95 Hipaa Compliance Jobs - Page 4

The Assistant Manager Risk & Compliance plays a crucial role in ensuring compliance with local laws, US healthcare industry regulations (such as HIPAA), and internal company policies. This position is key to establishing a secure and compliant operational environment across global functions. The primary goal is to ensure a secure and compliant customer experience, build an effective internal control environment, and promote ethical and compliant business practices. Key responsibilities include implementing and monitoring compliance programs across all business functions, reviewing and updating internal policies and procedures, conducting regular PHI risk assessments, handling incident report...

Role Responsibilities: Create and maintain electronic or paper-based medical records, including patient demographics, medical history, diagnoses, treatments, and test results. Ensure accuracy, completeness, and security of patient medical records in compliance with HIPAA and other regulatory requirements. Review and abstract medical records for billing and reimbursement, ensuring proper diagnosis, procedures, and treatments are coded. Collaborate with healthcare providers to ensure timely and accurate completion of medical records and documentation. Respond to requests for medical records, ensuring appropriate release of information. Job Requirements: Strong knowledge of medical terminology ...

The ideal candidate who is ready to join immediately can share their details via email for quick processing at nitin.patil@ust.com. Act fast for immediate attention! Roles and Responsibilities: Lead end-to-end Java-based solution design, development, and integration in a healthcare ecosystem. Collaborate with product managers, business analysts, and architects to deliver high-quality solutions aligned with compliance standards (e.g., HIPAA). Guide and mentor development teams, enforce coding standards, and ensure adherence to design principles. Conduct technical reviews, identify risks, and suggest performance and scalability improvements. Drive DevOps practices, CI/CD pipelines, and cloud d...

The ideal candidate for this role should be ready to join immediately and can share their details via email for quick processing. Act fast for immediate attention! Roles and Responsibilities: Lead end-to-end Java-based solution design, development, and integration in a healthcare ecosystem. You will collaborate with product managers, business analysts, and architects to deliver high-quality solutions aligned with compliance standards such as HIPAA. Your role will involve guiding and mentoring development teams, enforcing coding standards, and ensuring adherence to design principles. Additionally, you will conduct technical reviews, identify risks, and suggest performance and scalability impr...

The ideal candidate should be ready to join immediately and can share their details via email for quick processing at nitin.patil@ust.com. Act fast for immediate attention! Roles and Responsibilities: Lead end-to-end Java-based solution design, development, and integration in a healthcare ecosystem. Collaborate with product managers, business analysts, and architects to deliver high-quality solutions aligned with compliance standards (e.g., HIPAA). Guide and mentor development teams, enforce coding standards, and ensure adherence to design principles. Conduct technical reviews, identify risks, and suggest performance and scalability improvements. Drive DevOps practices, CI/CD pipelines, and ...

The System Support Associate will be responsible for implementing and modifying EDI file feeds, utilizing programming languages like C#, Java, Python, and SQL. You should have hands-on experience working within the US healthcare industry, understanding HIPAA compliance standards, and creating secure connections using SFTP (Secure File Transfer Protocol). As a member of the technical team, you will be responsible for integrating data feeds into our systems and ensuring compliance with industry standards and regulations. Key Responsibilities: - Implement and modify EDI (Electronic Data Interchange) file feeds for healthcare/benefits data integration. - Develop and maintain solutions using prog...

The role requires a Java Developer to lead end-to-end Java-based solution design, development, and integration in a healthcare ecosystem. You will collaborate with product managers, business analysts, and architects to deliver high-quality solutions aligned with compliance standards such as HIPAA. Your responsibilities include guiding and mentoring development teams, enforcing coding standards, ensuring adherence to design principles, and conducting technical reviews to identify risks and suggest performance and scalability improvements. Additionally, you will drive DevOps practices, CI/CD pipelines, and cloud deployment strategies. You should possess 10+ years of experience in Java/J2EE dev...

You should have 6-8 years of experience in AI/ML development, with a strong emphasis on Generative AI and Prompt Engineering. Your proficiency in programming languages should include Python as primary, with knowledge of JavaScript, SQL, and NodeJS being beneficial. You must have a strong experience with AI/ML frameworks such as TensorFlow, PyTorch, Transformers, and understanding of Generative AI models including LLMs. Expertise in designing and implementing efficient prompts for Generative AI is necessary, focusing on improving model performance, Guardrails, RAG, Prompting attacks evasion, and user interaction. Experience in integrating AI models with APIs and application servers (Flask, Dj...

About Evernorth: Evernorth Health Services, a division of The Cigna Group (NYSE: CI), creates pharmacy, care, and benefits solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention, and treatment of illness and disease more accessible to millions of people. Integration Services Agile Product Owner Lead Analyst Position Overview: As the Integration Services Agile Product Owner Lead Analyst, you will serve as the voice of the customer within the Scrum team of the US Medical Front Office Technology Integration Services team. Your role will involve leveraging your solid business and technical expertise to manage the team's work intake efficien...

Job Description_ Senior Executive - AR Analyst _ Denial management Job Name: Senior Executive Position Title: Senior Executive - AR Analyst Band: A2 LOB: Denial Management - AR Analyst - RCM Reporting to: Assistant Manager Location/Site: EXL India, Chennai Overview: Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA's), website checking and working on non-callable denia...

Sr. Executive- AR caller: Overview: Review, Call, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA's), Qualifications: Graduation in any stream Experience: BPO Experience - 2-5 years US Healthcare AR experience preferred Communication Skill: Excellent oral and written communication skills Working Hours: 40 hours per week as Full-time employee Shift time: 7:30 PM IST - 4:30 AM...

Role & responsibilities MRD Technician Preparing patient charts and gathering information and documents from patients Ensuring that the medical records are organized, accurate and complete Filing the paperwork and reports of inpatients quickly and accurately Safeguarding patient records and ensuring that everyone complies with the HIPAA standards Transferring data into the facilitys main system database Processing the records for admitting and discharging patients

Job Title: Pega Developer (SSA) Smart Claims Engine (SCE) Experience: 6+ Years Department: IT & Information Security Role Category: Programming & Design Employment Type: Full-Time Job Summary: We are looking for an experienced Pega Developer (SSA) with a strong background in Smart Claims Engine (SCE) integration and healthcare claims processing . The ideal candidate will work closely with cross-functional teams to design, develop, and enhance Pega-based applications and workflows that improve operational efficiency in claims management systems. Key Responsibilities: Design, configure, and customize Pega applications aligned with claims processing needs and business objective. Integrate Pega ...

Responsibilities Develop key features and enhance the platforms performance, scalability, and security Design and implement secure, efficient APIs to support communication and data flow Optimize database performance and adhere to data standards Collaborate with team members to align on technical and business requirements Contribute to the maintenance of CI/CD processes and proactive monitoring Stay updated on advancements in PHP, Laravel, AWS, and healthcare technology Requirements Experience with PHP frameworks, particularly Laravel, and a good understanding of modern development practices Knowledge of optimizing database performance, including query optimization and indexing Experience in ...

Description We are seeking an experienced AR Caller with expertise in Hospital Billing/Physician Billing to join our team. The ideal candidate will play a crucial role in managing our accounts receivable, ensuring timely follow-ups on outstanding payments, and maintaining accurate billing records. Responsibilities Contact healthcare providers, patients, and insurance companies to follow up on outstanding accounts receivable. Review and analyze billing statements and payment trends to identify discrepancies. Resolve billing issues and provide solutions to ensure timely payment. Maintain accurate records of communications and payments received in the billing system. Collaborate with the billin...

Telehealth Coordinator Roles and Responsibilities: Manage and coordinate telehealth services. Ensure patients receive remote healthcare services efficiently and effectively. Troubleshoot technical issues related to telehealth services. Train healthcare providers on telehealth technology. Monitor and evaluate the effectiveness of telehealth services. Required Skills: Knowledge of telehealth technology Strong organizational skills Excellent communication skills Ability to troubleshoot technical issues Understanding of healthcare regulations

Health Information Technician Roles and Responsibilities: Manage and organize health information data. Ensure the accuracy, accessibility, and security of patient records. Maintain patient confidentiality and comply with healthcare regulations. Assist in the implementation and management of health information systems. Collaborate with healthcare providers to ensure proper documentation. Required Skills: Knowledge of medical terminology Proficiency in health information systems Attention to detail Strong organizational skills Ability to maintain confidentiality

Experience Required: 1 to 4 years (AR Calling) Key Responsibilities: Call insurance companies (US payers) to follow up on outstanding claims Analyze denied or unpaid claims and resolve issues Work on reducing AR days and improving collection rates Required Candidate profile -Immediate Joiners required -Comfortable to Work in rotational shifts as required Perks and Benefits -Voice Skill Bonus -Two way cab -One time meal

Position Reports To : Medical Team Lead Department : Operations Position Summary : - The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical reviews as defined by the specific review methodologies and prepare a detailed report that includes chronologies and timelines, summaries, mass tort matrix and medical opinions on case validity and valuation. Job Responsibilities : - Analyzing and summarizing medical records for pre and post settlement projects. Interpreting clinical data in terms of medical terminology and diagnosis. o Adhering to company policies/ARCHER principles and hence taking good care of Archer culture. Adhere to Hea...

Job Description: We are looking for highly motivated Doctor of Pharmacy freshers who are passionate about starting their careers in healthcare operations. The selected candidates will play a vital role in supporting pharmacy and clinical processes for our U.S.-based healthcare clients. Roles and Responsibilities: Provide customer service support by handling clinical clarifications and assisting with outbound calls related to medication availability. Assist in processing clinical clarifications based on interventions from healthcare professionals and ensure accurate communication between departments. Handle data entry tasks, including entering and reviewing orders, ensuring accuracy in patien...