Role & responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections Preferred candidate profile Excellent Communication skills Should be willing to work in US Shift (Night Shift). Good computer skills including Microsoft Office. Excellent analytical skills Should be well versed with rules and regulations of US Healthcare. You can send your resume hr@valuercm.com.
Role & responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections Preferred candidate profile Excellent Communication skills Should be willing to work in US Shift (Night Shift). Good computer skills including Microsoft Office. Excellent analytical skills Should be well versed with rules and regulations of US Healthcare. You can send your resume hr@valuercm.com.
Role & responsibilities Overseeing a team of AR specialists, assigning tasks, setting priorities, monitoring performance, and providing guidance and support as needed. Analyzing Aging reports to identify trends and patterns and make recommendations for improvement. Communicating with clients or insurance companies regarding outstanding payments, resolving disputes, and answering queries related to billing and payments. Handling escalated issues or disputes, working to resolve them in a timely and satisfactory manner to maintain positive relationships with clients and stakeholders. Collaborating with other departments to streamline processes and improve overall revenue cycle performance. Conducting training sessions to ensure that team members are equipped with the necessary skills and knowledge to perform their duties effectively. Monitoring the performance of team members and providing regular feedback. Setting performance targets, track progress and implements strategies to address any performance issues. Analyze existing AR processes and identify areas for improvement to enhance efficiency and effectiveness. Preferred candidate profile Minimum qualifications: Any Graduate. Willing to work in night shift. Minimum 1 Year experience as Team Lead.
Role & responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections Preferred candidate profile Excellent Communication skills Should be willing to work in US Shift (Night Shift). Good computer skills including Microsoft Office. Excellent analytical skills Should be well versed with rules and regulations of US Healthcare.
Role & responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections Preferred candidate profile Excellent Communication skills Should be willing to work in US Shift (Night Shift). Good computer skills including Microsoft Office. Excellent analytical skills Should be well versed with rules and regulations of US Healthcare.
Title: Front-End Developer Design and implement user interface (UI) components, layouts, and features that users directly interact with. Create and maintain responsive web designs that adapt and function well across various devices and screen sizes. Monitor and improve website performance, ensuring fast load times and smooth operation for users. Work closely with designers, back-end developers, and product managers to translate requirements and designs into functional code. Debug and resolve issues to ensure websites and applications are bug-free and function seamlessly. Connect front-end applications with back-end services and APIs to retrieve and display data. Title: Back-End Developer Write and implement server-side code to power applications and manage business logic. Design, build, and maintain databases to store and manage application data securely and efficiently. Create Application Programming Interfaces (APIs) to enable communication between the back-end, front-end, and other services. Set up, configure, and manage server environments where the application runs. Implement security measures to protect user data and application integrity. Optimize application performance to ensure high responsiveness and efficiency. Work closely with front-end developers, designers, and other team members to deliver cohesive solutions. Stay updated with industry trends and explore new technologies and best practices to improve the back-end systems. Deploy applications to servers and manage the rollout of updates smoothly, often utilizing DevOps tools. Title: AI/ML Developer Design, develop, and implement ML models to solve business problems. Preprocess, clean, and analyze structured and unstructured data to prepare it for modeling. Train, validate, and refine models using appropriate algorithms and techniques. Optimize model performance and scalability for production environments. Deploy machine learning models into production using MLOps practices. Monitor and maintain deployed models, ensuring they remain accurate and efficient over time. Collaborate with cross-functional teams to integrate ML solutions into applications. Maintain clear documentation of models, experiments, and processes for reproducibility and team collaboration. Title: QA/Tester To participate in the software development lifecycle to ensure it runs properly that includes trying to prevent faulty apps or other technology from getting to the client Solid knowledge and understanding of both relational databases (PostgreSQL, MySQL, etc.), SQL query construction and non-relational databases (MongoDB). Title: Software Architect Design and implement scalable, secure, and high-performing systems and APIs. Provide guidance on frameworks including Django, Express.js, and Vue.js, ensuring best practices are applied consistently. Write production-quality code for core components while setting development standards for the team. Architect and manage deployments on Microsoft Azure, leveraging PaaS, serverless, and containerized environments. Define and oversee CI/CD pipelines and DevOps practices for consistent, reliable delivery. Ensure infrastructure aligns with scalability, security, and compliance requirements. Title: Technical Writer Experience documenting APIs, data models, and file exchange standards is preferred. Familiarity with automation technologies such as RPA, AI/ML, or NLP is valuable. Knowledge of healthcare revenue cycle or related systems is valuable. Experience with Git or other version control systems is a plus. Translate complex technical concepts into clear, concise content for both technical and non-technical audiences. Creating and maintaining file specifications or technical integration documents.
Role & responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable. Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons. To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables. Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or escalate to management for further review. Handling EDI rejections Preferred candidate profile Excellent Communication skills Should be willing to work in US Shift (Night Shift). Good computer skills including Microsoft Office. Excellent analytical skills Should be well versed with rules and regulations of US Healthcare.
RESPONSIBILITIES Review work of Accounts staff including: Review of monthly balance sheet reconciliations Review of all GL journal entries Review weekly cash flow projections Other review work as needed Responsible for: Accuracy of Accounts Payable and Accounts Receivable subsidiary ledgers and reconciliation to the GL Accuracy of inter-company transactions and reconciliation (AR, AP) to Parent company Preparation of monthly and annual Financial Statement package including the following: Balance sheet, income statement and statement of cash flow Reconciliations for all balance sheet accounts Income Statement fluctuation and trending analysis Various accompanying reports Communication and coordination with outside accounting firm pertaining to variety of tasks Communication and coordination with accounting staff at US parent company pertaining to variety of tasks Mentor Accounts staff person with the goal of further developing his/her skillset Ensure compliance with tax regulations (GST, TDS, Income Tax, etc) Coordinate the necessary information related to year-end statutory audits KNOWLEDGE AND SKILLS Strong Indian GAAP knowledge. General knowledge of US GAAP a plus Strong experience with General Ledger and balance sheet reconciliations General knowledge of financial accounting procedures required within the context of Indian business and accounting regulations and guidelines Proficiency in Excel and Microsoft Word. Preferred proficiency in Tally and possibly NetSuite Experience working with Pivot Tables, Vlookup and other formulas Broad range of business knowledge and an understanding of business drivers Well organized and detail oriented with the ability to multi-task Strong analytical skills Experience communicating logically and clearly both orally and in writing Demonstrated ability to work in a fast-paced environment Commitment to promoting an environment of continuous process improvement