IT Support: To be considered for this position, applicants need to meet the following qualification criteria: An IT Coordinator is a professional responsible for maintaining and managing information technology systems and networks within an organization. They ensure the functionality and efficiency of computer and telecom systems by establishing protocols, providing technical support, and advising on IT choices. An IT Coordinator performs various tasks to maintain IT systems, including installing and configuring software and hardware, monitoring system performance, troubleshooting issues, and providing technical support and training. They act as a link between end users and higher-level support, collaborate with other professionals, and ensure compliance with IT standards and functionality. Their role involves both technical and administrative responsibilities in managing IT systems within an organization. Roles and Responsibility: Institute protocols for the use of IT across departments and projects Provide advice on the most suitable IT choices Provide technical support for systems and networks for local users and overseas Clients. Act as link between end users and higher level support Install and configure software and hardware (printers, network cards etc. Monitor system and network performance Perform troubleshooting, repairs and data restoration
Key Responsibilities: Accurately code and abstract patient encounters, including diagnostic and procedural information, ensuring compliance with coding guidelines and regulations. Review and analyze medical records to identify documentation deficiencies and ensure that all necessary information is captured for reimbursement. Serve as a subject matter expert, providing guidance and support to other coding staff on best practices and coding conventions. Conduct audits of clinical documentation and coded data to validate that documentation supports services rendered for reimbursement and reporting purposes. Assign codes for reimbursement purposes, ensuring adherence to regulatory requirements and internal policies. Identify discrepancies, potential quality of care issues, and billing problems, and recommend corrective actions to prevent future coding errors. Assist in training and mentoring junior coding staff, providing ongoing education on coding practices and updates in regulations. Handle special projects as assigned, contributing to process improvements and operational efficiency. Required Skills and Qualifications: Certification as a Medical Coder is required. Strong knowledge of medical terminology, anatomy, and coding systems Excellent analytical skills with attention to detail to ensure accuracy in coding. Proficient in using electronic health record (EHR) systems and coding software. Strong communication skills, both verbal and written, to effectively interact with healthcare providers and team members. Ability to work independently and manage multiple priorities in a fast-paced environment. Familiarity with healthcare regulations, compliance standards, and best practices in coding. Education and Experience: Bachelor s degree in Health Information Management, Healthcare Administration, or a related field preferred. Previous experience in medical coding, preferably within a KPO or healthcare setting, is highly desirable.
Key Responsibilities: Compile and organize healthcare data from electronic health records, patient satisfaction surveys, billing claims, cost reports, and other sources Analyze data patterns and trends to deliver optimal healthcare management and decision-making Retrieve data from database management systems and perform ETL (Extract, Transform, Load) processes Build data models that capture a wide range of healthcare operations Create visually appealing reports and presentations to communicate data-driven insights to management Collaborate with healthcare executives and administrators to implement data-driven improvements Stay up-to-date with the latest healthcare data analysis techniques and tools Required Skills and Qualifications: Bachelors degree in Health Informatics, Statistics, Mathematics, or a related field 3-5 years of experience as a Healthcare Data Analyst or in a similar role Knowledge of healthcare procedures, terminology, and regulations Strong analytical and problem-solving skills with the ability to derive meaningful insights from complex data Excellent communication and presentation skills to effectively convey findings to technical and non-technical stakeholders Familiarity with data warehousing concepts Experience in data modeling and ETL processes Ability to work collaboratively in a team environment and adapt to changing priorities If you possess the required skills and are passionate about leveraging data to improve healthcare outcomes, we encourage you to apply for this exciting opportunity.
Integrity Knowledge Services is looking for Team Lead to join our dynamic team and embark on a rewarding career journey A Team Lead is a professional who is responsible for leading, guiding, and supervising a team of employees to achieve specific goals and objectives Some of the key responsibilities of a Team Lead include:1 Providing direction, guidance, and support to team members to help them achieve their individual and team goals Managing team schedules, delegating tasks, and ensuring that deadlines are met Mentoring, coaching, and providing feedback to team members to help them grow and develop their skills Identifying and resolving conflicts and obstacles that may impact team performance Ensuring that team members have the necessary resources and support to perform their job effectively The ideal candidate for this role should have strong leadership, communication, and interpersonal skills
About Job Role: Review and verify client information to determine eligibility for specific benefits or programs. Communicate with clients or relevant parties to gather necessary information. Verify and analyse insurance coverage details, including co-pays, deductibles, and coverage limits. Determine the extent of benefits available to clients based on their eligibility status. Maintain accurate and up-to-date records of client information, eligibility status, and benefit details. Document verification processes and outcomes for future reference. Communicate eligibility and benefit information to clients, colleagues, or relevant stakeholders. Provide clear explanations of benefits, coverage details, and any necessary actions required. Address and resolve any discrepancies or issues related to eligibility or benefits. Collaborate with other departments or teams to ensure accurate information flow. Stay informed about relevant laws, regulations, and industry standards related to eligibility and benefits. Ensure compliance with all applicable guidelines and policies. Provide excellent customer service by responding to inquiries, addressing concerns, and assisting clients in understanding their benefits. Qualifications: Any graduate or equivalent; additional education or certifications in healthcare administration or related fields may be preferred. Previous experience in eligibility verification, benefit analysis, or a similar role. Knowledge of insurance policies, financial assistance programs, or relevant benefits. Strong attention to detail and accuracy. Excellent communication and interpersonal skills. Compensation As per Industry standards
Collaborate with hiring managers to identify staffing needs and create job descriptions. Source candidates through various channels, including job boards, social media, and networking. Screen resumes and conduct initial interviews to assess candidate qualifications and fit. Coordinate and schedule interviews with hiring teams. Maintain an organized database of candidates and track progress throughout the hiring process. Provide an excellent candidate experience by communicating effectively and answering questions. Assist in conducting reference checks and background screenings. Support the onboarding process for new hires, ensuring a smooth transition into the company. Contribute to the development and implementation of recruitment strategies and employer branding initiatives. Stay updated on industry trends and best practices in recruitment.
About Job Role: Review, analyse, and understand authorization requests, ensuring completeness and accuracy. Collaborate with internal departments to gather necessary information for authorization processing. Verify the eligibility and coverage details for authorization requests. Communicate with external stakeholders, including insurance providers and regulatory bodies, to obtain necessary approvals. Maintain accurate records of authorization requests, approvals, and denials. Understand the appeal requirements and process for any unapproved authorizations and ensure timely appeals. Monitor and stay informed about changes in industry regulations related to authorization processes and compliance. Provide support and guidance to staff involved in the authorization process. Generate reports and analyse data related to authorization activities. Ensure compliance with company policies and industry standards. Contribute to the continuous improvement of the authorization process. Qualifications: Bachelors degree in [Relevant Field] or equivalent work experience. Proven experience in authorization or a related field (1-3 years) Strong understanding of industry regulations and compliance requirements. Excellent communication and interpersonal skills. Detail-oriented with strong organisational and multitasking abilities. Proficient in using relevant software and tools Compensation As per Industry standards
About Job Role: Prepare and submit medical claims to insurance companies accurately and in a timely manner. Ensure that all required documentation, such as medical records and invoices, is attached to support the claims Regularly follow up on unpaid or underpaid claims with insurance companies. Use various communication channels, including phone calls and written correspondence, to resolve outstanding issues. Investigate and address claim denials promptly. Determine the reasons for denials and take corrective actions to reprocess or appeal denied claims. Communicate effectively with insurance representatives to resolve claim issues and obtain information. Establish and maintain positive relationships with insurance companies to facilitate smoother claims processing. Communicate with patients regarding their account balances, explaining any insurance-related matters or financial responsibilities. Assist patients with questions related to billing and insurance. Follow the organisations policies, procedures, and compliance standards. Stay informed about changes in healthcare regulations that may impact billing practices. Required Skilled Sets: Any graduate Prior calling experience would be an added advantage. Fluent verbal communication abilities. Willing to work in night shift (US shift) Good understanding of the overall Revenue Cycle Management to effectively work on AR. Compensation: As per Industry standards
Job Summary : As a DMT Process Associate , you will be responsible for supporting the overall medical billing process within the Revenue Cycle Management (RCM) framework. You will work with various teams to ensure that medical claims are processed efficiently and that patient information is managed accurately. The position requires knowledge of medical billing procedures, claim submission, denials, follow-ups, and knowledge of healthcare regulations. Key Responsibilities : Medical Claims Processing : Review and verify patient and insurance details to ensure accurate claim submissions. Submit medical claims to insurance companies, ensuring all necessary documentation is included. Process Electronic Data Interchange (EDI) claims and paper claims as per company guidelines. Denials Management & Follow-up : Monitor and resolve denied claims by analyzing rejection codes and taking appropriate corrective actions. Communicate with payers to follow up on unpaid or underpaid claims and escalate issues when needed. Billing & Coding Support : Ensure medical billing codes (CPT, ICD-10, HCPCS) are accurate for each patient encounter. Work with coding teams to resolve coding errors and ensure compliant billing practices. Data Management & Documentation : Maintain accurate patient records and update billing systems with relevant information. Ensure all documentation aligns with healthcare compliance standards. Client Communication & Reporting : Communicate effectively with clients (healthcare providers or payers) regarding billing status and claim issues. Prepare and submit reports regarding claims status, denials, and outstanding balances. Compliance : Adhere to HIPAA, healthcare regulations, and company policies related to patient confidentiality and data security. Ensure all billing practices comply with current payer guidelines and regulatory requirements. Continuous Improvement : Participate in training sessions to stay up-to-date with industry trends, new technologies, and billing practices. Suggest process improvements to enhance efficiency and reduce claim rejections. MIS Executive: Prepare and maintain daily, weekly, and monthly MIS reports, dashboards, and performance reports for management and key stakeholders. Analyze data to identify trends, patterns, and opportunities for process improvement across various departments. Develop customized reports based on business needs and ensure data accuracy and consistency. Collect, verify, and analyze data from various internal and external sources to produce accurate reports. Maintain and update databases and data entry systems to ensure the accuracy of information. Assist in the development and implementation of MIS tools and reporting formats. Collaborate with cross-functional teams to gather relevant data for reporting purposes. Present findings and provide actionable insights through clear and concise reports and presentations. Support senior management by providing ad-hoc data analysis as required. Ensure data integrity, confidentiality, and security in all reporting processes. Monitor key performance indicators (KPIs) and assist in tracking departmental or organizational goals. Identify and resolve issues related to data accuracy or reporting discrepancies.
You should be familiar with all accounting procedures and have a flair for numbers. Ultimately, you should ensure that the company s daily accounting functions run accurately and effectively. Your responsibilities: Provide accounting and clerical support to the accounting department Type accurately, prepare and maintain accounting documents and records Prepare bank deposits, general ledger postings and statements Reconcile accounts in a timely manner Enter key data of financial transactions in database daily Aid and support company personnel Research, track and restore accounting or documentation problems and discrepancies Inform management and compile reports/summaries on activity areas Function in accordance with established standards, procedures and applicable laws Responding appropriately to vendor, client, and internal requests. Ensuring Accounting Department runs smoothly and efficiently. Performing basic office tasks, including answering phones, responding to emails, processing mail, filing, etc. Skill sets/Experience we require: Inter CA- 1st Preference Account payable Specialist- Core domain knowledge Communication- Excellent QBO, Excel- Must US accounting Experience Shift timing Morning/ Noon Depends