https://qualifacts.wd5.myworkdayjobs.com/Qualifacts_External_Careers/job/Vadodara/Senior-Staff-Software-Engineer-Tech-Lead_R-101715 Role & responsibilities Knowledge, Skills & Abilities: Required: Advanced debugging and performance optimization skills, with the ability to analyze complex system issues and improve efficiency. Strong architectural and design understanding, ensuring scalability, security, and maintainability. Ability to translate business needs into technical solutions, assisting Product Owners in refining requirements and identifying the best approaches. Proficiency in Microsoft SQL Server, including query optimization and Mongo (No SQL database) Deep expertise in .NET technologies, including .NET Core, C# and SaaS application development. Expertise in designing, consuming, and integrating APIs and web services, including RESTful and SOAP APIs. Extensive experience with source control best practices in collaborative development environments (preferably Git). Ability to mentor and guide junior developers, providing technical support and promoting best practices. Self-motivated and capable of working independently, taking responsibility for projects and ensuring successful outcomes. Experience deploying and managing applications in AWS, including knowledge of AWS services, architecture, and best practices. Preferred: In-depth understanding of data interchange formats, such as ANSI X12, CSV, HL7, JSON, and XML. Experience with front-end technologies, including CSS, JavaScript, jQuery, React. Proven experience in Agile/Scrum environments, actively contributing to process improvements and sprint success. Hands-on experience with Azure DevOps, including Pipelines, Repositories, and Work Items. Nice to Have: Familiarity with SQL Server Reporting Services (SSRS). Proficiency in HL7 FHIR and healthcare data integration. Understanding of healthcare compliance regulations and reporting standards. Preferred candidate profile
Designation AR Specialist II Responsibilities: Serve as an AR Specialist on AR/Denial management strategies and best practices. Lead the resolution of high-level and escalated denial issues. Conduct root cause analysis to identify systemic issues contributing to denials. Develop and implement proactive measures to prevent future denials. Establish and maintain relationships with payer representatives to facilitate effective communication and negotiation. Train and mentor junior associates on advanced denial management techniques and payer communication strategies. Collaborate with cross-functional teams to implement process improvements and optimize revenue cycle performance. Monitor AR/Denial trends and provide regular reports and updates to leadership. Requirements: 2+ years of progressive experience in AR/Denial Management- Revenue Cycle Management, US Healthcare. In-depth knowledge of healthcare billing regulations and payer policies. Excellent communication, negotiation and relationship-building skills. Advanced proficiency in data analysis and reporting tools. Ability to drive change and implement process improvements effectively. Bachelor's degree in healthcare administration, finance, or related field. Location: - Vadodara, Gujarat- Work from Office only Time: - Night/US Shift Kindly apply to the below kink or visit our website https://www.qualifacts.com/ https://qualifacts.wd5.myworkdayjobs.com/Qualifacts_External_Careers/job/Vadodara/RCMS-AR-Specialist-II_R-101706
APPLY ON BELOW LINK FOR INTERVIEW. WITHOUT APPLICATION WE CAN'T MOVE AHEAD https://qualifacts.wd5.myworkdayjobs.com/Qualifacts_External_Careers/job/Vadodara/Staff-Software-Engineer--AI-Team--3_R-101721 Responsibilities Participate in the design and development of technical solutions to complement complex web-based EHR systems. Write fast, efficient, and high-quality code that will help us deliver great value to our customers Test your work thoroughly and have a low tolerance for bugs Bring new ideas, solutions, and feedback to the team, Assist/Help Architect scalable and high-performance solutions, ensuring the best practices in software design and coding standards are followed. Troubleshoot software applications, provide technical support to achieve development objectives. Collaborate with cross-functional teams to define technical requirements and ensure timely delivery of software solutions. Participate in Agile/Scrum methodologies, including sprint planning, backlog grooming, and retrospective meetings. Stay updated with emerging technologies, industry trends, and best practices, and contribute to the continuous improvement of the development process. General Qualifications Bachelor's degree or equivalent required (computer science, information systems, business administration or other industry-related curriculum) 5+ or more years as full stack developer along with experience in web applications, end-user applications and back-end services Customer focused, driven to help our customers Keen sense of priority and urgency Passionately committed to engineering best practices Self-learner and problem solver Accountability and Ownership Technical Skills Experience with ES6 Experience with one or more of the following React, Angular, or similar Strong computer science fundamentals Past experience in software development (professional or personal projects) Strong understanding of test driven development Great work ethic and motivation to learn and improve Experience with Django Experience with OpenAI and/or other LLMs Understanding of web networking including HTTP
Responsibilities: Serve as an AR Specialist on AR/Denial management strategies and best practices. Lead the resolution of high-level and escalated denial issues. Conduct root cause analysis to identify systemic issues contributing to denials. Develop and implement proactive measures to prevent future denials. Establish and maintain relationships with payer representatives to facilitate effective communication and negotiation. Train and mentor junior associates on advanced denial management techniques and payer communication strategies. Collaborate with cross-functional teams to implement process improvements and optimize revenue cycle performance. Monitor AR/Denial trends and provide regular reports and updates to leadership. Requirements: Minimum 2 years of progressive experience in AR/Denial Management- Revenue Cycle Management, US Healthcare. In-depth knowledge of healthcare billing regulations and payer policies. Excellent communication, negotiation and relationship-building skills. Advanced proficiency in data analysis and reporting tools. Ability to drive change and implement process improvements effectively. Bachelor's degree in healthcare administration, finance, or related field. Location: -Vadodara, Gujarat-Work from Office only Time: - Night/US Shift Kindly visit Company Website for more details https://www.qualifacts.com/
Role & responsibilities Revenue Success Analyst: This job description outlines a role responsible for overseeing a customer's RCMS contract, ensuring the smooth functioning of the revenue cycle across multiple business accounts, and ensuring key performance indicators (KPIs) are met. About the Role: The ideal candidate should have advanced RCM knowledge, problem-solving abilities, and experience in resolving complex customer issues. They will collaborate with teams, lead billing operations, and report monthly performance. Responsibilities: Oversee a customer's RCMS contract Ensure the smooth functioning of the revenue cycle across multiple business accounts Ensure key performance indicators (KPIs) are met Collaborate with teams Lead billing operations Report monthly performance Responsible for providing oversite of a customer's RCMS contract. They should have the ability to address multiple Markets of business accounts. They will ensure the revenue cycle is processing appropriately and KPIs are within expected parameters. Knowledge & Application Exhibits advanced RCM knowledge. Posses wide-ranging experience, using in-depth professional knowledge, acumen, concepts and company objectives to develop, resolve complex customer business requirements. Provides solutions to issues in creative and effective ways. Understands the interrelationships of different EHR functionality and impacts. Complexity & Problem SolvingTakes on and/or serves as advisor on complex customer issue analysis that requires evaluation of identifiable factors. Devises solutions based on limited information and precedent and adapts existing approaches to resolve issues. Uses advanced knowledge to evaluation, judgment, and interpretation to select right course of action. Assess agencies billing requirements, EDI files, and other RCM process, seek collaborative solutions, and prepare and present recommendations. Resolves concerns with team members with minimal support from leadership to ensure a productive revenue cycle. Collaboration & InteractionLeading an identified effort of complex RCM billing and reporting requirements, seek collaborative solutions, and prepare and present recommendations. Excellent written and oral communication skills. Ability to think quickly and logically to ensure solutions identified. Strong attention to detail and follow-through skills. Duties and Responsibilities Maintain & Coordinate billing operations and support actions with other team members. ] Lead efforts in payer and industry research impacting customers' businesses. Coordinate with team members to ensure metrics are met for contracts assigned. Maintain skills of Senior Billing Specialist; step in and help team members to maintain contractual KPIs. Monitor accounts for KPI performance and escalations. Creation of Month End Reporting and submission to provider practices. Assist in process development Has substantial understanding of medical billing, revenue cycle, and applies knowledge and skills to oversee the customer(s)'s contract(s). Is able to identify trends, identify root causes, and design solutions with minimal support from leadership. Qualifications: A Bachelor's degree and 4-6 years of medical billing experience are required, along with excellent Excel skills and the ability to identify trends and design solutions independently. Required Skills: Advanced RCM knowledge Problem-solving abilities Experience in resolving complex customer issues This position is based at Vadodara, Gujarat , India and requires work from office. Shift time - 06:30 PM IST to 03:30 AM IST.
Role & responsibilities Key Responsibilities Design, develop, and maintain dashboards and reports to support RCMS operations, including work allocation, production efficiency, and performance tracking. Partner with the U.S. Director of Operations, RCMS, to align on departmental metrics, KPIs, and reporting standards. Collaborate with RCMS Revenue Optimization team to analyze RCM data (claims, denials, collections, AR) to identify operational trends, risks, and opportunities for improvement. Create scalable data models and visualizations to support customer and internal decision-making. Ensure data accuracy, integrity, and usability across all reporting and dashboarding tools. Support ad hoc reporting and advanced analytics requests from leadership and stakeholders. Mentor junior analysts in BI development practices, ensuring consistency and quality across deliverables. Collaborate with cross-functional teams (Ops, Product, Customer Success, Finance) to ensure BI deliverables meet business needs. Success Metrics Delivery of accurate, timely dashboards and reports aligned with RCMS operational needs. Increased visibility into production, work allocation, and performance metrics. Improved efficiency and decision-making through actionable analytics. Identification and communication of RCM trends and insights that drive customer growth and retention. Qualifications Bachelor's degree in computer science, Information Systems, Healthcare Analytics, or related field. 4+ years of experience in business intelligence, reporting, or analytics within healthcare, RCM, or EHR domains. Advanced SQL skills and strong hands-on experience with Snowflake (mandatory). Strong experience with BI/dashboard tools (e.g., Power BI, Tableau, Looker, or equivalent). Knowledge of RCM workflows and healthcare billing data (claims, remittances, AR, denials, payer codes, etc.). Familiarity with healthcare billing codes (ICD, CPT, HCPCS, NPI) preferred. Strong understanding of dimensional data modeling and ETL concepts. Experience with data pipeline tools (e.g., Airflow, DBT) and scripting languages (Python/R) preferred. Proven ability to translate business requirements into actionable technical solutions. Strong analytical, problem-solving, and communication skills. Ability to manage multiple priorities in a fast-paced environment and work collaboratively across geographies. Additional Job Description Core Technical Skills Advanced SQL proficiency for complex querying and data manipulation Expertise in Snowflake for data warehousing and analytics (mandatory) Handson experience with BI tools such as Power BI, Tableau, Looker, or equivalent Dimensional data modeling and understanding of ETL processes Data pipeline development using tools like Airflow or DBT Scripting knowledge in Python or R for advanced analytics and automation Healthcare & RCM Domain Knowledge Indepth understanding of Revenue Cycle Management (RCM) workflows Familiarity with healthcare billing data (claims, remittances, AR, denials, payer codes) Knowledge of medical coding standards (ICD, CPT, HCPCS, NPI) Experience working with EHR systems and healthcare analytics Business Intelligence & Analytics Ability to design and maintain dashboards that drive operational insights Experience in data visualization and storytelling for decisionmaking Proven track record of translating business requirements into technical solutions Strong focus on data accuracy, integrity, and usability Leadership & Collaboration Experience managing and mentoring BI/MIS teams Strong crossfunctional collaboration with Ops, Product, Finance, and Customer Success teams Ability to align with senior leadership on KPIs, metrics, and reporting frameworks Skilled in stakeholder communication and presenting insights to nontechnical audiences