3606 Hipaa Jobs - Page 28

Job Title: Customer Service Executive - Collections Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd About us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of what’s...

About The Role 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 12 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 different teams to troubleshoot problems, ensuring that system...

About The Role Project Role : Security Advisor Project Role Description : Provide enterprise-level advice to make organizations cyber resilient. Assist in navigating the complex landscape of cyber threats, ensuring robust digital asset protection while maintaining trust with stakeholders. Must have skills : Data Encryption Good to have skills : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Advisor, you will provide enterprise-level advice to make organizations cyber resilient. Your typical day will involve engaging with various stakeholders to assess their cybersecurity posture, identifying vulnerabilities, and ...

About The Role Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Life Sciences Good to have skills : Salesforce Development Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Deep expertise in Life Sciences (LS), Veeva CRM, LWC ,Agentforce, and strong Salesforce technical capabilities:Job Summary :We are seeking a Senior Salesforce Technical lead to join our Life Sciences Cloud team. The ideal candidate will have strong hands-on expertise in Salesforce platform development, solid understanding of life sciences comme...

About The Role Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Life Sciences Good to have skills : Salesforce Development Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Deep expertise in Life Sciences (LS), Veeva CRM, LWC ,Agentforce, and strong Salesforce technical capabilities:Job Summary :We are seeking a Senior Salesforce Technical lead to join our Life Sciences Cloud team. The ideal candidate will have strong hands-on expertise in Salesforce platform development, solid understanding of life sciences comme...

About The Role Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : SailPoint IdentityNow Good to have skills : NA Minimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating with various tea...

About The Role Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : Network Security Operations Good to have skills : NA Minimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating with vario...

About the Role: We are seeking a passionate and experienced Business Analyst or Associate Product Manager to join our dynamic team focused on building innovative SaaS solutions for the healthcare industry. The ideal candidate will bring deep domain expertise in HealthTech, a strong understanding of SaaS product lifecycles, and a user-centric mindset to drive impactful product features and enhancements. Key Responsibilities: Collaborate with cross-functional teams including engineering, design, data science, and clinical experts to define and deliver product features. Translate business requirements and user needs into clear product specifications and user stories. Own and manage the product ...

As the Data Management Manager at our company, your role involves overseeing the daily operations and strategic development of the clinical data management team. You will be responsible for ensuring the accuracy, integrity, and compliance of clinical trial data while providing leadership, training, and performance oversight to data specialists. The ideal candidate for this position is hands-on, with proven experience in clinical data entry, query resolution, coordinating complex interventional clinical trials, leadership skills, and a collaborative mindset. **Key Responsibilities:** - **Team Leadership & Oversight:** - Supervise, mentor, and support a team of Clinical Data Specialists, ensur...

Must be a certified nursing professional (GNM/B.Sc Nursing/MBBS/BAMS/BHMS) with a valid Indian medical/nursing degree - Mandatory 1–2 years of experience in a supervisory or quality role in a US healthcare BPO/KPO process (e.g., claims, RCM, utilization review) - Preferred Strong understanding of US healthcare workflows such as claims adjudication, prior authorization, clinical documentation, or medical coding - Preferred Excellent medical judgment and clinical knowledge to support case reviews, escalations, and documentation validations - Mandatory Good communication skills to liaise between operations, QA teams, and US-based clients or providers Experience in process audits, compliance che...

As a Data Integration Architect, your role involves the development and optimization of data solutions using Snowflake and DBT. You will be responsible for ensuring efficient data integration, transformation, and real-time analytics. Collaboration with cross-functional teams to translate business requirements into technical solutions, maintaining data integrity and compliance, and driving innovation in data engineering practices are key aspects of your responsibilities. Key Responsibilities: - Design, build, and maintain robust Snowflake architectures and data pipelines using DBT for efficient data integration and transformation. - Assess legacy data warehouses and identify areas for perform...

As the Senior Manager Internal Audit, your role involves managing reviews, investigations, and internal audits. You will develop a risk-based audit and compliance plan to monitor key risks. Your responsibilities include: - Conducting independent reviews to monitor critical risk areas according to the plan - Proposing an annual internal audit plan to effectively cover key risk areas and provide assurance - Independently investigating and designing remedial measures related to compliance with corporate policies, ethics, client contracts, and regulatory matters In terms of Enterprise Risk Management (ERM), you will drive the risk management program across the organization. Your tasks will inclu...

As a Lead Product Manager in the US Healthcare industry, your role involves owning the end-to-end product lifecycle. This includes tasks such as ideation, market research, business case development, and overseeing the launch and adoption of healthcare solutions. You will collaborate closely with engineering, data, and design teams to ensure the delivery of scalable healthcare solutions such as risk adjustment, prior authorization, care management, and claims optimization. Furthermore, you will work in partnership with compliance and regulatory teams to integrate CMS, HIPAA, and state mandates into the product design. Your key responsibilities will include: - Driving competitive and market an...

As a Product Analyst in the US healthcare sector, you will play a vital role in driving product development and strategy. Your strong understanding of healthcare systems will help organizations achieve their business goals by analyzing product requirements, identifying enhancement opportunities, and collaborating with cross-functional teams. You will support product lifecycles by aligning product strategies with business objectives and regulatory compliance, ensuring smooth execution of product initiatives. - Collaborate with internal teams and external stakeholders to gather and analyze product requirements focused on the US healthcare system. - Perform data-driven analysis of market trends...

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves g...

As a Bioinformatics Systems Administrator at Micro Crispr Meril Life Sciences, you will play a crucial role in supporting and enhancing the high-performance computing infrastructure and bioinformatics workflows. Your responsibilities will include: - Administering and maintaining Linux-based servers and HPC clusters like SLURM and PBS - Installing, configuring, and optimizing bioinformatics workflow management systems such as Snakemake, Nextflow, Docker, and Singularity - Providing technical support to researchers and troubleshooting computational workflows and software environments - Ensuring robust and scalable data storage, security, and backup systems - Supporting the execution and mainte...

Hiring for No-1 I KPO MNC for Hyderabad Location Salary up-to - 4.25LPA + NSA Exp required In AR calling , Physician Billing , Uniform Billing , RCM cycle , Denial Management Min - 12 months to max - 3 yrs Call @ sejal - 8595347527 Required Candidate profile Exp required In AR calling , Physician Billing , Uniform Billing , RCM cycle , Denial Management exp in pLace of services Uncovered , Covered , Auth Prior Auth etc Perks and benefits Cab available Incentives Insurance etc

Responsibilities: Install, configure, and manage physical and virtual storage solutions, including SAN, NAS, and cloud storage platforms. Provision and manage storage for both on-premises and cloud-based environments to meet organizational needs. Monitor storage usage and plan for capacity expansion to prevent shortages. Optimize storage space by implementing data deduplication, compression, and tiered storage strategies. Monitor and maintain the performance of storage systems, troubleshooting any issues to ensure efficient access and minimal downtime. Implement performance tuning strategies to maintain the storage systems\' speed and reliability. Design and implement robust backup solutions...

Greetings from eNoah iSolution! Hiring - Project Manager-Charge Entry Job Location: Chennai (Taramani) Exp : 8 to 10 Years Shift : Day Shift Notice Period : Immediate Joiner or 15days Job Requirements: Roles & Responsibilities: Has sound knowledge in Charge entry process Accurately review for medical services provided by healthcare providers. Analyze patient encounter documentation, such as super bills, operative reports, and medical records, to ensure accurate charge capture and appropriate code assignment. Verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting. Adhere to billing and coding compliance guidelines, including...

Conduct eye examinations using specialized equipment. Evaluate patients for the presence of vision problems and other eye disorders. Prescribe eyeglasses, contact lenses, and other visual aids. Provide advice to patients on eye care and recommend treatment options. Degree in Optometry or related field. Valid license to practice as an Optometrist. Strong knowledge of optometry practices and procedures. Excellent communication and interpersonal skills. Are you a passionate Optometrist looking for an opportunity to showcase your skills in West Bengal? We at xxxxx are seeking a skilled professional to join our team. As an Optometrist, your responsibilities will include conducting eye examination...

Review operative/procedural documentation provided by client facilities to ensure all implants and devices are captured for billing Audit and reconcile implant charges against preference cards, supply chain logs, and operative notes. Evaluate implant invoices and apply appropriate markup to cost based on payer-specific guidelines Validate implant charges against payer-specific guidelines, coding rules, and compliance standards Partner with client coding, billing, and clinical documentation teams to resolve discrepancies or missing implant details Research payer policies and provide guidance on implant billing requirements, including modifiers, device codes, and carve-outs Monitor and resolve...

Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims What You Will Need : Must be a graduate. Minimum 1 year of experience in denial management voice process...

Collect, clean, and aggregate patient-level data from Electronic Health Records (EHRs), lab systems, and external databases. Apply tokenization techniques to replace direct identifiers while preserving data integrity for linkage and analysis. Perform or support expert determination de-identification processes to evaluate and minimize re-identification risk in datasets. Ensure all activities comply with HIPAA, and institutional privacy policies, particularly within HISEC environments Manage and maintain secure data pipelines and repositories for sensitive patient information. Assist in the development of standard operating procedures (SOPs) for secure data aggregation and handling. Support th...

Collect, clean, and aggregate patient-level data from Electronic Health Records (EHRs), lab systems, and external databases. Apply tokenization techniques to replace direct identifiers while preserving data integrity for linkage and analysis. Perform or support expert determination de-identification processes to evaluate and minimize re-identification risk in datasets. Ensure all activities comply with HIPAA, and institutional privacy policies, particularly within HISEC environments Manage and maintain secure data pipelines and repositories for sensitive patient information. Assist in the development of standard operating procedures (SOPs) for secure data aggregation and handling. Support th...

Conduct training sessions for new hires and existing team members on healthcare voice processes, customer service skills, and compliance protocols. Develop and deliver training materials, including presentations, role-plays, and workshops, to enhance communication, problem-solving, and customer handling abilities. Focus on improving voice modulation, clarity, pronunciation, and overall communication skills of agents. Ensure trainees are well-versed in healthcare terminology, claims processes, and HIPAA compliance. Monitor and evaluate trainee performance during and after training sessions, providing constructive feedback and guidance for improvement. Collaborate with operations and quality t...