deliver high quality technology products/services in a high growth environment where priorities shift rapidly Comprehensive experience in agile delivery methodologies (scrum, Kanban, etc.), CI/CD and modern DevOps based PDLC and SDLC. Technical savviness to enable TDD and BDD. Track record of successful delivery of product features from design, development, deployment and customer integration. Proficient at grooming user stories, features and epics, setting entrance/exit criteria and prioritizing a platform product backlog. Data driven – ability to define measurable and SMART leading and lagging metrics for all backlog items to enable decisions and priority. Take the time to fully learn the functionality, architecture, dependencies, and runtime properties of the systems supporting your platform products. This includes the business requirements and associated use cases, Mastercard customer's experience, Mastercard's back-office systems, the technical stack (application/service architecture), interfaces and associated data flows, dependent applications/services, runtime operations (i.e. trouble management/associated support strategies), and maintenance. Thrives in a highly collaborative environment involving different stakeholders and subject matter experts globally- across multiple regions. Recognize discordant views and take part in constructive dialog to resolve them Ability to engage with numerous stakeholders on existing product capabilities and potential co-development opportunities or dependencies Experience leading and managing others through both direct manager relationships and through influence Improve team processes that accelerate delivery, drive innovation, lower costs, and improve quality Action oriented & hands on: Owns outcomes & deliverables Excellent communication skills, both written and verbal Payments expertise a huge plus Creative, fun, self-motivated individual Bachelor’s degree Globally distributed teams in India, EU and US. Some travel may be required Corporate Security Responsibility All activities involving access to Mastercard assets, information, and networks comes with an inherent risk to the organization and, therefore, it is expected that every person working for, or on behalf of, Mastercard is responsible for information security and must: Abide by Mastercard’s security policies and practices; Ensure the confidentiality and integrity of the information being accessed; Report any suspected information security violation or breach, and Complete all periodic mandatory security trainings in accordance with Mastercard’s guidelines. R-246025
Posted 2 weeks ago
3.0 years
0 Lacs
Pune, Maharashtra, India
On-site
Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. We are an Equal Opportunity Employer. No job applicant or employee shall receive less favorable treatment or be disadvantaged because of their gender, marital or family status, color, race, ethnic origin, religion, disability or age; nor be subject to less favorable treatment or be disadvantaged on any other basis prohibited by applicable law. For more information, please explore Veradigm.com. What Will Your Job Look Like Responsible to know and facilitate specific accounts and their unique attributes in order to successfully provide customized Our organizations RCS for each account. This is a dual position with its own workload along with oversight to train, audit and monitor the group for accurate procedures and turnaround. Ensure workflow, including collecting payments stays current and on track with regards to insurance carriers, patients, clients and internal interactions. Supports the overall Operations and Client Services by efficiently and effectively providing and reviewing account data needed for the Revenue Cycle process and delivering results. Main Duties Strong customer service skills for client satisfaction, health of client AR and guidance for RCS team members Answers client calls: prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally. Acts as initial point person for team regarding technical work questions/processes/procedures to provide training/guidance. Escalates issues to RCS Management related to clients and staff. Trains individuals on systems and workflow in order to ensure protocols are followed. Reviews and work all unpaid and denied insurance correspondence, both phone appeals and written appeals; confirm all patient demographics and insurance is current and up to date. Runs, reviews and works unpaid patient balance reports for payment by reading current notes and place for past due letters and phone calls. Prepares insurance/patient correspondence for coworkers by reviewing and batching for further attention and review. Prepares and sends uncollected patient payments to collections by writing up forms for the doctors to review. Reviews and works insurance and patient overpayments, prepare refund request and send to doctor's office. Answers phone calls from insurances and patients. Organizes, identifies and improves workflow with team members/Management through daily and weekly productivity reports and reports challenges and concerns and requests need for assistance to RCS Management. Ability to perform the duties of the Payment Entry Specialist, Charge Entry Specialist, AR Specialist and RCM Specialist roles. Keeps manager informed of progress, achievements and issues; assist staff with processes, information and workload. Achieve goals set by management and compliance requirements. Follows, and models adherence to all policies, procedures and processes. Other duties as assigned. Academic Qualifications 3+ years relevant work experience (Preferred) An Ideal Candidate Will Have Compliance Job responsibilities include fostering the Company’s compliance with all applicable laws and regulations, adherence to the Code of Conduct and Compliance Program requirements, policies and procedures. Compliance is everyone’s responsibility. Knowledge, Skills And Abilities Knowledgeable of CPT and ICD coding and medical terminology Extensive knowledge with email, search engines, Internet, ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as NextGen, Pro, Epic and others Knowledge of CPT, ICD10 and modifiers. Experience in specialties such as Psychiatry, Internal Medicine, Orthopedics, General Surgery Familiar with HMO and IPAs, Medicare Fee for Service Plans and Commercial Payers Strong communication skills Work Arrangements: Work from Pune Office all 5 days. Shift Timing: 7:30 PM IST to 4:30 AM IST (US Shift) Benefits Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish. Quarterly Company-Wide Recharge Days Peer-based incentive “Cheer” awards “All in to Win” bonus Program Tuition Reimbursement Program To know more about the benefits and culture at Veradigm, please visit the links mentioned below: - https://veradigm.com/about-veradigm/careers/benefits/ https://veradigm.com/about-veradigm/careers/culture/ Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce. Thank you for reviewing this opportunity! Does this look like a great match for your skill set? If so, please scroll down and tell us more about yourself!
Posted 2 weeks ago
3.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Position Summary... Demonstrates up-to-date expertise and applies this to the development, execution, and improvement of action plans by providing expert advice and guidance to others in the application of information and best practices; supporting and aligning efforts to meet customer and business needs; and building commitment for perspectives and rationales. Provides and supports the implementation of business solutions by building relationships and partnerships with key stakeholders; identifying business needs; determining and carrying out necessary processes and practices; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and adapting to competing demands, organizational changes, and new responsibilities. Models compliance with company policies and procedures and supports company mission, values, and standards of ethics and integrity by incorporating these into the development and implementation of business plans; using the Open Door Policy; and demonstrating and assisting others with how to apply these in executing business processes and practices. What you'll do... About the Team: The Data and Customer Analytics Team is a strategic unit dedicated to transforming data into actionable insights that drive customer-centric decision-making across the organization. Our mission is to harness the power of data to understand customer behavior, optimize business performance, and enable personalized experiences. Our team is responsible for building and maintaining a centralized, scalable, and secure data platform that consolidates customer-related data from diverse sources across the organization. This team plays a foundational role in enabling data-driven decision-making, advanced analytics, and personalized customer experiences. This team plays a critical role in building trust with customers by implementing robust privacy practices, policies, and technologies that protect personal information throughout its lifecycle. What You’ll Do Design, build, test and deploy cutting edge solutions at scale, impacting multi-billion-dollar business. Work closely with product owner and technical lead and play a major role in the overall delivery of the assigned project/enhancements. Interact with Walmart engineering teams across geographies to leverage expertise and contribute to the tech community. Provide business insights while leveraging internal tools and systems, databases and industry data. Drive the success of the implementation by applying technical skills, to design and build enhanced processes and technical solutions in support of strategic initiatives. What You’ll Bring 3-5 years experience building highly scalable, high performance, responsive web applications. Experience building customizable, reusable, and dynamic API components using Java, NodeJS, Serverless API, RESTful API and Graph QL. Experience with web Java Spring boot API deployment for server-side development with design principles Familiarity with React Navigation for handling screens & navigation Understanding of RESTful APIs & GraphQL Strong Work experience in Google Cloud platform services Strong creative, collaboration, and communication skills Ability to multitask between several different requirements and features concurrently. Familiarity with CI/CD, unit testing, automated frontend testing Build high quality code by conducting unit testing and enhancing design to prevent re-occurrences of defects Ability to perform in a team environment. Understanding of native development (Swift for iOS, Kotlin for Android) is a plus Strong expertise in Java, Spring Boot, Spring MVC, and Spring Cloud. Hands-on experience with Apache Kafka (topics, partitions, consumer groups, Kafka Streams). Solid understanding of microservices architecture and event-driven systems. Experience with RESTful APIs, OAuth, JWT, and API gateways. Proficiency in SQL (PostgreSQL, MySQL, Big Query, Big Lake GCP services) and NoSQL (MongoDB, Cassandra, DynamoDB). Knowledge of Docker, Kubernetes, and cloud platforms (Azure, AWS, or GCP). Strong debugging and performance optimization skills About Walmart Global Tech Imagine working in an environment where one line of code can make life easier for hundreds of millions of people. That’s what we do at Walmart Global Tech. We’re a team of software engineers, data scientists, cybersecurity expert's and service professionals within the world’s leading retailer who make an epic impact and are at the forefront of the next retail disruption. People are why we innovate, and people power our innovations. We are people-led and tech-empowered. We train our team in the skillsets of the future and bring in experts like you to help us grow. We have roles for those chasing their first opportunity as well as those looking for the opportunity that will define their career. Here, you can kickstart a great career in tech, gain new skills and experience for virtually every industry, or leverage your expertise to innovate at scale, impact millions and reimagine the future of retail. Flexible, hybrid work We use a hybrid way of working with primary in office presence coupled with an optimal mix of virtual presence. We use our campuses to collaborate and be together in person, as business needs require and for development and networking opportunities. This approach helps us make quicker decisions, remove location barriers across our global team, be more flexible in our personal lives. Benefits Beyond our great compensation package, you can receive incentive awards for your performance. Other great perks include a host of best-in-class benefits maternity and parental leave, PTO, health benefits, and much more. Belonging We aim to create a culture where every associate feels valued for who they are, rooted in respect for the individual. Our goal is to foster a sense of belonging, to create opportunities for all our associates, customers and suppliers, and to be a Walmart for everyone. At Walmart, our vision is "everyone included." By fostering a workplace culture where everyone is—and feels—included, everyone wins. Our associates and customers reflect the makeup of all 19 countries where we operate. By making Walmart a welcoming place where all people feel like they belong, we’re able to engage associates, strengthen our business, improve our ability to serve customers, and support the communities where we operate. Equal Opportunity Employer Walmart, Inc., is an Equal Opportunities Employer – By Choice. We believe we are best equipped to help our associates, customers and the communities we serve live better when we really know them. That means understanding, respecting and valuing unique styles, experiences, identities, ideas and opinions – while being inclusive of all people. Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Minimum Qualifications:Option 1: Bachelor's degree in computer science, information technology, engineering, information systems, cybersecurity, or related area and 2years’ experience in software engineering or related area at a technology, retail, or data-driven company. Option 2: 4 years’ experience in software engineering or related area at a technology, retail, or data-driven company. Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Certification in Security+, Network+, GISF, GSEC, CISSP, or CCSP, Master’s degree in Computer Science, Information Technology, Engineering, Information Systems, Cybersecurity, or related area Primary Location... BLOCK- 1, PRESTIGE TECH PACIFIC PARK, SY NO. 38/1, OUTER RING ROAD KADUBEESANAHALLI, , India R-2221347
Posted 2 weeks ago
3.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Title: Auditor - IPDRG Location: Hyderabad Experience: 3 -5 yrs Salary: Best in Industry Employment Type: Full Time Job Description: We are hiring Auditors - IPDRG. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations.. Roles & Responsibilities: Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical indicators in accordance with coding and documentation guidelines. Ensures that the assigned DRG reflects the severity of the patients condition and the resources used during their hospital stay. Assesses whether the clinical documentation supports the coded diagnoses and procedures. Verifies that the medical record adequately justifies the assigned DRG. ombines medical record coding guidelines, clinical principles, and industry trends to explain any recommended changes needed by coders. Works closely with CDI (Clinical Documentation Integrity) specialists to determine if there are documentation and/or query opportunities. Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to acute inpatient coders, referencing current ICD-10-CM/PCS Official Coding Guidelines and AHA Coding Clinics. Desired Candidate Profile: 3+ years of overall experience with 1+ years of experience in Quality Analysis within the healthcare / RCM domain. Knowledge of HIPAA and healthcare compliance standards. Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools. Excellent communication skills for feedback and reporting Attention to detail with strong analytical and problem-solving skills. Ability to work independently and in a team environment. 📩 Apply Now : Send your resume to mohammedismail.faisal@yitroglobal.com 📲 Or DM via WhatsApp: +91 80082 52118
Posted 2 weeks ago
3.0 - 5.0 years
0 Lacs
Noida, Uttar Pradesh, India
Remote
Senior Financial Analyst (India) – Job Description EPIC Investment Partners (“EPIC”) is looking for an enthusiastic and motivated Analyst to join its India team within its private equity and corporate finance business lines. EPIC is a privately-owned, fast growing investment firm with aggregate assets under management of c.£1 billion. EPIC invests in private equity opportunities with a target size of up to £30 million and advices on corporate finance transactions with a target size of £50 million to £1 billion. Successful candidates would have the opportunity to work on a large range of different corporate finance transactions, with direct participation and responsibility as part of the wider project teams. EPIC is based in London with a growing team in Noida. The role is based in the Noida office – which also serves as the offices of a sister organization EPIC Administration (this role is not within EPIC Administration and is related to corporate finance rather than fund administration / accounting). Members of the team have previously visited London to work directly with the London team members. Role Description and Responsibility Overview EPIC is unique in offering cross-disciplinary work experience to employees by providing them with significant experience of deal origination, execution and client interaction across private equity, corporate finance and fund placement transactions. EPIC’s highly-entrepreneurial culture provides an open, stimulating and challenging work environment in which individuals can develop a wide variety of different skill sets and transactional experience. The responsibilities of the role would include: • Supporting the origination of investment opportunities, corporate finance and fund placement mandates. • Assisting in the preparation of marketing materials. • Analyzing markets and assessing selected sectors and companies. • Building financial models. • Performing valuation analyses, including comparable transactions and publicly trading companies. • Identifying potential investors and buyers. • The position includes on the job and regular team training sessions, with a focus on personal and team development. Candidate Profile • Self-motivated and diligent in approach, with an interest to build a career in corporate finance. • Outstanding communication skills are required, in particular in written material. • Proven ability to establish effective relationships and work well within a team (working remotely or working directly with international teams is desirable). • Analytical, combining both quantitative and qualitative skills. • Proven experience in creation of company profiles, trading and transaction comparable valuation analyses. • Strong academic credentials from a top tier university. • Strong mathematical background, practical experience of corporate finance valuation techniques. • Minimum 3-5 Years of prior experience in investment banking, corporate finance, investment management or transaction-focused accounting. • Track record of personal responsibility, in particular working in a project-based environment with tight deadlines and of delivering to client expectations. • Advanced Microsoft Office skills, in particular PowerPoint and Excel. • Practical knowledge of FactSet, Capital IQ, Bloomberg or equivalent databases • Relevant professional certifications or qualifications (e.g. CFA above Level 2) will support the application.
Posted 2 weeks ago
5.0 years
0 Lacs
Chennai, Tamil Nadu, India
Remote
Job ID: SRSWENG 0725 Job Location: Chennai, India Work Mode: Hybrid Years of Experience: 5+ Yrs Educational qualifications: BE/B.Tech/M.E/M.Tech/MCA with Computer Science Engineering Specialization About Position Deevita is looking for a talented and highly motivated Senior Software Engineer (Full Stack – Java / Postgresql/ React) to be part of AI-based product development team, with experience in Core Java, Spring boot, REST APIs, React JS (UX) & hands-on with DB, CI/CD delivery tools and pipelines such as: (Jenkins, Terraform, SonarQube, Maven, Gradle, Harness, API gateways). The ideal candidate will have a strong understanding of front-end development, especially UX/UI best practices, as well as experience in back-end REST API development (Java Springboot) and database with SQL (PostgreSQL) or equivalent in healthcare industry. You will play a key role in building scalable and robust web applications, ensuring a seamless and efficient user experience, and working with the team to integrate front-end and back-end technologies. We are a team of talented engineers, fun to work with, looking to make a difference in the Health care and Life sciences industry. Join us as we work together to revolutionize the Healthcare industry in a collaborative, fast-paced work environment. Roles & Responsibilities: Develop responsive, high-performance user interfaces using React JS, following UX/UI best practices and ensuring an intuitive user experience. Collaborate with designers to translate business requirements into functional and appealing user interfaces. Create reusable React components and manage state effectively using hooks, context API, and state management libraries and cross-browser & cross-device compatibilities Design and develop and maintain server-side components (REST API), ensuring clean, efficient, and reusable code. Optimize the application for performance, scalability, and security. Design and maintain cloud-based SQL databases, ensuring high availability, security, and proper data management. Write and optimize complex SQL queries, procedures, and scripts to interact with databases efficiently.Work closely with cross-functional teams, including designers, back-end developers, and product managers, to deliver high-quality solutions. Collaborate in code reviews, ensuring adherence to coding standards and best practices. Participate in Agile development processes (stand-ups, sprints, retrospectives). Implement state management libraries (e.g., Redux, Context API) to manage application data. Write efficient, clean, and scalable code while adhering to best practices for both front-end and back-end development. Develop and deploy cloud-based solutions (Azure, AWS, etc.) to ensure scalability and reliability. Stay updated with the latest trends and best practices in web development, React.js, and Java. Required Qualifications: 5+ years’ experience with Java Springboot, React JS, JavaScript, HTML, CSS, and CI/CD tools. Master’s or Bachelor’s degree in computer science or engineering fields. (BE/B.Tech/ M.E / M.Tech, MCA) Must have at least 5+ years in React JS, Java Springboot and CI/CD tools for middle-tier development as full stack developer Hands-on experience with REST APIs development and integration. Strong hands-on experience with AWS cloud in using VM based systems development, cloud-native applications, SaaS application development & deployment in similar cloud environments. Experience working with PostgreSQL or similar relational databases. Must have industry technical certification either in React, Java/Spring technologies or application development in public cloud like AWS. Good to have experience in AWS SQL Database or any cloud-based SQL database management. Familiarity with version control systems such as Git. Must be hands-on, deeply technical and exposure to latest features within SQL Server, able to do both coding and guide group of junior/mid-level database engineers Must have excellent communication skills (English) to interface with US clients directly and verify in proficiency in all types of communication modes – Listening, Reading, Writing and Speaking Experience in developing US healthcare industry systems including SaaS services, platforms, API, User interfaces. Experience in building HIPAA compliant systems Direct experience integrating Java applications with various EHR/EMR systems (e.g., Epic, Cerner, Allscripts, Meditech) Strong understanding of system integration, cloud native solutions and cloud databases, specifically in AWS cloud Preferred Qualifications: Hands-on experience with interoperability standards like HL7, FHIR, DICOM Experience with healthcare integration engines or platforms that facilitate data exchange between disparate systems. Experience with integrating software with medical devices (e.g., physiological monitors, lab equipment). Experience with documenting and maintaining test results for regulatory purposes. Hands-on experience in integrating biometric identity and payment systems like Amazon One Benefits Industry Competitive Compensation package Exposure to work on advanced technologies and excellent career growth opportunities both technical and organization level Paid Time off (EL, SL, CL) , Health Insurance coverage Hybrid /Remote Work From Home About us DeeVita is a dynamic and growing organization, providing advanced technology services and solutions to enterprise customers in USA over the last decade. Deevita specializes in Data, analytics, AI, and Cloud Solutions & product development services from startups to enterprise customers.
Posted 2 weeks ago
1.0 - 5.0 years
5 - 9 Lacs
Navi Mumbai, Maharashtra, India
On-site
Key Responsibilities Verify patient insurance eligibility and benefits via payer portals, IVR, and live calls. Confirm policy details: coverage status, co-pays, deductibles, co-insurance, out-of-pocket limits, and prior authorization requirements. Document verification results accurately in client systems or EMRs. Coordinate with internal billing and coding teams to ensure clean claims submission. Update payer and patient details based on verification findings. Follow HIPAA and data security guidelines at all times. Meet daily productivity and accuracy targets. Escalate discrepancies or issues to the supervisor promptly. Qualifications & Skills Graduate in any stream (preferred: commerce, life sciences, or healthcare). 12 years of experience in U.S. healthcare insurance verification (preferred). Familiarity with payer portals (e.g., Availity, Navinet) and IVR systems. Knowledge of major U.S. insurance companies (Medicare, Medicaid, BCBS, UHC, Aetna, etc.). Good English communication and comprehension skills. Proficiency in MS Office and basic medical terminology. Ability to work in night shifts or U.S. time zones (if applicable). Preferred Attributes Prior experience in EV, BV, or prior authorization process. Team player with strong attention to detail and time management. Experience with EMR systems like eClinicalWorks, Epic, or Kareo is a plus.
Posted 2 weeks ago
3.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Title: Auditor - IPDRG Location: [Hyderabad] Experience: 3 -5 Salary: Best in Industry Employment Type: Full Time Job Description: We are hiring Auditors - IPDRG. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations.. Roles & Responsibilities: Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG assignment and clinical indicators in accordance with coding and documentation guidelines. Ensures that the assigned DRG reflects the severity of the patients condition and the resources used during their hospital stay. Assesses whether the clinical documentation supports the coded diagnoses and procedures. Verifies that the medical record adequately justifies the assigned DRG. ombines medical record coding guidelines, clinical principles, and industry trends to explain any recommended changes needed by coders. Works closely with CDI (Clinical Documentation Integrity) specialists to determine if there are documentation and/or query opportunities. Writes clear, accurate and concise recommendations in support of findings while providing feedback and education to acute inpatient coders, referencing current ICD-10-CM/PCS Official Coding Guidelines and AHA Coding Clinics. Desired Candidate Profile: 3+ years of overall experience with 1+ years of experience in Quality Analysis within the healthcare / RCM domain. Knowledge of HIPAA and healthcare compliance standards. Proficiency in using billing software (e.g., Epic, Athena, Kareo) and QA tools. Excellent communication skills for feedback and reporting Attention to detail with strong analytical and problem-solving skills. Ability to work independently and in a team environment.
Posted 2 weeks ago
0 years
0 Lacs
Gurugram, Haryana, India
On-site
🎮 Calling All Art Bosses! Are you the Picasso of polygons? The Da Vinci of digital worlds? Well, it’s time to LEVEL UP. 🚨 We're hiring an Art Lead for AAA Games! Think epic worlds, jaw-dropping visuals, and leading badass art teams across multiple titles. If you're all about next-gen pipelines, creative direction, and mentoring future art stars — we’re talking to you. 🔍 What we’re looking for: Degree in Fine Arts / Digital Art (preferred) 8+ yrs crafting stunning AAA game art 3+ yrs leading & mentoring teams Adobe Suite, Maya, ZBrush, you name it Strong eye for visual storytelling & game aesthetics Leadership + Creativity + Tech = YOU 💼 Reporting to: Associate Art Director / Art Director 📍 Location: Haryana, India (Onsite) Full-time | Multiple projects | Full-throttle creativity 🧠 You’ll be: Leading & inspiring teams Owning the creative vision Building smooth pipelines Managing timelines AND good vibes Solving problems like a boss This ain’t your average 9–5 — it’s where passion meets pixels. Think you’ve got what it takes to lead the art revolution? 💫 📩 Slide into our DMs or drop your portfolio. Let’s build worlds together. saumya@skyleaf.global
Posted 2 weeks ago
5.0 years
0 Lacs
Chennai, Tamil Nadu, India
Remote
Position Summary... What you'll do... Verification Specialist, EBS Supplier Quality Services Our Company We help people around the world save money and live better -- anytime and anywhere -- in retail stores, online and through their mobile devices. Each week more than 230+ million customers and members visit our 11000+ stores under 69 banners in 27 countries and e-commerce websites in 10 countries. With last year’s fiscal year revenues of approximately $648 billion and 2.2 million employees worldwide, Walmart is simply the largest retail business in the world. And we also happen to be number one in the Fortune 500 list. In Global Technology Services Gurgaon, we aggregate back-office operations from different market and deliver the centralized services to leverage the volume and help the business to achieve everyday low-cost operations. Our Team Global Business Services (GBS) team is creating sustainable competitive advantage through flawless execution strategy and shared service environment to deliver services like Sourcing, Procurement, Vendor Onboarding, Contract Management, SAP Governance, Telecom Expense Management and Reporting to our internal stakeholders. As part of Walmart Technology, we create game-changing solutions and streamline operations by reinventing how we save Walmart money through designing and automating processes which save time. Your Opportunity You will be a member of Global Business Services supporting the Inbound Transportation team. As a part of this team, you will be responsible for day-to-day tasks and duties relating to the transit of freight. An individual in this position will be expected to perform additional job-related responsibilities and duties as assigned and/or necessary. Also, the individual in this position will have to work in night shift as required by the business. Essential Functions An individual must be able to successfully perform the essential functions of this position with or without reasonable accommodation Supports assigned business area in the development of strategies, practices, systems, and activities by conducting analyses of initiatives to understand and communicate existing trends; analyzing and interpreting data; and translating data analysis into recommendations that are aligned with business objectives. Completes work assignments and priorities by using policies, data, and resources; collaborating with managers, co-workers, customers, and other business partners; identifying priorities, deadlines, and expectations; carrying out tasks; communicating progress and information; determining and recommending ways to address improvement opportunities; and adapting to and learning from change, difficulties, and feedback. Manages compliance with local, state, and federal laws and regulations, and company policies and procedures by analyzing and interpreting reports; implementing and monitoring human resource compliance processes; implementing action plans to improve performance; and ensuring confidentiality of information, documentation, and assigned records. Complies with company policies, procedures, and standards of ethics and integrity by implementing related action plans; using the Open Door Policy; and applying these in executing business processes and practices. Manages customer service on escalated issues by handling incoming and outgoing correspondence to various internal and external customers; following up on concerns and challenges; providing technical support on benefits systems and websites; providing benefits education; researching complex benefits questions and issues to resolve problems; communicating systems problems and resolution proposals to senior leadership and third-party administrators; handling escalated service issues, including calls with attorneys and plaintiffs; keying complex manual enrollments for associates; and serving as a liaison between departments, third-party administrators, and various internal and external customers to resolve highly complex issues and concerns. Manages equipment, software, and network requests by submitting requests for technical equipment, hardware, workstations, and software; requesting loaner equipment when necessary; creating user accounts and changes in the systems; following up on the status of personal computer requests; working with vendors on upgrades, enhancements and maintenance of systems and equipment; creating documentation and internal document tasks for department training, and training material as needed to educate customers; and ensuring day-to-day desktop local area network administration, maintenance, and user support for desktop computers, network connectivity, servers, infrastructure design and implementation. Manages security access for associates and vendors by entering information into appropriate software application; following security protocols; backing-up hard-drives to maintain confidential information; performing home validation visits to set up access and a secure environment for remote access users; and monitoring annual service and responding to questions regarding security access. Leadership Expectations: Respect for the Individual: Demonstrates and encourages respect for others; drives a positive associate and customer/member experience for all; embraces differences in people, cultures, ideas, and experiences; supports workplaces where associated feel seen and connected through a culture of belonging, so all associates thrive and perform; contributes to an environment allowing everyone to bring their best selves to work. Respect for the Individual: Demonstrates engagement and commitment to the team, developing others through feedback, coaching, mentoring, and developmental opportunities; and recognizes others’ contributions and accomplishments. Respect for the Individual: Builds strong and trusting relationships with team members and business partners; works collaboratively to achieve objectives; communicates with impact and listens attentively to a range of audiences; and demonstrates energy and positivity for own work. Acts with Integrity: Maintains and promotes the highest standards of integrity, ethics and compliance; models the Walmart values and leads by example to foster our culture; supports Walmart’s goal of becoming a regenerative company by making a positive impact for associates, customers, members, and the world around us. Acts with Integrity: Follows the law, our code of conduct and company policies, and encourages others to do the same; supports an environment where associates feel comfortable sharing concerns; reinforces our culture of non-retaliation; listens to concerns raised by associates and acts; acts with accountability for achieving results in a way that is consistent with our values. Acts with Integrity: Is consistently humble, self-aware, honest, and transparent. Service to the Customer/Member: Delivers results while putting the customer/member first and applying an omni-merchant mindset and acts with an Every Day Low-Cost mindset to drive value and Every Day Low Prices for customers/members. Service to the Customer/Member: Adopts a broad perspective that considers data, analytics, customer/member insights, and different parts of the business when making plans. Strive for Excellence: Consistently raises the bar and seeks to improve; demonstrates curiosity and a growth mindset; seeks feedback, asks thoughtful questions; supports innovation and intelligent risk-taking; and exhibits resilience in the face of setbacks. Strive for Excellence: Implements and support continuous improvements and willingly embraces new digital tools and ways of working. Physical Activities: Visually verifies information, often in small print Reads information, often in small print Creates documents, reports, etc. using writing instruments or computer Communicated effectively in person or by using telecommunications equipment Enters and locates information on computer Shift Model 2:00 pm to 2:30 am IST hours window. 5 days working with roster off. Flexible working in US and regular IST shift. Qualifications & Skills 5+ years’ experience in accounting (accounts payable / accounts receivable), finance, payroll, information systems, or related area. 5+ years’ experience using intermediate functionalities of Microsoft Office 1 year experience using SAP / S4 Bachelor’s degree in accounting, Finance, Mathematics, Information Technology, or related field. 2 years’ experience in benefits management, customer service, regulatory compliance, or related area Prior Distribution Center experience Our Ideal Candidate Identifies the requirements, expectations, and needs of customers/members. Supports and aligns with initiatives, goals, and actions focused on improving customer/member service. Addresses the concerns and issues of internal and external customers/members. Uses customer/member data, analyses, and insights to improve customer/member-related decisions. Aligns and pursues work activities to achieve the mission and business priorities of the organization. Shares information, practices, and resources across functions, organizations, and locations to improve performance. Effectively uses existing processes and tools to achieve performance objectives. Uses and explains major process steps to manage time, resources, and challenges to meet goals. Integrates relevant information and data and uses expertise to make recommendations or decisions. Identifies and applies sound, fact-based criteria in setting priorities and making decisions. Uses business measures and analyses to identify improvement opportunities. Probes and looks beyond symptoms to determine the root causes of problems and identify possible solutions. Develops and presents logical, convincing reasons in support of one’s perspectives and initiatives. Proactively shares relevant information and timely updates with appropriate people. Listens attentively and asks questions to ensure understanding. Complies with policies and procedures. Demonstrates ethical performance. Supports efforts to enforce compliance with policies and procedures. About Walmart Global Tech Imagine working in an environment where one line of code can make life easier for hundreds of millions of people. That’s what we do at Walmart Global Tech. We’re a team of software engineers, data scientists, cybersecurity expert's and service professionals within the world’s leading retailer who make an epic impact and are at the forefront of the next retail disruption. People are why we innovate, and people power our innovations. We are people-led and tech-empowered. We train our team in the skillsets of the future and bring in experts like you to help us grow. We have roles for those chasing their first opportunity as well as those looking for the opportunity that will define their career. Here, you can kickstart a great career in tech, gain new skills and experience for virtually every industry, or leverage your expertise to innovate at scale, impact millions and reimagine the future of retail. Flexible, hybrid work We use a hybrid way of working with primary in office presence coupled with an optimal mix of virtual presence. We use our campuses to collaborate and be together in person, as business needs require and for development and networking opportunities. This approach helps us make quicker decisions, remove location barriers across our global team, be more flexible in our personal lives. Benefits Beyond our great compensation package, you can receive incentive awards for your performance. Other great perks include a host of best-in-class benefits maternity and parental leave, PTO, health benefits, and much more. Belonging We aim to create a culture where every associate feels valued for who they are, rooted in respect for the individual. Our goal is to foster a sense of belonging, to create opportunities for all our associates, customers and suppliers, and to be a Walmart for everyone. At Walmart, our vision is "everyone included." By fostering a workplace culture where everyone is—and feels—included, everyone wins. Our associates and customers reflect the makeup of all 19 countries where we operate. By making Walmart a welcoming place where all people feel like they belong, we’re able to engage associates, strengthen our business, improve our ability to serve customers, and support the communities where we operate. Equal Opportunity Employer Walmart, Inc., is an Equal Opportunities Employer – By Choice. We believe we are best equipped to help our associates, customers and the communities we serve live better when we really know them. That means understanding, respecting and valuing unique styles, experiences, identities, ideas and opinions – while being inclusive of all people. Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Option 1: Bachelor's degree in accounting, finance, information technology, business, or related area. Option 2: 2 years' experience in accounting, finance, information technology, or related area. Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Primary Location... Rmz Millenia Business Park, No 143, Campus 1B (1St -6Th Floor), Dr. Mgr Road, (North Veeranam Salai) Perungudi , India R-2236436
Posted 2 weeks ago
5.0 years
0 Lacs
Chennai, Tamil Nadu, India
Remote
Position Summary... What you'll do... Verification Specialist, EBS Supplier Quality Services Our Company We help people around the world save money and live better -- anytime and anywhere -- in retail stores, online and through their mobile devices. Each week more than 230+ million customers and members visit our 11000+ stores under 69 banners in 27 countries and e-commerce websites in 10 countries. With last year’s fiscal year revenues of approximately $648 billion and 2.2 million employees worldwide, Walmart is simply the largest retail business in the world. And we also happen to be number one in the Fortune 500 list. In Global Technology Services Gurgaon, we aggregate back-office operations from different market and deliver the centralized services to leverage the volume and help the business to achieve everyday low-cost operations. Our Team Global Business Services (GBS) team is creating sustainable competitive advantage through flawless execution strategy and shared service environment to deliver services like Sourcing, Procurement, Vendor Onboarding, Contract Management, SAP Governance, Telecom Expense Management and Reporting to our internal stakeholders. As part of Walmart Technology, we create game-changing solutions and streamline operations by reinventing how we save Walmart money through designing and automating processes which save time. Your Opportunity You will be a member of Global Business Services supporting the Inbound Transportation team. As a part of this team, you will be responsible for day-to-day tasks and duties relating to the transit of freight. An individual in this position will be expected to perform additional job-related responsibilities and duties as assigned and/or necessary. Also, the individual in this position will have to work in night shift as required by the business. Essential Functions An individual must be able to successfully perform the essential functions of this position with or without reasonable accommodation Supports assigned business area in the development of strategies, practices, systems, and activities by conducting analyses of initiatives to understand and communicate existing trends; analyzing and interpreting data; and translating data analysis into recommendations that are aligned with business objectives. Completes work assignments and priorities by using policies, data, and resources; collaborating with managers, co-workers, customers, and other business partners; identifying priorities, deadlines, and expectations; carrying out tasks; communicating progress and information; determining and recommending ways to address improvement opportunities; and adapting to and learning from change, difficulties, and feedback. Manages compliance with local, state, and federal laws and regulations, and company policies and procedures by analyzing and interpreting reports; implementing and monitoring human resource compliance processes; implementing action plans to improve performance; and ensuring confidentiality of information, documentation, and assigned records. Complies with company policies, procedures, and standards of ethics and integrity by implementing related action plans; using the Open Door Policy; and applying these in executing business processes and practices. Manages customer service on escalated issues by handling incoming and outgoing correspondence to various internal and external customers; following up on concerns and challenges; providing technical support on benefits systems and websites; providing benefits education; researching complex benefits questions and issues to resolve problems; communicating systems problems and resolution proposals to senior leadership and third-party administrators; handling escalated service issues, including calls with attorneys and plaintiffs; keying complex manual enrollments for associates; and serving as a liaison between departments, third-party administrators, and various internal and external customers to resolve highly complex issues and concerns. Manages equipment, software, and network requests by submitting requests for technical equipment, hardware, workstations, and software; requesting loaner equipment when necessary; creating user accounts and changes in the systems; following up on the status of personal computer requests; working with vendors on upgrades, enhancements and maintenance of systems and equipment; creating documentation and internal document tasks for department training, and training material as needed to educate customers; and ensuring day-to-day desktop local area network administration, maintenance, and user support for desktop computers, network connectivity, servers, infrastructure design and implementation. Manages security access for associates and vendors by entering information into appropriate software application; following security protocols; backing-up hard-drives to maintain confidential information; performing home validation visits to set up access and a secure environment for remote access users; and monitoring annual service and responding to questions regarding security access. Leadership Expectations: Respect for the Individual: Demonstrates and encourages respect for others; drives a positive associate and customer/member experience for all; embraces differences in people, cultures, ideas, and experiences; supports workplaces where associated feel seen and connected through a culture of belonging, so all associates thrive and perform; contributes to an environment allowing everyone to bring their best selves to work. Respect for the Individual: Demonstrates engagement and commitment to the team, developing others through feedback, coaching, mentoring, and developmental opportunities; and recognizes others’ contributions and accomplishments. Respect for the Individual: Builds strong and trusting relationships with team members and business partners; works collaboratively to achieve objectives; communicates with impact and listens attentively to a range of audiences; and demonstrates energy and positivity for own work. Acts with Integrity: Maintains and promotes the highest standards of integrity, ethics and compliance; models the Walmart values and leads by example to foster our culture; supports Walmart’s goal of becoming a regenerative company by making a positive impact for associates, customers, members, and the world around us. Acts with Integrity: Follows the law, our code of conduct and company policies, and encourages others to do the same; supports an environment where associates feel comfortable sharing concerns; reinforces our culture of non-retaliation; listens to concerns raised by associates and acts; acts with accountability for achieving results in a way that is consistent with our values. Acts with Integrity: Is consistently humble, self-aware, honest, and transparent. Service to the Customer/Member: Delivers results while putting the customer/member first and applying an omni-merchant mindset and acts with an Every Day Low-Cost mindset to drive value and Every Day Low Prices for customers/members. Service to the Customer/Member: Adopts a broad perspective that considers data, analytics, customer/member insights, and different parts of the business when making plans. Strive for Excellence: Consistently raises the bar and seeks to improve; demonstrates curiosity and a growth mindset; seeks feedback, asks thoughtful questions; supports innovation and intelligent risk-taking; and exhibits resilience in the face of setbacks. Strive for Excellence: Implements and support continuous improvements and willingly embraces new digital tools and ways of working. Physical Activities: Visually verifies information, often in small print Reads information, often in small print Creates documents, reports, etc. using writing instruments or computer Communicated effectively in person or by using telecommunications equipment Enters and locates information on computer Shift Model 2:00 pm to 2:30 am IST hours window. 5 days working with roster off. Flexible working in US and regular IST shift. Qualifications & Skills 5+ years’ experience in accounting (accounts payable / accounts receivable), finance, payroll, information systems, or related area. 5+ years’ experience using intermediate functionalities of Microsoft Office 1 year experience using SAP / S4 Bachelor’s degree in accounting, Finance, Mathematics, Information Technology, or related field. 2 years’ experience in benefits management, customer service, regulatory compliance, or related area Prior Distribution Center experience Our Ideal Candidate Identifies the requirements, expectations, and needs of customers/members. Supports and aligns with initiatives, goals, and actions focused on improving customer/member service. Addresses the concerns and issues of internal and external customers/members. Uses customer/member data, analyses, and insights to improve customer/member-related decisions. Aligns and pursues work activities to achieve the mission and business priorities of the organization. Shares information, practices, and resources across functions, organizations, and locations to improve performance. Effectively uses existing processes and tools to achieve performance objectives. Uses and explains major process steps to manage time, resources, and challenges to meet goals. Integrates relevant information and data and uses expertise to make recommendations or decisions. Identifies and applies sound, fact-based criteria in setting priorities and making decisions. Uses business measures and analyses to identify improvement opportunities. Probes and looks beyond symptoms to determine the root causes of problems and identify possible solutions. Develops and presents logical, convincing reasons in support of one’s perspectives and initiatives. Proactively shares relevant information and timely updates with appropriate people. Listens attentively and asks questions to ensure understanding. Complies with policies and procedures. Demonstrates ethical performance. Supports efforts to enforce compliance with policies and procedures. About Walmart Global Tech Imagine working in an environment where one line of code can make life easier for hundreds of millions of people. That’s what we do at Walmart Global Tech. We’re a team of software engineers, data scientists, cybersecurity expert's and service professionals within the world’s leading retailer who make an epic impact and are at the forefront of the next retail disruption. People are why we innovate, and people power our innovations. We are people-led and tech-empowered. We train our team in the skillsets of the future and bring in experts like you to help us grow. We have roles for those chasing their first opportunity as well as those looking for the opportunity that will define their career. Here, you can kickstart a great career in tech, gain new skills and experience for virtually every industry, or leverage your expertise to innovate at scale, impact millions and reimagine the future of retail. Flexible, hybrid work We use a hybrid way of working with primary in office presence coupled with an optimal mix of virtual presence. We use our campuses to collaborate and be together in person, as business needs require and for development and networking opportunities. This approach helps us make quicker decisions, remove location barriers across our global team, be more flexible in our personal lives. Benefits Beyond our great compensation package, you can receive incentive awards for your performance. Other great perks include a host of best-in-class benefits maternity and parental leave, PTO, health benefits, and much more. Belonging We aim to create a culture where every associate feels valued for who they are, rooted in respect for the individual. Our goal is to foster a sense of belonging, to create opportunities for all our associates, customers and suppliers, and to be a Walmart for everyone. At Walmart, our vision is "everyone included." By fostering a workplace culture where everyone is—and feels—included, everyone wins. Our associates and customers reflect the makeup of all 19 countries where we operate. By making Walmart a welcoming place where all people feel like they belong, we’re able to engage associates, strengthen our business, improve our ability to serve customers, and support the communities where we operate. Equal Opportunity Employer Walmart, Inc., is an Equal Opportunities Employer – By Choice. We believe we are best equipped to help our associates, customers and the communities we serve live better when we really know them. That means understanding, respecting and valuing unique styles, experiences, identities, ideas and opinions – while being inclusive of all people. Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Option 1: Bachelor's degree in accounting, finance, information technology, business, or related area. Option 2: 2 years' experience in accounting, finance, information technology, or related area. Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Primary Location... Rmz Millenia Business Park, No 143, Campus 1B (1St -6Th Floor), Dr. Mgr Road, (North Veeranam Salai) Perungudi , India R-2236449
Posted 2 weeks ago
8.0 years
0 Lacs
Pune/Pimpri-Chinchwad Area
On-site
A global, digitally enabled business that empowers a brighter future by connecting millions of people with their assets – safely, securely and responsibly. Through our two businesses MUFG Retirement Solutions and MUFG Corporate Markets, we partner with a diversified portfolio of global clients to provide robust, efficient and scalable services, purpose-built solutions and modern technology platforms that deliver world class outcomes and experiences. A member of MUFG, a global financial group, we help manage regulatory complexity, improve data management and connect people with their assets, through exceptional user experience that leverages the expertise of our people combined with scalable technology, digital connectivity and data insights. Overview As a Senior Business Analyst, you will work with Project Managers, business unit leaders, cross-functional team members and other senior leadership roles to ensure that business and technical requirements for projects are documented, agreed, and delivered through all phases of the Project. You will assist as a team player across a range of other project activities, including preparation of reports and briefs for Senior leadership consumption and decision making, coordinating resources, and other activities. This helps to balance the workload within the Portfolio and Squad teams, grow new skills and meet a culture of teamwork and collaboration. You will facilitate workshops for the business and technical requirements generated, gather feedback, adjust as required and obtain formal sign off from senior leadership and Sponsors, and other stakeholders as required. You will be experienced in delivering quality documentation for both Business Requirements and their corresponding Functional Specifications (Technical Requirements) as well as screen flows, all at a high level of quality. You will be experienced in project lifecycle standards, different Methodologies and how best to leverage tools and people to extract the right information, in the right way, to meet a common set of objectives. You will be focused on delivering through appropriate standards and Practices within agreed scope , budget and timelines. You will be experienced in working in team/collaborative environments, have strong interpersonal skills, be able to build strong relationships, work with a variety of stakeholders and understand how to work Ambiguity at times. Working with the Portfolio Manager, you will also identify and implement ways to continually improve the operation of your role to support other activities across the Portfolio, Squads and functional area. Key Accountabilities and main responsibilities Strategic Focus Help to define business problems via in-depth investigation and gathering of technical and non-technical information Outline detailed requirements for a solution and ensure the delivered solution meets those business requirements Apply creative thinking and work collaboratively with teams to solve business challenges Traceability between the technical and functional requirements and the development and then testing of same in case of Technology Projects Operational Management Gather, validate and document business requirements/use cases. Analyse data to inform / validate opportunities and requirements Model business processes and identify opportunities for process improvements. Assist with production of specifications that implement the behaviours described by the Project Working from the features and needs defined by the project vision, identify requirements/user stories, and use cases that describe the scope of the project Support/perform functional testing, investigating and feeding back issues to Developers Ensure that testing is appropriately documented, with evidence recorded Provide input to and/or support business readiness to ensure smooth implementation and transition to BAU Create business level user acceptance criteria for each feature from baseline requirements Identify stakeholders and facilitate discussions or workshops with the purpose of eliciting and understanding stakeholder needs, requirements, and priorities Collaborate with business and technical stakeholders to understand requirements and their priority Facilitate workshops Contribute to ensuring high quality standards through peer review and quality assurance of documents and deliverables. Identify stakeholders and facilitate discussions or workshops with the purpose of eliciting and understanding stakeholder needs, requirements, and priorities Understand the customer experience, how they may use the product/service and how that will influence both your Business and Technical Requirements Apply creative thinking and work collaboratively with teams to solve business challenges, further supporting the documentation of clear, concise and accurate requirements. Developing, maintaining, and improving Analyst methodologies and processes ie. Contribute to Continuous improved Developing dashboards, graphics, and reports for Portfolio consumption on relevant matters, such as Requirement/Epic/Story cut through Analyse backlogs and be aware of upcoming works, potential Analysis synergies that can be created between projects within the portfolios for efficiency gains Store and Host the Business Requirements and Technical requirements in a way that continually builds out the knowledge base for future project use Chair and facilitate a centre of excellence for the Analyst roles across the division Make portfolio level recommendations pertaining to work place continuous improvement opportunities, role efficiency gains, as well as other aspects of delivery as and when the opportunity arises People Leadership Provide leadership to team members and peers through collaboration, mentoring and knowledge sharing Driving the resolution of issues through engagement of peers and stakeholders across project and business functions Hold self and team accountable for results with a strong focus on delivering value Build productive and professional relationships with key stakeholders, other cross-functional team members and Senior Leadership roles Governance & Risk Identify issues, risks and benefits of existing and proposed solutions and outline business impacts Drive business improvements through visibility of ongoing quality issues and initiatives Review team working practices/procedures to identify opportunities to improve quality or productivity The above list of key accountabilities is not an exhaustive list and may change from time-to-time based on business needs. Experience & Personal Attributes 8 years of Experience into Business Requirements and Technical Requirements Well-practiced and experienced in project management fundamentals and how the Analyst role contributes to them (estimation, project planning, resource planning, issue management, risk management, change management, communication planning) Demonstrated ability to lead others either formally or informally to achieve outcomes Demonstrated experience in Technical Writing, Process mapping Procedure documentation and improvement initiatives Excellent written and verbal communication skills Strong analytical and problem-solving skills Strong facilitation and presentation skills Strong organisation and planning skills Tertiary qualifications in IT, Business or a related discipline Passionate about solving customer and business problems Working knowledge of work management tools like JIRA, Confluence, etc. Well conversant with Agile and waterfall methodologies Good domain knowledge of Capital markets (Superannuation and Investment Administration) Strong focus on business requirements, user stories, process (re)engineering and creation/management of project artefacts Ability to work with both business and technical stakeholders at varying levels of seniority and experience Ability to manage own time, working independently and seeking guidance from others where required to meet specified objectives within given deadlines Strong expertise in MS Visio – Mandatory Preferred Tertiary qualification in Information Technology or related Discipline is preferred in case of Technical Skillset Microsoft Certification is preferred in case of technical skillsets – MCTS (Microsoft Certified Technology Specialist) , MCIP (Microsoft Certified IT Professional) Broad knowledge or exposure to financial services/ banking/ accounting applications Experience working with Windows server, including Active Directory and proper disk configurations The above list of key accountabilities is not an exhaustive list and may change from time to time based on business needs. In addition, as the role is part of a global team travel and flexibility to work outside standard hours may be required in this role.
Posted 2 weeks ago
5.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Job Description: Outpatient Clinical Documentation Improvement (CDI) Specialist: Position Summary: The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for ensuring the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. This role collaborates with healthcare providers, coding staff, and compliance teams to improve documentation quality, support accurate coding, and ensure appropriate reimbursement while maintaining regulatory compliance. The CDI Specialist plays a critical role in enhancing patient care quality, data integrity, and revenue cycle efficiency in an outpatient setting. Key Responsibilities: · Documentation Review: Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient’s clinical condition, treatment, and services provided. · Provider Education: Collaborate with physicians, nurse practitioners, and other healthcare providers to educate them on documentation best practices, including specificity and completeness to support accurate coding and billing. · Query Process: Issue compliant, non-leading queries to providers to clarify ambiguous, incomplete, or conflicting documentation, ensuring alignment with ICD-10-CM, CPT, and Outpatient coding guidelines. · Coding Support: Work closely with coding and billing teams to ensure documentation supports appropriate code assignment, risk adjustment, and reimbursement. · Compliance: Ensure documentation meets regulatory requirements, including CMS, HIPAA, and other federal and state guidelines, to minimize audit risks. · Data Analysis: Monitor and analyze documentation trends to identify opportunities for improvement in clinical documentation processes and provider education. · Quality Improvement: Participate in quality improvement initiatives to enhance patient outcomes, documentation accuracy, and organizational performance metrics. Qualifications: Education: Science Graduate or Postgraduate. Experience: Minimum of 5 years of experience in clinical documentation improvement, medical coding, or outpatient healthcare settings. Strong knowledge of outpatient coding methodologies (ICD-10-CM, CPT, HCPCS) and risk adjustment models. Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Skills: Excellent understanding of clinical terminology, disease processes, and treatment protocols. Strong analytical skills to interpret clinical documentation and identify gaps. Exceptional communication and interpersonal skills to engage with providers and interdisciplinary teams. Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications Experience in outpatient or ambulatory care settings, such as clinics, physician practices, or urgent care facilities. Knowledge of value-based care models and their impact on documentation and reimbursement. Familiarity with payer-specific documentation requirements (e.g., Medicare Advantage, Medicaid). Requires the ability to work independently and collaboratively in a fast-paced environment. Why Join Us? This role offers a unique opportunity to make a meaningful impact on healthcare quality and reimbursement accuracy. Join a collaborative and supportive team committed to excellence in clinical documentation, compliance, and patient outcomes at Doctus. Take the Next Step in Your CDI Career: Apply now and play a key role in shaping the future of clinical documentation integrity! How to Apply Please submit a resume and cover letter to recruiter@doctususa.com . Please include “ Outpatient CDI Specialist Application ” in the subject line.
Posted 2 weeks ago
15.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Position Summary... What you'll do... About the team: Strat Ops team is invested in building a compact, robust organization that includes service operations and technology solutions for IDC. We work to provide world class experience to more than 15k Walmart associates. Team is looking for a strong Staff Software Engineer who will drive building next generation Strat Ops suite of products and platform by designing, coding, building and deploying highly scalable and robust cloud based solutions. The role is expected to make a difference to the products in terms of the design and contribute towards identifying technical risks and find alternate solutions to various problems. In addition to that, the role also demands to lead, motivate, mentor and provide ample guidance to the other team members with respect to technical challenges. What You’ll Do : Technical Leadership : Provide technical guidance and mentorship to the POD team, fostering a culture of innovation and excellence. Architecture and Design : Lead the design and architecture of StartOps portals and software systems, ensuring scalability, performance, and maintainability. Apply Platform first approach to design. Development : Hands-on development of high-quality software solutions using the latest technologies and best practices. Code Reviews : Conduct thorough code reviews to ensure code quality, security, and adherence to industry standards. Collaboration : Collaborate with cross-functional teams to refine project requirements, timelines, and deliverables. Continuous Improvement : Stay up-to-date with emerging technologies and industry trends, and drive continuous improvement initiatives within the team. Problem Solving : Identify and resolve technical challenges, ensuring the successful delivery of projects. What You’ll bring : Experience : 12~15 years of experience in software development, with a strong focus on modern technologies and frameworks. Technical Skills : Front-End : Expertise in React, or Vue.js. Back-End : Proficiency in Node.js, Python, Java. Database : Experience with SQL and NoSQL databases such as AzureSQL, MongoDB and GraphDB like MilvusDB. Cloud : Hands-on experience with AWS, Azure, or Google Cloud Platform. DevOps : Hands-on experience implementing CI/CD pipelines using Custom Docker, Kubernetes, and infrastructure as code. Testing : Familiarity with automated testing frameworks such as Jest, Mocha, Cypress, or Selenium. Leadership : Proven experience in leading and mentoring development teams. Problem Solving : Strong analytical and problem-solving skills. Communication : Excellent verbal and written communication skills, with the ability to convey complex technical concepts to non-technical stakeholders. Education : Bachelor's or Master's degree in Computer Science, Engineering, or a related field. About Walmart Global Tech Imagine working in an environment where one line of code can make life easier for hundreds of millions of people. That’s what we do at Walmart Global Tech. We’re a team of software engineers, data scientists, cybersecurity expert's and service professionals within the world’s leading retailer who make an epic impact and are at the forefront of the next retail disruption. People are why we innovate, and people power our innovations. We are people-led and tech-empowered. We train our team in the skillsets of the future and bring in experts like you to help us grow. We have roles for those chasing their first opportunity as well as those looking for the opportunity that will define their career. Here, you can kickstart a great career in tech, gain new skills and experience for virtually every industry, or leverage your expertise to innovate at scale, impact millions and reimagine the future of retail. Flexible, hybrid work We use a hybrid way of working with primary in office presence coupled with an optimal mix of virtual presence. We use our campuses to collaborate and be together in person, as business needs require and for development and networking opportunities. This approach helps us make quicker decisions, remove location barriers across our global team, be more flexible in our personal lives. Benefits Beyond our great compensation package, you can receive incentive awards for your performance. Other great perks include a host of best-in-class benefits maternity and parental leave, PTO, health benefits, and much more. Belonging We aim to create a culture where every associate feels valued for who they are, rooted in respect for the individual. Our goal is to foster a sense of belonging, to create opportunities for all our associates, customers and suppliers, and to be a Walmart for everyone. At Walmart, our vision is "everyone included." By fostering a workplace culture where everyone is—and feels—included, everyone wins. Our associates and customers reflect the makeup of all 19 countries where we operate. By making Walmart a welcoming place where all people feel like they belong, we’re able to engage associates, strengthen our business, improve our ability to serve customers, and support the communities where we operate. Equal Opportunity Employer Walmart, Inc., is an Equal Opportunities Employer – By Choice. We believe we are best equipped to help our associates, customers and the communities we serve live better when we really know them. That means understanding, respecting and valuing unique styles, experiences, identities, ideas and opinions – while being inclusive of all people. Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Minimum Qualifications:Option 1: Bachelor's degree in computer science, computer engineering, computer information systems, software engineering, or related area and 4 years’ experience in software engineering or related area.Option 2: 6 years’ experience in software engineering or related area. Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Master’s degree in Computer Science, Computer Engineering, Computer Information Systems, Software Engineering, or related area and 2 years' experience in software engineering or related area Primary Location... Rmz Millenia Business Park, No 143, Campus 1B (1St -6Th Floor), Dr. Mgr Road, (North Veeranam Salai) Perungudi , India R-2237197
Posted 2 weeks ago
3.0 - 5.0 years
0 Lacs
Pune, Maharashtra, India
On-site
We’re #Hiring : #MedicalDocumentationReviewer | Pune, India (On-site) Join our team as a #MedicalDocumentationReviewer , where you'll leverage your clinical expertise and passion for medical data to enhance AI-driven healthcare solutions. 🔹Experience: 3 to 5 years 🔹 Location: Work from Office | Pune, India 🔹 Job Type: Full-time 🔹 Notice Period: Immediate Joiners / 15-30 Days Key Responsibilities: ✔ Clinical Data Annotation Use your healthcare expertise to annotate and label electronic health records, clinical notes, discharge summaries, and trial documentation with precision and care. ✔ Quality Assurance Ensure accuracy, consistency, and adherence to protocols across all annotations. Provide feedback and perform peer reviews to maintain high data standards. ✔ Process Improvement Collaborate with team leads to refine annotation guidelines, improve workflows, and implement process enhancements for greater efficiency. ✔ AI Tools & Technology Work with advanced annotation tools (e.g., Doccano) and EHR systems (e.g., Epic, Cerner). Basic understanding of SQL or data querying is a bonus. Requirements: ✅ Educational Background: #BDS , #BSc ./ #MSc . #Nursing , #BPharm / #MPharm , or related field ✅ Technical Skills: Proficiency in English, annotation tools, EHR systems, & basic data querying 📩 If you’re interested or know someone who’d be a great fit, please apply https://lnkd.in/gUZD-gmW
Posted 2 weeks ago
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