3477 Us Healthcare Jobs - Page 25

We are looking for an immediate joiner who should have relevant exposure to Investigations Process with evidence gathering through fact finding and analysis. Primary Responsibility: Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Undergraduates / Postgraduates can apply (Except Medical Science & Life Science graduates) Experience in healthcare domain will be added advantage Knowledge of (HIPAA) laws pertaining to confidentiality of protected health information Proven ability to identify documentation and medical record form(s) and make independent decisions within the scope of ones job responsibilities Proven well versed with MS Office tools (Excel, Word & PowerPoint) Proven good data analytical skills combined with excellent communication skills Proven detail oriented and ability to be self-motivated to complete duties in a timely manner Proven ability to work in a team environment and to collaborate with a variety of professionals Proven ability to work occasional off-hours schedules Proven attention to detail with strong organizational skills Proven basic analytical skills

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Like you, UnitedHealth Group is strong on innovation. And like you, we’ll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You’ll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you’ll have a chance to make an impact. We are looking for an immediate joiner who should have relevant exposure to Investigations Process with evidence gathering through fact finding and analysis. Primary Responsibility: Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Any other undergraduates / Postgraduates can apply (Except Medical Science & Life Science graduates) Experience in healthcare domain will be added advantage Knowledge of (HIPAA) laws pertaining to confidentiality of protected health information Proven ability to identify documentation and medical record form(s) and make independent decisions within the scope of one’s job responsibilities Proven versed with MS Office tools (Excel, Word & PowerPoint) Proven good data analytical skills combined with excellent communication skills Proven detail oriented and ability to be self-motivated to complete duties in a timely manner Proven ability to work in a team environment and to collaborate with a variety of professionals Proven ability to work occasional off-hours schedules as required Proven attention to detail with strong organizational skills Proven basic analytical skills At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. #NJP External Candidate Application Internal Employee Application

About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432489/WhatsApp @7892150019 lakshmi.p@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******

Role Summary: ? Leads product strategy and ensure the product activities are in alignment with product vision and Organization strategy. ? Provide contributions on several interrelated products on the total process/design from product inception through administration and market implementation. ? Responsible for coordination of all aspects of product management including regulatory compliance, operations, communications, marketing, etc across the entire organization. ? This position also manages business and system integration. ? Products and programs may include but are not limited to medical, pharmacy, clinically based, and wellness and prevention offerings, and non-medical based offerings. ? Manage initiatives involving internal teams and external vendors to ensure successful delivery of new products and programs from ideation through launch. ? Provide Subject Matter Expertise consultation for product management. Key Responsibilities ? Supports the strategy and design of mixed-methods experiential primary research plan across a developing portfolio of solutions as part of a complex measurement and evaluation plan (research protocol). ? Perform execution of experiential primary research plan through creation and launch of data collection methods, leveraging industry leading tools and standards (surveying / interviewing etc.) for a mix of low to medium complexity projects. Support execution and delivery of primary research plans under direction of more senior team members and leadership. ? Formalize findings and convey results in the form of visual, written, and verbal reporting to stakeholders and executive audiences. Acclimate audiences to learnings by providing industry context, standards, and benchmarks where appropriate. Support peers in automating data analysis and reporting tools across solutions. ? Manage matrixed relationships with various internal and external stakeholders (stakeholder management & relationship building) ? Support internal process improvement activities and uphold Highmark strategic core behaviors and provide cross-cutting specialized support of peers like regulatory reviews, data managament, and study materials creation. ? Identify needs to develop new and innovative products, perform appropriate research/analyses, and evaluate feasibility of the administration and implementation of product. ? Perform research on projects and manage/lead projects to successfully meet business objectives. ? Perform market research & analysis to identify industry trends, standards, regulations, competitions, vendor products etc. ? Participate in product strategy & roadmap discussions and validate if it's in alignment with business goals. ? Data driven consulting- Review metrics across the applications/products to review performance and suggest continuous improvements. ? Review business processes, operations across the platforms and identify automation opportunities and process improvements. ? Provide Subject Matter Expertise consultation for product management. Required ? 10+ years of US Healthcare industry experience ? MBA Preferred; Engineering degree from reputed institute ? Experience with Project Management tools ? Experience with Data Visualization Tools (Tableau, Power BI) ? Experience with SQL, Database design and solutioning ? Experience in market, customer, and/or clinician experiential research setting. Marketing research experience is defined as having worked as either a project manager or lead research analyst for a minimum of 1 years. Work on ether the client or vendor side of the research industry is acceptable. Previous experience in marketing research with insurance is a plus. ? Proven expertise in customer satisfaction research / programs ? Ability to collect, and analyze datasets to identify trends, patterns, and insights ? Familiarity with using industry tools such as Qualtrics, MURAL, User Testing platforms (or similar tools) ? Analytical Thinking ? Negotiation & persuasion skills ? Excellent Communication skills Good to have ? Influencing change in complex organizational systems ? Onsite work experience with US Healthcare Payers is a plus.

Role Summary: ? Leads product strategy and ensure the product activities are in alignment with product vision and Organization strategy. ? Provide contributions on several interrelated products on the total process/design from product inception through administration and market implementation. ? Responsible for coordination of all aspects of product management including regulatory compliance, operations, communications, marketing, etc across the entire organization. ? This position also manages business and system integration. ? Products and programs may include but are not limited to medical, pharmacy, clinically based, and wellness and prevention offerings, and non-medical based offerings. ? Manage initiatives involving internal teams and external vendors to ensure successful delivery of new products and programs from ideation through launch. ? Provide Subject Matter Expertise consultation for product management. Key Responsibilities ? Supports the strategy and design of mixed-methods experiential primary research plan across a developing portfolio of solutions as part of a complex measurement and evaluation plan (research protocol). ? Perform execution of experiential primary research plan through creation and launch of data collection methods, leveraging industry leading tools and standards (surveying / interviewing etc.) for a mix of low to medium complexity projects. Support execution and delivery of primary research plans under direction of more senior team members and leadership. ? Formalize findings and convey results in the form of visual, written, and verbal reporting to stakeholders and executive audiences. Acclimate audiences to learnings by providing industry context, standards, and benchmarks where appropriate. Support peers in automating data analysis and reporting tools across solutions. ? Manage matrixed relationships with various internal and external stakeholders (stakeholder management & relationship building) ? Support internal process improvement activities and uphold Highmark strategic core behaviors and provide cross-cutting specialized support of peers like regulatory reviews, data managament, and study materials creation. ? Identify needs to develop new and innovative products, perform appropriate research/analyses, and evaluate feasibility of the administration and implementation of product. ? Perform research on projects and manage/lead projects to successfully meet business objectives. ? Perform market research & analysis to identify industry trends, standards, regulations, competitions, vendor products etc. ? Participate in product strategy & roadmap discussions and validate if it's in alignment with business goals. ? Data driven consulting- Review metrics across the applications/products to review performance and suggest continuous improvements. ? Review business processes, operations across the platforms and identify automation opportunities and process improvements. ? Provide Subject Matter Expertise consultation for product management. Required ? 10+ years of US Healthcare industry experience ? MBA Preferred; Engineering degree from reputed institute ? Experience with Project Management tools ? Experience with Data Visualization Tools (Tableau, Power BI) ? Experience with SQL, Database design and solutioning ? Experience in market, customer, and/or clinician experiential research setting. Marketing research experience is defined as having worked as either a project manager or lead research analyst for a minimum of 1 years. Work on ether the client or vendor side of the research industry is acceptable. Previous experience in marketing research with insurance is a plus. ? Proven expertise in customer satisfaction research / programs ? Ability to collect, and analyze datasets to identify trends, patterns, and insights ? Familiarity with using industry tools such as Qualtrics, MURAL, User Testing platforms (or similar tools) ? Analytical Thinking ? Negotiation & persuasion skills ? Excellent Communication skills Good to have ? Influencing change in complex organizational systems ? Onsite work experience with US Healthcare Payers is a plus.

Essential Responsibilities Takes a lead role for analyzing, designing, coding, testing and implementing more complex application enhancements, as well as providing general production support, meeting defined scope, target dates and budgets with minimal or no defects. Utilizes and participates in the more complex full system development life cycle, per current Highmark SDLC standards. Takes a lead role in collaborating with customers, business analysts, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to more complex business needs. Takes a lead role in providing required technical support, including release implementations, on-call and supports when necessary. Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures. Actively takes a leading role and participates on project teams in various project roles, including, but not limited to, Developer, Technical Lead and Project Manager, based upon level of experience. Effectively communicates with team members, customers, partners and management, including assisting with or conducting more complex technical walkthroughs, reporting project status, enabling vendor solutions and providing accurate and concise documentation. Other duties as assigned or requested. The experience we are looking to add to our team Required At least 4-6 yrs Relevant experience of relevant experience in PEGA (8.x version) Should have Good Knowledge in overall concepts of Pega with good hands-on experience. Case Management Good to Have: Good Communication Skills Capable of handling one or two persons in team as a module lead Familiarity with Scrum and Agile methodology Experience with Java based application Knowledge on US HealthCare system. KEY SKILLS Problem solving, root cause analysis, and issue resolution Demonstrated leadership skills Experience in Healthcare or Health Insurance Industry

Key Responsibilities : Lead Generation & Sales: Proactively identify and engage potential members through various channels, including walk-ins, inbound inquiries, and outbound outreach Membership Sales & Conversions: Present and sell membership options, upsell additional services such as personal training, and close sales to meet or exceed monthly targets Customer Engagement & Retention: Provide personalized tours, address member inquiries, and ensure a welcoming environment to enhance member satisfaction and retention CRM Management: Utilize CRM tools to track leads, manage follow-ups, and update member records to maintain accurate and up-to-date information Community Outreach: Build relationships with local businesses, organizations, and influencers to drive group memberships and increase brand visibility Event Management: Organize and participate in events to engage the community and generate interest in membership offerings

Aster Medcity is looking for Deputy Manager Revenue Cycle Managementto join our dynamic team and embark on a rewarding career journey Developing and implementing revenue cycle management policies and procedures that ensure accurate billing, timely collections, and compliance with regulatory requirements Monitoring and analyzing revenue cycle data to identify areas for improvement and implement process improvements Collaborating with other departments to ensure that revenue cycle activities are aligned with organizational goals and objectives Managing the accounts receivable to ensure timely and accurate billing and collections Ensuring compliance with regulatory requirements related to revenue cycle management Managing relationships with payers and negotiating contracts and reimbursement rates Developing and maintaining relationships with key stakeholders, including patients, providers, and payers Managing budgets and financial performance for revenue cycle management and preparing reports and presentations to senior management on revenue cycle performance Excellent leadership and communication skills, with the ability to motivate and manage teams effectively Strong analytical and problem-solving skills

Greetings from Vee HealthTek...!!! We are hiring for candidates who have experienced in AR Caller - Denial Management for medical billing in the US Healthcare industry... Experience - 1 to 4 years excellent communication skills. Designation - AR Caller/Senior AR Caller Joining: Immediate/ or a max of 10-15 days Shift Timing: Night shift (US Shift) (5.30PM 2.30AM IST) Work Mode: Work from Office Salary - 2.5 to 4 LPA. Perks and benefits: * Week Off Details: Fixed off on Saturdays & Sundays * Cab facility: 2-way cab available * Night shift allowance * 1200rs worth food coupon * Incentives based on performance Interested candidate's kindly contact HR: - Name - Shivdarshan L Contact Number - 7540005535 Mail Id - Shivdarsan.l@veehealthtek.com

HR SPOC - Aiswarya HR Job location: Kesarpalli, Vijayawada Position: CSA Industry: ITES/BPO Category: International Non Voice Process Work Mode : Work From Office Key Skills: Good Communication Skills. Listening & Comprehension. Good typing Skills is Mandatory Minimum Eligibility: *Only Arts & Science and Diploma can apply. No Arrears. * PG Graduates & BE/B.Tech/ Diploma Graduates are not eligible. Mega Walk-in Drive Location: No 53/1, Model 05, First Floor, Medha Towers, ACE Urban Hitech City, IT/ITES SE, Kesarapalli village, Gannavaram Mandal. Krishna Dist, Andrapradesh - 521102. Direct Walk-in Walk - in Time: 4PM Walk - in Date: Monday to Friday Note: Bring your Pan card Or Aadhar card (original and Xerox) Contact Person: HR Recruiter - Aiswarya M / 8072289336 Interested candidates share your resume to aiswarya.mmm@firstsource.com Mention reference name in Aiswarya HR top of your resume. Kindly refer your friends as well.

We are looking for a highly skilled and experienced AR Associate to join our team at Omega Healthcare Management Services Pvt. Ltd., Location - Omega Healthcare - F2 Airport Bengaluru, Karnataka Rustam Bagh Layout, Bengaluru, Karnataka 560017 https://lnkd.in/gKk48dh5 Date - 28-Jun-2025 ( 2 PM ) - Saturday Roles and Responsibility Manage and process accounts receivable transactions with high accuracy and attention to detail. Develop and implement effective strategies to improve cash flow and reduce outstanding balances. Collaborate with cross-functional teams to resolve billing discrepancies and ensure timely payments. Analyze and report on key performance indicators, such as delinquency rates and credit utilization. Identify and mitigate potential risks associated with accounts receivable, including bad debt and denials. Provide exceptional customer service by responding promptly to customer inquiries and resolving issues professionally. Job Strong knowledge of accounting principles, financial regulations, and industry standards. Excellent analytical, problem-solving, and communication skills. Ability to work effectively in a fast-paced environment with multiple priorities and deadlines. Proficiency in CRM software and Microsoft Office applications. Strong attention to detail and ability to maintain accurate records. Experience working in a BPO or IT-enabled services environment is preferred.

We are conducting the interviews on Saturdays and Sundays. OMEGA HEALTH CARE Please share the maximum profiles to respective spocs. Below are the skills and requirements. 1. Designation : AR Callers / Senior AR Callers 2. Experience: 1 Year to 5 years 3. Required Skills: I. Expertise in Physician Billing (CMS-1500) II. Strong understanding of CMS-1500 claim forms and related processes III. Strong in Denial Management IV. Good communication skills 4. Notice Period: Immediate joiners or candidates with a maximum 7 day notice period are highly preferred 5. Shift: Night shift & Day Shift 6. Location: Bangalore 7. Rounds of Interview: I. HR Round II. Operations Round And we ahve vacancies for Hyderabad location R1RCM-Walkin Gebbs Health care-Virtual AND Walkin Banglore Omega-Virtual Day available Who all are intersted to call me and whats app your resume S. Umadevi 9515464576 umadevi.s@maintec.in we need AR Calling denial Management, Voice process, provider side exerince candidates Physician and hospital billing expperience candidates with proper documents Need immediate joiners AR Callers 9515464576

Role & responsibilities : To review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to understand the reasons for denials and work towards resolving them. Preferred candidate profile : 1 - 4 Years of experience as an AR Analyst [Physician billing / Hospital billing] Perks and benefits : Internal Promotions, Two way cab, PF, Medical insurance. Interested candidates can drop your resume to sheril.monisha@omegahms.com // 9360510353 [Sheril - HR]. Note: Good communication and Denials knowledge is a must.

Voice hiring for AR calling and health insurance International Voice. Location :- Bangalore Shift :- US shift (Rotational) Pick and drop available, Food available. We are seeking a Patient Support Service Representative (Voice) to handle customer queries and provide assistance related to healthcare services. The role requires eective communication skills, attention to detail, and the ability to work in a fast- paced environment. What job duties can I expect to perform as a Customer Support Representative? Handle inbound and outbound calls related to healthcare services. Service customers seeking support with their monthly healthy benet package. This monthly benet can be used in pharmacies and is present on a card to be used for over-the-counter medications such as cold/u and nutritional supplements. Customers will seek help with replacement cards, balance checks, and contact information updates. Successful associates can distinguish varying levels of customer complexity & communicate Ensure compliance with HIPAA and other healthcare regulations. Resolve customer queries efiiciently while maintaining professionalism. Maintain records of patient interactions and escalate complex cases when needed. Bachelor's degree in any field Strong verbal and written communication skills. Ability to handle customer inquiries with empathy and professionalism. Basic knowledge of healthcare processes and medical terminologies (preferred). Problem-solving and multitasking abilities.

About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Hemalatha HR Analyst Black and White Business Solutions Pvt Ltd Bangalore,Karnataka,INDIA. Direct Number: 080-67432492/Whatsapp @9900261540 Hemalatha.c@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******

Job Location : Mohali Salary Hike, 40k ctc max Rotational Shifts 5 Days Working Voice Process Cabs Available both Males & Females (no deduc) Prior Registration Needed One Year International Experience Mandatory Interested Contact Hr Seerat 8360352944

Dexian Hiring US Voice Process professionals for US Non-IT Recruiter Role(Training provided) Immediate Joiners with US/Night shift experience from any the below mentioned background. Customer support/International calling/International voice process/US process/US Sales/BPO/Voice process/Loans processes/Claims/Tele calling/Call centre/ CSR/Recruiter/ US AR/US calling/ US Banking/US mortgage etc. Seeking Graduates with min 6 months to 3 years of experience with Excellent communication and verbal skills currently handle any of the below role. Working in US/Night shift experience is must. VENUE : Dexian India Services Private Limited, Office # 101, First Floor, Building No. B6 (R4), Gera Commerzone, Kharadi, Pune. ROLE : Non-IT Recruiter (Training Provided) DOJ : 11th August 2025 Shift : 6pm IST - 3am IST Contact Info: Stacy Maria- 9867407773 Amatulla Lightwala- 7066895352 Education qualification - Any degree Excellent/Top class communication skills.(English) Min 6months - 3 years of experience Candidates available to join us on 11th August 2025 Able to work in target driven environment. Willing to change your career into Recruitment. Willing to work into complete Night Shift. Applicable only US holidays. No leaves first 3 months Perks and benefits : 40k CTC pm + 3600 pf pm +5L insurance benefit+ Recurring incentives + Both ways cab for candidates residing within 20km of radius from Pune Kharadi Dexian office. Candidates willing to relocate are welcome to apply Role & responsibilities The Recruiter will identify, recruit, screen, and present good candidates for Non-IT positions, collaborating with hiring managers to set realistic technical requirements. Job Overview: As a Recruiter you will play a vital role in identifying, assessing, and hiring skilled Non-IT professionals to fulfil the staffing requirements of our US based clients. Working closely with leads and managers, you will comprehend client needs, source candidates through diverse channels, and oversee the entire recruitment life cycle. Interested candidates share your updated resume with the below details Name Contact number Email id Current location Current company Total years of exp Current designation Current Salary Expected salary Notice period Prior exp working in US shift Available to join on 11th August 2025 Willing to work as Recruiter Willing to work in Night shift Regards, TAG Team

Job Area: Engineering Group, Engineering Group > Hardware Engineering General Summary: Defining Debug Enabling Tools Strategy for next gen CPU product line before designexecution Defined DFD Hardware Validation Strategy defining the overall scope of validation,aligning with customers and architecture/micro-architecture teams, effort estimations, equipment, platform, and other logistics required for the validation, etc. Driving DFD Domain defining the validation coverage metrics across all the validation teams engaged right from HW design through post-silicon and beyond. Identifying the coverage gaps between the teams and driving it with additional test case additions in their respective plan. Be the customer voice for DFD Architecture/micro-Architecture owners and provide detailed feedback on DFD feature definition/implementation in terms of meeting customer requirements. Minimum Qualifications: Bachelor's degree in Computer Science, Electrical/Electronics Engineering, Engineering, or related field and 4+ years of Hardware Engineering or related work experience. OR Master's degree in Computer Science, Electrical/Electronics Engineering, Engineering, or related field and 3+ years of Hardware Engineering or related work experience. OR PhD in Computer Science, Electrical/Electronics Engineering, Engineering, or related field and 2+ years of Hardware Engineering or related work experience. Applicants Qualcomm is an equal opportunity employer. If you are an individual with a disability and need an accommodation during the application/hiring process, rest assured that Qualcomm is committed to providing an accessible process. You may e-mail disability-accomodations@qualcomm.com or call Qualcomm's toll-free number found here. Upon request, Qualcomm will provide reasonable accommodations to support individuals with disabilities to be able participate in the hiring process. Qualcomm is also committed to making our workplace accessible for individuals with disabilities. (Keep in mind that this email address is used to provide reasonable accommodations for individuals with disabilities. We will not respond here to requests for updates on applications or resume inquiries). Qualcomm expects its employees to abide by all applicable policies and procedures, including but not limited to security and other requirements regarding protection of Company confidential information and other confidential and/or proprietary information, to the extent those requirements are permissible under applicable law. To all Staffing and Recruiting Agencies Please do not forward resumes to our jobs alias, Qualcomm employees or any other company location. Qualcomm is not responsible for any fees related to unsolicited resumes/applications. If you would like more information about this role, please contact Qualcomm Careers.

About Client Hiring for one of the most prestigious multinational corporations Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office Thanks & Regards, Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432406 amala@blackwhite.in | www.blackwhite.in ************** Please refer your Friends***************

HR SPOC - Aiswarya M Greetings from Firstsource solutions LTD !! Here is an exciting opportunity for Senior AR Callers from Firstsource !! Roles & Responsibilities: Understand Revenue Cycle Management (RCM) of US Healthcare Providers. Good knowledge on Denials and Immediate action to resolve them. Reviews the work order. Follow-up with insurance carriers for claim status. Follow-up with insurance carriers to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverables adhere to quality standards. Eligibility Criteria: Candidates should have experience in AR Calling, Denials Management, Web Portals, Denial Claims, Hospital billing (HB) / Physician Billing (PB) Minimum 1.5 years experience ! Work from Office mode. Immediate Joiners and candidates those who are in notice period can apply. Should have proper documents (Education certificates, offer letter, Pay-slips, Relieving letter etc..) Position : Senior Revenue Sycle Billing Specialist Industry : ITES/BPO Category : AR Calling Division : Healthcare international Business Job location : Chennai, Taramani. Shift : Night Shift /Flexible to work in any shifts and timings Drop Cab Facilities available around 30 Kms! Location: RMZ Millenia Business Park, 5th Floor, Campus 2A, MGR Main Road, Perungudi, Chennai 600096 Direct Walk-in Time : 12PM - 4.30 PM Direct Walk-in Date: Monday to Friday Note: Bring your Pan card Or Aadhar card (original and Xerox) Contact person: Aiswarya M - 8072289336 (WhatsApp / Contact NO) or Share your resumes to aiswarya.mmm@firstsource.com Mention reference name Aiswarya M HR in top of your resume. Kindly refer your friends as well. ABOUT US Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company (NSE: FSL, BSE: 532809, Reuters: FISO.BO, Bloomberg: FSOL:IN), is a leading provider of transformational solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, and other industries. The Companys Digital First, Digital Now approach helps organizations reinvent operations and reimagine business models, enabling them to deliver moments that matter and build competitive advantage. With an established presence in the US including over a dozen offices, and multiple sites in the UK, India, the Philippines and Mexico, we act as a trusted growth partner for over 150 leading global brands, including several Fortune 500 and FTSE 100 companies. Website http://www.firstsource.com Firstsource | Business Process Management | Trusted Outsourcing Partner Firstsource is a leader in business process management (BPM) services and a trusted outsourcing partner to the world's leading brands. Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or aiswarya.mmm@firstsource.com

Job Family : EBO Accounts Receivable (India) Travel Required : None Clearance Required : None Job Summary: The Quality Analyst will be responsible for ensuring the highest standards of quality and compliance in healthcare services. This role involves analyzing data, identifying areas for improvement, providing feedback and implementing strategies to enhance patient care and operational efficiency. What you will do: Conduct regular audits and assessments of healthcare processes and services to ensure compliance with industry standards and regulations. Analyze data to identify trends, patterns, and areas for improvement and provide strategic solutions to optimize performance Collaborate with operation teams to develop and implement quality improvement initiatives. Provide training and support to staff on quality assurance practices and procedures. Prepare and present reports on quality findings and recommendations to management. Stay updated on the latest industry trends, regulations, and best practices in healthcare. Identify and address discrepancies to ensure accuracy Provide detailed feedback to enhance team performance Perform RCA & prepare CAPA Participate in process calibration to ensure standardization and quality. Maintain a minimum production involvement to support operational efficiency What you will need: Minimum of 3 years of experience in US Healthcare hospital billing & should be a quality analyst on paper. Strong analytical skills and proficiency in data analysis tools and software. Excellent communication and interpersonal skills. Ability to work independently and as part of a team Resourceful, excellent organization skills, and demonstrated ability to multi-task and meet deadlines. Detail-oriented with a strong commitment to accuracy and quality. What would be nice to have: Proficient in MS Office What We Offer : Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. About Guidehouse Guidehouse is an Equal Opportunity Employer Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse s Ethics Hotline. . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant s dealings with unauthorized third parties.

Job description AR CALLER/ SR AR CALLER Work Locations: Chennai, Bangalore, Mumbai Experience Required: 1 to 6 years (Denial Management) Job Responsibilities: Insurance Follow-Up Call insurance companies to check claim status and resolve payment issues. Denial Management Analyze and work on denied claims to ensure reimbursement. Claim Processing & Appeals Initiate and process appeals for underpaid or denied claims. Coordination with Teams – Work closely with billing teams to ensure claim accuracy and quick resolution. Maintain Productivity & Quality Standards – Meet daily/weekly targets for call volume and claim resolutions. Documentation & Reporting – Maintain accurate records of interactions and claim statuses. Required Skills & Qualifications: 1. Strong communication skills in English (Verbal). 2. Medical Billing & Coding Knowledge – Familiarity with CPT, ICD-10, and HCPCS codes. 3. Experience in RCM (Revenue Cycle Management) – Understanding of claim submission, follow-up, and reimbursement. 4. Problem-Solving & Analytical Skills – Ability to identify claim issues and resolve them efficiently. 5. Attention to Detail – Ensure accuracy in claim handling and documentation. 6. Basic Computer Skills – Proficiency in MS Office and medical billing software (e.g., EPIC, eClinicalWorks, NextGen). Perks and Benefits: Competitive salary and incentives Training and career growth opportunities Supportive work environment Apply Now! Don't Miss This Exciting Opportunity! Please share your updated Resume to Madhushika HR @ 9384270038 or Amirtha HR @ 7200237395

Skill required: Property & Casualty- Claims Processing - Insurance Claims Designation: Claims Management Associate Manager Qualifications: Any Graduation Years of Experience: 10 to 14 years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do "As a Travel Claims Team Manager, you will be responsible for managing a team of Travel Claims adjusters, this might also involve investigating, evaluating, and processing travel insurance claims. Your role will involve assessing the validity of claims, ensuring timely and accurate resolution, and providing outstanding customer service throughout the process.Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices.Review and process travel insurance claims, including medical, trip cancellation, and baggage loss claims. Investigate claims by gathering and analyzing relevant information and documentation. Communicate with policyholders, healthcare providers, and other stakeholders to obtain necessary information. Evaluate claims to determine coverage, validity, and appropriate compensation. Resolve disputes and provide clear explanations of claim decisions to policyholders. Maintain accurate and detailed records of claim activities and decisions. Stay updated on industry trends, regulations, and best practices." What are we looking for " - Bachelors degree in Business, Insurance, or related field preferred. Proven minimum 7 years of experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite. Bachelors degree in Business, Insurance, or related field preferred. Proven minimum 7 years of experience in claims adjusting or a similar role, ideally within the travel insurance sector. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills. Ability to handle multiple claims simultaneously in a fast-paced environment. Proficiency in claims management software and Microsoft Office Suite." Roles and Responsibilities: "In this role you are required to do analysis and solving of moderately complex problems Typically creates new solutions, leveraging and, where needed, adapting existing methods and procedures The person requires understanding of the strategic direction set by senior management as it relates to team goals Primary upward interaction is with direct supervisor or team leads Generally interacts with peers and/or management levels at a client and/or within Accenture The person should require minimal guidance when determining methods and procedures on new assignments Decisions often impact the team in which they reside and occasionally impact other teams Individual would manage medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture Please note that this role may require you to work in rotational shifts" Qualification Any Graduation

Job Title - GN-Health- Health EMR- Manager Management Level: 7-Manager Location: Bengaluru, BDC7A Must-have skills: Healthcare Consulting Good to have skills: Ability to leverage design thinking, business process optimization, and stakeholder management skills. Job Summary : This role involves driving strategic initiatives, managing business transformations, and leveraging industry expertise to create value-driven solutions. Roles & Responsibilities: Provide strategic advisory services, conduct market research, and develop data-driven recommendations to enhance business performance. Together, lets deliver more effective, affordable, personalized patient outcomes. In this practice, youll help drive our Healthcare clients business transformation efforts, with the following initiatives: Drive/Manage client deliveries and associated reporting and dashboarding Monitor, update, communicate and implement project plans Client / Leadership engagements and work with them to understand opportunities Responsible to track financials and resources at a program level Drive governance activities to support mobilization of the newer workstreams Serve as a liaison among clients, technical team and different workstreams Thought leadership and generate relevant assets Bring your best skills forward to excel in the role: Health Industry expertise with understanding of US healthcare ecosystem on how care delivery is managed across different settings and different channels End-to-end understanding of provider functional value chain components Communication and Presentation - Plan and deliver well-structured oral and written communications Structured Problem Solving - Help identify and structure key client challenges into hypotheses and conduct analyses to address the challenges Stakeholder Management - Manage mid-level to senior client leadership and lead conversations Professional & Technical Skills: - Relevant experience in the required domain. - Strong analytical, problem-solving, and communication skills. - Ability to work in a fast-paced, dynamic environment. Additional Information: - Opportunity to work on innovative projects. - Career growth and leadership exposure. About Our Company | Accenture Qualification Experience: 12-14Years Educational Qualification: Any Degree

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 : NAMinimum 2 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 identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may arise. Your expertise in EPIC Systems and problem-solving skills will be instrumental in maintaining the efficiency and reliability of the systems. Roles & Responsibilities:Epic Analyst will provide primary support for their designated application/module.Take on more advanced issues that arise during the project for their application area and will take on more complex tasks with respect to system configuration, testing and administration.Provide on-going system support and maintenance based on support rosterRespond in a timely manner to system issues and requestsConduct investigation, assessment, evaluation and deliver solutions and fixes to resolve system issues.Handle and deliver Service Request / Change Request / New Builds Perform system monitoring, such as error queues, alerts, batch jobs, etc and execute the required actions or SOPsPerform/support regular / periodic system patch, maintenance and verification.Perform/support the planned system upgrade work, cutover to production and post cutover support and stabilizationPerform/support the work required to comply with audit and security requirements.Require to overlap with client business or office hours Comply with Compliance requirements as mandated by the project Professional & Technical Skills: - Must To Have Skills: Certified in epic modules (RWB,Epic Care link,Haiku,Healthy Planet,Mychart,Rover,Willow ambulatory,Cogito, Ambulatory, Clindoc, Orders, ASAP, RPB, RHB, HIM Identity,HIM ROI, HIM DT, Cadence, Prelude, GC, Optime, Anesthesia, Beacon, Willow Imp, Cupid, Pheonix, Radiant, Beaker AP, Beaker CP, Bridges, Clarity, Radar, RWB)- Experience in troubleshooting and resolving application issues. Additional Information:- The candidate should have a minimum of 5 years of experience in EPIC Systems.- This position is based at our Chennai office.- work from office is mandatory for all working days- A 15 years full time education is required. Qualification 15 years full time education