35 Hippa Regulations Jobs

You will be responsible for auditing medical billing, coding, and documentation processes. Your role is vital in identifying billing errors, reducing denial rates, and ensuring adherence to CMS, HIPAA, payer-specific guidelines, and internal SOPs

Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare. Salary Up-to 45K In-hand Saturday Sunday Fix Off Both side Cabs To Apply, Call or WhatsApp CV on ANISHA - 9354076916 Required Candidate profile 1. Minimum 12 months of experience in AR Calling. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and Denial Management. Perks and benefits Both side Cabs, Meals and Medical Insurance.

Job Description: The IT MSSQL Database Administrator plays a crucial role in managing and maintaining the Microsoft SQL Server databases within the organization's IT infrastructure. This role requires a deep understanding of database management principles, strong technical skills, and the ability to collaborate effectively with various teams. Responsibilities: Database Installation and Configuration: Install, configure, and maintain Microsoft SQL Server instances across multiple environments, ensuring optimal performance and reliability. Database Monitoring and Optimization: Monitor database performance and identify opportunities for optimization, such as query tuning, index optimization, and database configuration adjustments. Backup and Recovery: Implement and maintain database backup and recovery strategies to ensure data integrity and availability in case of system failures or disasters. Security Management: Manage database security by implementing access controls, encryption, and auditing mechanisms to safeguard sensitive data and comply with regulatory requirements. Patch Management: Stay current with SQL Server patches and updates, and plan and execute patching activities in coordination with system administrators and other stakeholders. Capacity Planning: Analyze database growth trends and plan for future capacity requirements, including storage allocation and hardware upgrades. Performance Tuning: Proactively identify and address performance bottlenecks by analyzing system metrics, query execution plans, and database configurations. High Availability and Disaster Recovery: Configure and manage high availability solutions such as database mirroring, clustering, and Always On Availability Groups to minimize downtime and data loss. Automation and Scripting: Develop scripts and automation tools to streamline routine database administration tasks, improving efficiency and consistency. Documentation and Reporting: Maintain accurate documentation of database configurations, procedures, and troubleshooting steps, and generate regular reports on database performance and health. Requirements: Bachelor's degree in Computer Science, Information Technology, or a related field. Proven experience as a Microsoft SQL Server Database Administrator or a similar role. Strong understanding of database management concepts, including normalization, indexing, and transaction management. Proficiency in SQL query language and experience with performance tuning techniques. Familiarity with database security best practices and compliance standards (e.g., GDPR, HIPAA). Hands-on experience with database backup and recovery solutions (e.g., SQL Server Backup, Veeam Backup & Replication). Knowledge of high availability and disaster recovery concepts and experience implementing related solutions. Excellent problem-solving skills and attention to detail. Effective communication and collaboration skills, with the ability to work well in a team environment. Relevant certifications such as Microsoft Certified: Azure Database Administrator Associate or Microsoft Certified: Data Management and Analytics would be a plus. This job description outlines the key responsibilities and requirements for the IT MSSQL Database Administrator role, emphasizing the importance of database management, optimization, security, and collaboration within the organization's IT environment. Working Days 5 Days Sat & Sun Fixed Off Job time 9:30 am to 6 pm Please Share me your updated resume on neesha.shetty@efleetsystems.com

Role: Program Specialist (Voice Process) About the Role The Program Specialist is responsible for serving as the customers primary point of contact providing operational and reimbursement support to complex programs within company , including but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones and working with the appropriate parties to eliminate these obstructions for the customer. The Program Specialist is proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs. Key Responsibilities: Quickly and efficiently respond to incoming calls and faxes, identify how best to assist. Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system. Document calls in appropriate tracking systems, and handle/escalate calls per established procedures. Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary. Maintain a professional, calm and friendly demeanor. Express thoughts and instructions clearly in both verbal and written communication; i.e. uses grammatically correct and concise language. Coordinate the order and transfer of prescriptions based on their degrees of urgency to specialty pharmacies as appropriate. Be familiar with the market place and the insurance options available for patients. Educate patients on the available options as appropriate. Strict adherence to follow the process SOPs Minimum Requirement: • Experience : The Program Specialist ideally should have two or more years of prior customer service, volunteering, or other customer-facing experience. Prior experience in the US healthcare industry is a must , and the Program Specialist must be a proven problem solver with the ability, drive, and initiative to learn the required healthcare, reimbursement, and customer service skills necessary to support the assigned program(s). Experience in handling sensitive data in US healthcare with high degree of proficiency. Must be familiar with HIPAA guidelines. Candidates should be flexible in working from home or in an office setting per business needs. • Education : The Program Specialist ideally will hold a bachelors degree or a Masters Degree with all Documents from a regular College/University. The Program Specialist should: • Proficient in English, verbal and written • Easily navigate between multiple computer programs with dexterity • Adheres to schedule and meets deadlines. • Demonstrate solid customer service skills. • Understand each customers needs and tailors responses with those needs in mind • Express empathy while speaking with customers. • Be motivated to help customers every day and operate with a sense of accountability and urgency. • Thrive working in a very scheduled and collaborative work environment while also being able to work independently. • Adhere to schedule and meets deadlines. • Express thoughts and instructions clearly in both oral and written communication; i.e. uses grammatically correct, concise language. • Pay close attention to detail and consistently be a keen problem solver. • Adapt to changes and properly anticipate the next process steps when faced with ambiguous scenarios. • Learn information quickly, retain it, and effectively work on multiple tasks simultaneously Shift : 6:00 PM - 03:00 AM Transportation : Cabs are provided as per Neovance's company policy Work From Home for initial Few Months, then Work From Office as per company’s requirement Location: Bengaluru, Karnataka 560001

AR Caller - Noida The successful candidate will be responsible for handling and resolving claims, managing account receivables, and ensuring prompt collections in line with US healthcare policies and regulations. Contact:- Jasmine HR (8586072614)

Role & responsibilities : Conduct thorough and detailed cyber risk assessments for our clients, analyzing their digital infrastructure, systems, and security controls. Collaborate with cross-functional teams to gather essential information and data required for comprehensive risk assessments. Evaluate and interpret assessment results to identify potential vulnerabilities and risks, and provide actionable recommendations for risk mitigation. Stay up-to-date with the latest cyber threats, attack vectors, and industry best practices to enhance the effectiveness of risk assessments. Prepare and deliver clear and concise reports summarizing the findings of risk assessments to clients and internal stakeholders. Provide expert advice and consultancy to clients, guiding them in implementing robust cybersecurity risk management strategies. Mentor and support junior team members to foster their professional growth and skills in cyber risk assessments. Preferred candidate profile : Bachelor's or Master's degree in Computer Science, Cybersecurity, Information Technology, or related fields. A minimum of 5+ years of hands-on experience in conducting cyber risk assessments and related security assessments. Industry certifications such as CISSP, CCSP, CISA, CISM, CRISC, ISO/IEC:27001/22301/20000 LI/LA or equivalent are highly valued. Profound knowledge of cybersecurity frameworks, industry standards, and best practices. Proficiency in using various security assessment and techniques. Strong analytical and problem-solving skills, with the ability to think critically and strategically. Excellent communication and presentation skills, capable of effectively communicating technical concepts to both technical and non-technical audiences. Demonstrated experience in project management and handling multiple assessments simultaneously. A proactive and self-motivated approach to work, with a commitment to continuous learning and professional development. Network Security, infrastructure assessment and network architecture design review.•Conceptual knowledge of OT Security/ISA 62443 standard is preferable.

We are looking for a person who will be handling regulatory compliance of the company. He /she will be responsible to adhere law & regulations, guidelines as per govt. policies & law. You will be responsible tp perform core compliances and ethics.

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying root causes of denials. Strong understanding of billing regulations, CPT, ICD-10, HCPCS codes, and compliance standards (HIPAA, CMS guidelines). Appeals - - Understand 1st, 2nd, 3rd, and External Level Appeal process, system, and documentation SOP - Prepare, submit, and follow up on appeals ensuring all necessary documentation is included - Revie Review assigned denials and EOBs for appeal filing information. Gather any missing information - Review case history, payer history, and state requirements to determine appeal strategy - Obtain patient and/or physician consent and medical records when required by the insurance plan or state - Gather and fill out all special appeal or review forms - Create appeal letters, attach the materials referenced in the letter, and mail them Maintain a record of all appeals and responses to track appeal outcomes and recovery rates Monitor payer response timelines to ensure appeal filing deadlines are met Track insurance company and state requirements and denial trend changes

Responsibilities: Pull daily banking for multiple clients Enter deposits into the reconciliation logs Process timely and accurate posting of all charges Post all Charges within 24 hours Meet strict posting deadlines to ensure that Charges Posting Manager can complete weekly and monthly reporting requirements Communicate all payer issues to the Charges Posting Manager Understand payer contract with all rules that apply to that specific payer and client Maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner Identify patterns and trends that indicate a potential issue Other responsibilities as assigned Required Knowledge, Skills, Abilities & Education: Charge posting Experience with accounts receivable Experience with some or all of the following practice management systems: Amkai, SIS/Vision/Advantx, HST, EPIC RESOLUTE, is preferred Knowledge of payer contracts and (EOBs), explanation of benefits Experience working in a clearinghouse Understanding of HIPAA regulations Strong verbal and written skills Great attention to detail to avoid data entry errors Excellent communication skills Strong organizational skills Effective time management A positive, open and friendly attitude to colleagues and clients Superior customer service and professionalism Preferred Knowledge, Skills, Abilities & Education: University certificate in healthcare related field 2+ years Ambulatory Surgical Center coding experience

Hiring for AR Callers & Prior Authorization Process Hyderabad, Chennai & Mumbai Role: AR Caller / Prior Authorization Executive Experience: Minimum 1+ Year in AR Calling & Prior Authorization Process Work Mode: Work from Office Locations: Hyderabad | Chennai | Mumbai Notice Period: Immediate Joiners Preferred (Relieving Letter Not Mandatory) Shift: Night Shift (US Healthcare Process) Package: Up to 40,000 Take-home Incentives 2-Way Cab Facility Qualification: Intermediate & Above Job Description: We are hiring experienced professionals in AR Calling and Prior Authorization with a strong understanding of the US healthcare process. Candidates must have at least one year of relevant experience and be ready to work from office locations. Perks: Competitive Salary Performance-based Incentives Cab Facility Quick Onboarding for Immediate Joiners Interested Candidates can share their resumes to: Email: harshithaaxis5@gmail.com Contact: HR Harshitha – 7207444236

New requirement - Associate , Analyst - GRC Work Location : Jui Nagar, Navi Mumbai Job Description : Assist in conducting audit engagements to ensure compliance with standards and frameworks such as ISO 27001, PCI DSS, SOC 2, CISA and GDPR. Support the planning, execution, and reporting of audits under the supervision of senior auditors. Gather and analyze evidence to evaluate client compliance and provide initial recommendations. Detailed Responsibilities : Conduct audits based on defined standards, collecting and verifying evidence. Perform control testing, evaluate processes, and identify compliance gaps. Assist in evaluating policies, procedures, and systems for compliance Draft sections of audit reports with findings, observations, and initial recommendations. Maintain accuracy and completeness in audit documentation, following the organization's standards. Support in preparing final audit deliverables for senior review Communicate with client representatives during evidence collection. Participate in meetings to discuss audit findings and recommendations. Assist in tracking client remediation actions. Professional Skills : Basic understanding of audit standards and regulatory frameworks (e.g., ISO 27001, SOC 2, CISA). Competency in using audit tools and software (e.g., spreadsheets, document management systems). Strong analytical skills for evidence evaluation and compliance assessment. Personal Skills : Attention to detail and accuracy in documenting findings. Good communication skills for interacting with team members and clients. Willingness to learn and adapt to new standards and regulations Knowledge/Competency Requirements : Basic knowledge of auditing principles, risk assessment, and compliance. Understanding of industry standards relevant to information security and data privacy. Competency in basic project management tasks, such as tracking timelines and deliverables Please go through our website - www.qrcsolutionz.com

We Are Hiring for AR Caller, Prior Auth Executives, EVBV Executives || Loc :- Hyderabad, Mumbai & Chennai Hyderabad - AR Callers & EVBV Porcess 1. Experience - Min 1 year into ar calling Package - Max Up to 33k Take Home Qualification - Inter & Above Notice Period :- Immediate Joiners/ Relieving is not Mandate Cab - 2 Way Cab Virtual Interviews 2. Experience - Min 1 year into EVBV Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Notice Period :- 0 to 60 Days / Relieving is Mandate Cab - 2 Way Cab Virtual Interviews Mumbai - AR Callers & Prior Auth 1. Experience - Min 9 Months Exp into ar calling Package - Max Upto 40k Take Home Qualification - Inter & Above Notice Period :- Immediate Joiners/ Relieving is not Mandate Cab - 2 Way Cab Virtual Interviews 2. Experience - Min 1 year into Prior Authorization Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Notice Period :- 0 to 60 Days / Relieving is Mandate Cab - 2 Way Cab Virtual Interviews Chennai - Prior Auth 1. Experience - Min 1 year into Prior Authorization Package : Max Upto 40k Qualification : Inter & above Notice Period :- Immediate Joiners/ Relieving is not Mandate Cab - 2 Way Cab Virtual Interviews Perks and Benefits 1. Cab Facility 2. Incentives Interested candidates can share your updated resume to HR Ashwini -9059181376 (share resume via WhatsApp ) ashwini.axisservices@gmail.com Refer your friend's / Colleagues

Responsibilities: * Manage accounts receivable calls: denial management & handling * Execute revenue cycle processes: claims processing, payment posting, charge posting * Adhere to HIPAA compliance standards Cafeteria Travel allowance House rent allowance Office cab/shuttle Accessible workspace Health insurance Provident fund

We are seeking an experienced and highly motivated professional to join our team as a Revenue Cycle Services Manager , focusing on Inpatient Rehabilitation Facility (IRF) and Long-Term Acute Care Hospitals (LTACHs) billing. The ideal candidate will bring strong domain knowledge, leadership ability, and a track record of driving results through effective revenue cycle operations. Excellent communication, stakeholder coordination, and compliance management are essential. Role & responsibilities Manage full scope of RCM operations, including billing, denials, collections, AR management, and reporting. Collaborate with clients to define goals, resolve escalations, and improve service delivery. Track and report productivity metrics, TAT, AR aging, and denial trends on a regular basis. Lead and coach large teams (including TLs and AR specialists), ensuring alignment with SLA and performance targets. Conduct weekly/monthly/quarterly client business reviews (WBR/MBR/QBR) with actionable insights. Drive hiring decisions, attrition control, team development, and succession planning. Operational Oversight & Client Service: Oversee and coordinate with offshore billing partners for IRF & LTACH claims submission and follow-up. Monitor Discharge Not Billed (DNB) queues and collaborate with clients for timely resolution. Review payer contracts and escalate discrepancies in payments, rates, and allowances. Ensure AR and denial follow-ups are timely and accurate, adhering to payer and industry guidelines. Track and resolve issues in interface eligibility, claims submission, and remittance advice processes. Coordinate daily client communications and respond to inquiries with high professionalism. Claims & Billing Quality Control: Ensure claims are scrubbed and billed accurately by the billing partner. Address clearinghouse rejections and escalate unresolved issues. Review billing logs, rejection trends, and cash logs for accuracy and reconciliation. Access portals (Medicare, Medicaid, payer-specific) to review EOBs, RTPs, COBs, and claim statuses. Review credit balances and bad debts, including Medicare reporting. Process Improvement & Governance: Participate in regular RCM review meetings and escalate negative performance trends. Coordinate RCM meetings with clients and internal stakeholders. Support clearinghouse enrollments and lockbox access as needed. Ensure compliance with client SLAs, industry regulations, and internal policies. Baseline Competencies: Attention to Productivity and Quality Strong Customer Service Orientation Critical Thinking and Problem Solving Effective Communication Skills (Written and Verbal) Job Competencies: Proficient in Microsoft Office Suite (Word, Excel, Outlook) Sound knowledge of healthcare claims processing, AR follow-up, and collections Strong understanding of IRF & LTACH billing workflows and payer guidelines Comfortable with EMR systems, clearinghouses, and portal-based workflows Preferred candidate profile IRF & LTACH domain expertise Medical Billing Certification (AHIMA/AAPC or equivalent) Experience working with US healthcare clients or offshore delivery models Exposure to metric-based performance tracking and reporting

WE ARE HIRING - AR CALLER - Mumbai, Hyderabad Experience :- Min 1 year into AR caller Mumbai Location :- Package : Max Upto 40k take home Qualification : inter & above Hyderabad Location :- Package : Max Upto 33k take home Qualification : graduation Shift Timings :- 6:30 PM to 3:30 AM WFO Virtual and Walk-in interviews available WE ARE HIRING - Prior Authorization - Mumbai, Chennai Experience :- Min 1 year into Prior Authorization Mumbai Location :- Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Chennai Location :- Package : Max Upto 40k Qualification : Inter & above Shift Timings :- 6:30 PM to 3:30 AM WFO Virtual and Walk-in interviews available Perks and Benefits 1. 2 way cab 2. Incentives Interested candidates can share your updated resume to HR SAHARIKA - 9951772874(share resume via WhatsApp ) Refer your friend's / Colleagues

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 10 am to 6 pm ) Everyday Contact person VIBHA HR ( 9043585877 ) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA ) Mail Id : vibha@novigoservices.com Call / Whatsapp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- VIBHA HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)

Job Title: Trainer Healthcare Voice Process Location: Bangalore, India Job Type: Full-Time Shift: Fixed Night Shifts We are seeking an enthusiastic and skilled Trainer to join our healthcare contact center team in Bangalore This role is ideal for candidates with excellent voice and communication skills, a passion for training, and a strong understanding of healthcare voice processes As a Trainer, you will be responsible for preparing and upskilling agents to deliver exceptional service to healthcare members and providers In This Role You Will 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 teams to identify training needs and implement customized learning programs Maintain training records and prepare reports on training effectiveness, attendance, and assessments Stay updated on healthcare industry trends and best practices to enhance training content We Are Looking For Someone Who Has Education: Graduate in any discipline Experience: 2+ years of experience in a healthcare voice process or as a trainer in a BPO environment Candidates with less experience but exceptional voice and communication skills are encouraged to apply Strong understanding of healthcare voice processes and customer engagement Excellent verbal and written communication skills with a focus on voice clarity and modulation Ability to design and deliver engaging training sessions Basic knowledge of healthcare processes, and claims is preferred Comfortable working fixed night shifts to align with international client requirements Required Skills Training delivery and facilitation Voice and communication coaching Presentation and interpersonal skills Attention to detail and adaptability Time management and organizational abilities Why join our ResultsCX team Competitive salary package Transport facility for night shifts Comprehensive training and development opportunities Health insurance and other employee benefits Collaborative and supportive work environment About ResultCX ResultsCX is a premier customer experience partner to Fortune 100 and 500 companies We design, build, and deliver digitally influenced customer journeys that achieve the satisfaction and loyalty brands need to thrive and grow, while improving efficiency and reducing costs ResultsCXs 30+-year track record for reimagining the customer experience to meet consumersevolving expectations has driven growth to more than 20 geographic hubs and approximately 20,000 colleagues worldwide Our core expertise extends to actionable analytics, contact center as a service (CCaaS), and our own SupportPredict AI-powered digital experience platform Our strength lies in exceptional individuals working together in a high-performing, fun culture to deliver next-generation customer experiences on behalf of our clients ResultsCX is an equal opportunity and affirmative action employer and will consider all qualified applicants without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other protected factors under federal, state, or local law

Hiring: Team Lead Revenue Cycle Management (RCM) Location: Kothrud, Pune Shift: Day/Night | Work Mode: Work from Office Salary: As per experience and industry standards We are looking for a Team Lead with 35 years of experience in Revenue Cycle Management, including claim submission, denial management, AR follow-up, and team handling. Key Responsibilities: Lead and manage a team of RCM specialists Handle claim submissions, payment posting, and denial resolutions Work on AR reports and improve cash flow Ensure compliance with payer and healthcare regulations Generate reports and drive process improvements Requirements: 35 years of RCM/medical billing experience Strong knowledge of CPT, ICD-10, HCPCS, and insurance guidelines Good communication and leadership skills Graduation or diploma preferred Apply now and grow your career in RCM with us. CONTACT: Sanjana- 9251688426

We're Hiring: Business Development Executive, US Healthcare (Medical Billing & Credentialing) Location: Manekbaug, Ahmedabad 380015 (Relocating soon to Prahladnagar) Shift: US Shift (Night Shift) Work from Office Apply at: hr@collabglobus.com Company: Collab Softech Pvt Ltd. (www.collabsoftech.com.au) Experience Required: 13 Years At Collab Softech , we are expanding our presence in the US Healthcare outsourcing industry and are looking for a dynamic Business Development Executive to help us scale. If you have experience in Medical Billing, Credentialing, or RCM , and are driven by targets and client success, this opportunity is for you. Key Responsibilities: Identify and engage potential clients in the US healthcare sector (clinics, hospitals, billing companies, solo providers). Pitch a comprehensive suite of services, including Medical Billing, Provider and Facility Credentialing, as well as Revenue Cycle Management (RCM). Develop strategies for lead generation and outreach via email, LinkedIn, and other platforms. Maintain strong client relationships and act as a bridge between clients and delivery teams. Track and manage the sales pipeline using CRM tools; report progress and forecast to management. Research market trends, competition, and new business opportunities in the US healthcare space. Prepare business proposals, service decks, pricing models, and contracts. Must Have: Prior experience working with US-based clinics, medical billing firms, or provider credentialing services . Excellent communication & negotiation skills (US client handling experience preferred). Strong understanding of US healthcare processes and terminology (HIPAA, CMS, etc.). Willingness to work on the night shift (US time zone) . Were hiring! If you have the drive for business development and a background in US healthcare, this is your opportunity to shine.

Roles & responsibilities Implementation & Support Expert EHR & RCM Location : Ahmedabad Work Hours : US Shift (Night shift, Monday to Friday) Work Mode : Work from Office Language Requirement : Excellent written and spoken English Role Overview We are seeking a medically qualified professional to join our Implementation and Support team. This role supports US-based healthcare clients with the setup, training, and support of Electronic Health Record (EHR) and Revenue Cycle Management (RCM) software. The ideal candidate must be fluent in English and comfortable working in night shifts from our Ahmedabad office. Key Responsibilities Implementation (EHR & RCM) Understand client requirements and configure the software based on clinic and specialty-specific workflows Conduct workflow discussions and gap assessments with US clinics and billing teams Set up providers, specialties, CPT/ICD codes, visit types, fee schedules, and payer details Assist in setting up templates for charting, prescriptions, lab orders, and patient communication Conduct remote training sessions for providers, front desk, and billing staff Oversee go-the live process and resolve any transition-related issues Document system configuration, workflows, and user-specific settings Support (EHR & RCM) Handle support tickets for clinical, scheduling, and billing modules Troubleshoot issues related to appointments, charting, coding, claims, denials, payments, and patient portal Assist clients with insurance setup, ERA/EDI enrollment, and payer communication Manage claim rejections, resubmissions, and AR follow-up guidance Provide guidance on US healthcare billing concepts like CPT, ICD-10, HCPCS, and modifiers Explathe in and generate operational and financial reports Communicate regularly with clients to ensure resolution and satisfaction Maintain accurate records of tGuideickets, training sessions, and support interactions Qualifications Education : MBBS, BHMS, BAMS, BDS Strong understanding of healthcare workflows, patient care, and clinical documentation Familiarity with US healthcare system, medical billing, and insurance processes (preferred) Excellent spoken and written English Comfortable with software applications, Excel, and online support tools Willing to work in the S night shift from Ahmedabad office

Job Title : AR Executive Qualification : Any Graduate and Above Relevant Experience : 1 to 5 Years Must Have Skills : 1.Strong understanding of US Healthcare RCM processes 2.Hands-on experience in Denial Management, AR Follow-up, and Rejections 3.Confident in Insurance calling and using web portals for non-calling denials 4.Proficient with UB04 forms and familiar with clearing houses 5.Expertise in Hospital Billing (UB04) 6.Strong understanding of UB04 claim forms and related processes 7.Excellent communication and analytical skills.Good Have Skills : knowledge and expertise in Proficient with UB04 forms Roles and Responsibilities : 1.Manage US Hospital/Facility Accounts Receivable 2.Work on denials, rejections, LOAs, and correct claims as needed 3.Call insurance companies and document actions taken 4.Ensure quality standards and meet daily/monthly collection targets 5.Maintain production logs and stay updated via email communications 6.Escalate unresolved issues and follow HIPAA compliance. Location : Bangalore CTC Range : 2.5 to 4.5 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Aneesha HR Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number : 08067432440| Whats app : 9035128021| aneesha.g@blackwhite.in

POSITION Senior Data Engineer / Data Engineer LOCATION Bangalore/Mumbai/Kolkata/Gurugram/Hyd/Pune/Chennai EXPERIENCE 2+ Years JOB TITLE: Senior Data Engineer / Data Engineer OVERVIEW OF THE ROLE: As a Data Engineer or Senior Data Engineer, you will be hands-on in architecting, building, and optimizing robust, efficient, and secure data pipelines and platforms that power business-critical analytics and applications. You will play a central role in the implementation and automation of scalable batch and streaming data workflows using modern big data and cloud technologies. Working within cross-functional teams, you will deliver well-engineered, high-quality code and data models, and drive best practices for data reliability, lineage, quality, and security. HASHEDIN BY DELOITTE 2025 Mandatory Skills: Hands-on software coding or scripting for minimum 3 years Experience in product management for at-least 2 years Stakeholder management experience for at-least 3 years Experience in one amongst GCP, AWS or Azure cloud platform Key Responsibilities: Design, build, and optimize scalable data pipelines and ETL/ELT workflows using Spark (Scala/Python), SQL, and orchestration tools (e.g., Apache Airflow, Prefect, Luigi). Implement efficient solutions for high-volume, batch, real-time streaming, and event-driven data processing, leveraging best-in-class patterns and frameworks. Build and maintain data warehouse and lakehouse architectures (e.g., Snowflake, Databricks, Delta Lake, BigQuery, Redshift) to support analytics, data science, and BI workloads. Develop, automate, and monitor Airflow DAGs/jobs on cloud or Kubernetes, following robust deployment and operational practices (CI/CD, containerization, infra-as-code). Write performant, production-grade SQL for complex data aggregation, transformation, and analytics tasks. Ensure data quality, consistency, and governance across the stack, implementing processes for validation, cleansing, anomaly detection, and reconciliation. Collaborate with Data Scientists, Analysts, and DevOps engineers to ingest, structure, and expose structured, semi-structured, and unstructured data for diverse use-cases. Contribute to data modeling, schema design, data partitioning strategies, and ensure adherence to best practices for performance and cost optimization. Implement, document, and extend data lineage, cataloging, and observability through tools such as AWS Glue, Azure Purview, Amundsen, or open-source technologies. Apply and enforce data security, privacy, and compliance requirements (e.g., access control, data masking, retention policies, GDPR/CCPA). Take ownership of end-to-end data pipeline lifecycle: design, development, code reviews, testing, deployment, operational monitoring, and maintenance/troubleshooting. Contribute to frameworks, reusable modules, and automation to improve development efficiency and maintainability of the codebase. Stay abreast of industry trends and emerging technologies, participating in code reviews, technical discussions, and peer mentoring as needed. Skills & Experience: Proficiency with Spark (Python or Scala), SQL, and data pipeline orchestration (Airflow, Prefect, Luigi, or similar). Experience with cloud data ecosystems (AWS, GCP, Azure) and cloud-native services for data processing (Glue, Dataflow, Dataproc, EMR, HDInsight, Synapse, etc.). © HASHEDIN BY DELOITTE 2025 Hands-on development skills in at least one programming language (Python, Scala, or Java preferred); solid knowledge of software engineering best practices (version control, testing, modularity). Deep understanding of batch and streaming architectures (Kafka, Kinesis, Pub/Sub, Flink, Structured Streaming, Spark Streaming). Expertise in data warehouse/lakehouse solutions (Snowflake, Databricks, Delta Lake, BigQuery, Redshift, Synapse) and storage formats (Parquet, ORC, Delta, Iceberg, Avro). Strong SQL development skills for ETL, analytics, and performance optimization. Familiarity with Kubernetes (K8s), containerization (Docker), and deploying data pipelines in distributed/cloud-native environments. Experience with data quality frameworks (Great Expectations, Deequ, or custom validation), monitoring/observability tools, and automated testing. Working knowledge of data modeling (star/snowflake, normalized, denormalized) and metadata/catalog management. Understanding of data security, privacy, and regulatory compliance (access management, PII masking, auditing, GDPR/CCPA/HIPAA). Familiarity with BI or visualization tools (PowerBI, Tableau, Looker, etc.) is an advantage but not core. Previous experience with data migrations, modernization, or refactoring legacy ETL processes to modern cloud architectures is a strong plus. Bonus: Exposure to open-source data tools (dbt, Delta Lake, Apache Iceberg, Amundsen, Great Expectations, etc.) and knowledge of DevOps/MLOps processes. Professional Attributes: Strong analytical and problem-solving skills; attention to detail and commitment to code quality and documentation. Ability to communicate technical designs and issues effectively with team members and stakeholders. Proven self-starter, fast learner, and collaborative team player who thrives in dynamic, fast-paced environments. Passion for mentoring, sharing knowledge, and raising the technical bar for data engineering practices. Desirable Experience: Contributions to open source data engineering/tools communities. Implementing data cataloging, stewardship, and data democratization initiatives. Hands-on work with DataOps/DevOps pipelines for code and data. Knowledge of ML pipeline integration (feature stores, model serving, lineage/monitoring integration) is beneficial. © HASHEDIN BY DELOITTE 2025 EDUCATIONAL QUALIFICATIONS: Bachelor’s or Master’s degree in Computer Science, Data Engineering, Information Systems, or related field (or equivalent experience). Certifications in cloud platforms (AWS, GCP, Azure) and/or data engineering (AWS Data Analytics, GCP Data Engineer, Databricks). Experience working in an Agile environment with exposure to CI/CD, Git, Jira, Confluence, and code review processes. Prior work in highly regulated or large-scale enterprise data environments (finance, healthcare, or similar) is a plus.

AR Callers - PHYSICIAN BILLING || Hyderabad , Chennai , Mumbai || 40k TH Experience :- Min 1 year of experience into AR Calling Physician Billing Package :- Up to 40K Take home Locations :- Hyderabad, Mumbai Notice Period :- Preferred Immediate Joiners WFO AR Callers - HOSPITAL BILLING || Hyderabad , Bengaluru , Chennai|| 43k TH Experience :- Min 2 year of experience into AR Calling Hospital Billing Package :- Bengaluru, Chennai - Up to 40K Take home Hyderabad - Up to 43K Take home Preferred Immediate Joiners WFO Hiring || Charge Entry, Payment Posting & Credit Balance || 30k TH Min 1 year exp in Charge Entry Payment Posting Credit Balance Process Package :- Max Upto 30K Take-home, 30% hike on take-home Degree Mandate Relieving Mandate WFO Immediate Joiners Preferred Interested candidates can share your updated resume to HR Harshitha - 7207444236 (share resume via WhatsApp ) Refer your friend's / Colleagues

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Health Insurance Operations Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. You will oversee the application development process and ensure successful implementation. Roles & Responsibilities:- Facets skill experience is mandatory- Participate in code reviews and quality gate definitions.- Collaborate with the development team to complete unit testing.- Develop strategic plans for testing efforts and create test estimates.- Define and build reusable testing assets for large/complex projects.- Provide technical leadership and support the creation of complex tests.- Identify and describe appropriate test techniques and supporting tools.- Define and maintain a Test Automation Architecture.- Specify and verify the required Test Environment Configurations.- Verify and assess the Test Approach.- Define and carry out plans and strategies for performance risk management of business products.- Inspire developers, designers, and product owners to be quality conscious by providing extensive training and workshops about testing culture and best practices.- Plan and prioritize different strategies according to business needs.- Improve quality practices across functional and non-functional testing. Professional & Technical Skills: - 5+ years of experience in FACETS development and customization.-Proficiency in SQL, PL/SQL, and FACETS extensions.-Familiarity with healthcare EDI transactions (837, 835, 270/271, 276/277, etc.).-Strong understanding of healthcare domain standards and HIPAA compliance.-Preferred Skills: Experience with .NET or Java technologies.-Knowledge of FACETS workflow management and integration frameworks.-Understanding of Agile/Scrum development methodologies.-Strong problem-solving and analytical skills.-Excellent communication and teamwork abilities.- Ready to work in shifts - 12 PM to 10 PM Additional Information:- The candidate should have a minimum of 3 years of experience in Health Insurance Operations.- This position is based at our Hyderabad office.- A 15 years full-time education is required. Qualification 15 years full time education

Job Title : Senior Microsoft Systems Specialist Reports To Title : Head of IT Operations Business Function/Sub Function: IT Infra & Operation Location: Noida, India Position Overview You will design, build and deploy many features of O365/Azure AD, including system administration to support existing and future systems and to enable seamless integration into the company environments globally. There will be a focus on O365/Azure AD cloud infrastructure, configuration management and security to leverage corporate identity, network connectivity, and device type, helping to improve employee productivity. You will utilize your expert level experience and knowledge of Office 365/Azure AD architecture, administration, and best practice recommendations combined with a strong current and deep experience in security, legal and regulatory/compliance controls required for cloud environments. You will be responsible for aiding the development teams in the engineering and design, and leading in the testing, migration tooling, and deployment of the enterprise messaging and collaboration tool sets in Office 365/Azure AD. Key Responsibilities Administer and support Office 365 suite configurations , policies and Analyse, troubleshoot and Office 365 platforms. Provide subject matter expertise of Office 365 and Microsoft Azure with emphasis in security (Advanced Threat Protection (ATP) policies for Office 365, Entra, Azure AD Identity Protection, Conditional Access (CA), Azure Information Protection and Office365 Message Encryption ), architectural design, migration management and support of large-scale implementations. Work with the Information Security Officer developing a strategic plan for security. Provide subject matter expertise in Compliance & data retention leveraging Office 365 Data Loss Protection (DLP), Cloud Access Security Brokers (CASB), & Native Office 365 capabilities such as retention policies including Office 365 eDiscovery & Advanced eDiscovery. Implementation of new Office 365 features and functionality ( Microsoft Teams, Office 365 Groups, Planner, PowerApps ) and migrations to a target cloud O365 tenant, whether on-prem to cloud, cloud-to-cloud or external productivity (e.g., G Suite) to cloud. Evaluate needs and deliver solutions using OneDrive, Teams, SharePoint and other O365 collaboration. In-depth knowledge of Authorization & Authentication in Microsoft hybrid environment and experience with Azure AD including Single Sign On (SSO) and Multi-Factor Authentication (MFA) Assist in developing and implementation of support strategies for the various Office 365 applications. Effectively translate technical specifications, errors, and business logic through written and verbal communications to both technical and non-technical customers where appropriate, act as a mentor to apprentices studying Azure cloud. You will be a qualified Azure engineer with operational and architect level experience, as well as Microsoft certified for Azure solutions architect and Office 365. Skillset & Qualification: 8 - 10 years of experience and significant experience with ideally 5+ years as an O365 engineer in a 5000+ user environment Expert knowledge of Office 365 Platform, Exchange Online, SharePoint Online, Entra, Intune, Teams, Power BI, Security & Compliance Center, and OneDrive for Business Expert knowledge of Azure Active Directory, End Point Manager, and the Microsoft Identity Platform. Experience of configuring and working in cross-tenant, offshore teams. Expert knowledge of integrating Apple and Android hardware auto enrolment. Familiar with application monitoring tools, reviewing log files, and be available on occasion for off hours emergency support for critical applications Experience in setting up and maintaining virtual desktops (VDI) Experience with Microsoft Active Directory services including forest and domain design, policies, topology, replication, and trusts Implementation of advanced functions of Office 365 Security and Compliance Centre, Microsoft Federation Integration with Office 365, Azure and Identity Management with proven expertise in Product Information Management (PIM) / Privileged Access Management (PAM) Experience setting up and maintaining firewalls would be an advantage. Manage IT infrastructure projects, upgrades, and migrations based on business requirements. Collaborate with business leaders, product managers, and R&D teams to align IT strategies with organizational goals. Provide regular reports and insights on IT performance, risks, and improvement plans. Proven experience in Azure cloud, IT Infrastructure, Operations, ITSM, and Network Administration. Hands-on experience in Microsoft Azure, cloud monitoring & notification setup. Strong knowledge of ITIL processes , service management tools, automation, and PowerShell scripting. Proven experience in leading IT support teams, managing IT projects, and collaborating with cross-functional teams. Deep expertise in cloud, hybrid IT environments, and IT service management. Strong problem-solving skills and the ability to troubleshoot complex technical issues. Excellent communication, leadership, and stakeholder management skills. Ability to work across different time zones as per business needs. Strong analytical mindset, with a focus on continuous improvement and automation. Qualification : Bachelors or Master's degree in computer science, Information Technology, Engineering, or a related field. Professional Certifications (Preferred but not mandatory): Microsoft Certifications : Microsoft Certified Solutions Architect (AZ-305) Microsoft Certified: Azure Administrator Associate (AZ-104) Microsoft Certified: Identity and Access Administrator (SC-300) Microsoft 365 Certified: Modern Desktop Administrator Associate IT Service Management (ITSM) & Security Certifications: ITIL v4 Foundation (or higher) for ITSM best practices Networking Certifications : Cisco CCNA/CCNP, Aruba, or Arista networking certifications are a plus. Good to Have Experience integrating Microsoft 365 with LMS platforms like Moodle or Thesis.