Role & responsibilities - The AR Associate is responsible for the accounts receivables aspects of the client-focused revenue cycle operations and must display in-depth knowledge and execute all standards operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership. Responsibilities Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patient and client when appropriate. Analyze the trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR. Account Receivable specialist that understands the whole accounting /claim life cycle. In-depth working knowledge of the various applications associated with the workflows i.e., Microsoft Office and Google Tools and more. Ensure all workflow items are completed within the set TAT within quality expectations. Able to analyze denial EOBs and denials at a claim level in addition to finding trends impacting the AR. Perform other duties as assigned by the Lead. Escalate difficult collection situations to management in a timely manner. Post cash and write off the contractual adjustments accordingly while working on the accounts If Required. Meeting daily/weekly and monthly targets set for an individual. Candidate should have good knowledge of Medicare, Medicaid & commercial payers and their denial codes and must be aware of how what are the appropriate actions required. Strong knowledge of Language Skill as American English with neutral accent. Communicates effectively with all internal and external clients. Uses good judgement and critical thinking skills; ability to identify and resolve problems. Possess a strong work ethic and a high level of professionalism with a commitment to client/patient/organization satisfaction. Functional knowledge of HIPPA rules and regulations and experience related to privacy laws, access and release of information. Ability to interact positively with team members, peers and seniors.
Python Developer is responsible for building, debugging, and implementing application projects using the Python programming language and developing program specifications and coded modules according to specifications and client standards. Responsibilities Advanced Python Programming: Extensive experience in Python, with a deep understanding of Python principles, design patterns, and best practices. Proficiency in developing scalable and efficient Python code, with a focus on automation, data processing, and backend services. Demonstrated ability with automation libraries like PyAutoGUI for GUI automation tasks, enabling the automation of mouse and keyboard actions. Experience with Selenium for web automation: Capable of automating web browsers to mimic user actions, scrape web data, and test web applications. Python Frameworks and Libraries: Strong experience with popular Python frameworks and libraries relevant to data processing, web application development, and automation, such as Flask or Django for web development, Pandas and NumPy for data manipulation, and Celery for task scheduling. SQL Server Expertise : Advanced knowledge of SQL Server management and development. API Development and Integration: Experience in developing and consuming APIs. Understanding of API security best practices. Familiarity with integrating third-party services and APIs into the existing ecosystem. Version Control and CI/CD: Proficiency in using version control systems, such as Git. Experience with continuous integration and continuous deployment (CI/CD) pipelines Unit Testing and Debugging: Strong understanding of testing practices, including unit testing, integration testing. Experience with Python testing. Skilled in debugging and performance profiling. Containerization and Virtualization: Familiarity with containerization and orchestration tools, such as Docker and Kubernetes, to enhance application deployment and scalability. Requirements & Skills Analytical Thinking : Ability to analyze complex problems and break them down into manageable parts. Strong logical reasoning and troubleshooting skills. Communication: Excellent verbal and written communication skills. Ability to effectively articulate technical challenges and solutions to both technical and non-technical team members. Team Collaboration : Experience working in agile development environments. Ability to work collaboratively in cross-functional teams and with stakeholders from different backgrounds. Continuous Learning : A strong desire to learn new technologies and frameworks. Keeping up to date with industry trends and advancements in healthcare RCM, AI, and automation technologies. . Additional Preferred Skills: Industry-Specific Knowledge is a plus: Familiarity with healthcare industry standards and regulations, such as HIPAA, is highly advantageous. Understanding of healthcare revenue cycle management processes and challenges. Experience with healthcare data formats and standards (e.g., HL7, FHIR) is beneficial. Educational Qualifications: Bachelors degree in a related field., Relevant technical certifications are a plus
Java Backend Developer Healthcare Interoperability (Java/Spring Boot) will be responsible for developing components of a Healthcare Interface Engine. This includes working on EHR connectors, data transformations, and scalable APIs, while collaborating with the architect to deliver secure and high-performance workflows. Responsibilities Build EHR connectors for inbound/outbound data (Epic, Athena, Cerner, etc.). Implement HL7 v2, FHIR R4, and X12 EDI transaction flows. Design, build, and maintain REST APIs for interoperability services. Handle transformations between JSON, XML, HL7 v2, and EDI. Implement queuing, retries, and error handling logic. Collaborate with architect on scalable and secure workflows. Troubleshoot, debug, and resolve technical issues across the stack, ensuring optimal performance and reliability. Stay current with emerging technologies and advocate for continuous improvement within the team. Technical Skills Required Strong in Java / Spring Boot and Spring Integration RESTful API development & security (OAuth2, JWT) Data transformation libraries (Jackson, Smooks, HAPI FHIR) Parsing HL7 v2, Json, FHIR & X12 EDI (837, 835) Messaging systems (Kafka / RabbitMQ etc) SQL/NoSQL databases (Postgres, Redis etc)
Software Architect Healthcare Interoperability is responsible for leading the design and development of a next-generation healthcare interface engine. This role involves integrating with various EHR systems such as Epic, Cerner, Athena, and Meditech, managing diverse data formats including HL7 v2, FHIR R4, X12/EDI, JSON, and XML, while ensuring the platform is scalable, compliant, and observable. Responsibilities Design the architecture for a custom interface engine supporting HL7 v2, FHIR (R4), and X12 EDI etc transactions. Define routing, transformation, and queuing strategies for high-volume healthcare data exchange. Integration with EHRs (Epic, Athena, Cerner, Meditech) and clearinghouses. Establish error handling, retries, monitoring, and resilience patterns (Resilience4j, circuit breakers, observability). Mentor developers, review designs/code, and enforce best practices. Technical Skills Required Java / Spring Boot (microservices, APIs, event-driven patterns) Integration frameworks: Apache Camel or Spring Integration Data mapping: Smooks, HAPI FHIR Message formats: HL7 v2, FHIR (STU3/R4), X12 EDI (837, 835, 270/271), JSON, XML, CSV etc Architecture & Infrastructure Cloud-native design (Azure / AWS) Kafka / RabbitMQ for messaging Observability: Grafana / Prometheus / ELK Security: OAuth2, JWT, mutual TLS, encryption at rest/in-transit Domain Knowledge Healthcare RCM (pre-billing edits, eligibility, claims, remittance) EHR APIs ( Epic App Orchard, Athena One, Cerner Ignite etc) Experience 10+ years in software engineering with 3+ years in healthcare interoperability.