727 Claims Processing Jobs - Page 12

Process Overview* International insurance claims processing for Member claims. Job Description* Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities: - Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education*: Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range* : Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing

Shubham Hospitals, Varanasi is looking for Nurse Incharge to join our dynamic team and embark on a rewarding career journey. Oversee the daily operations of the healthcare facility, including staffing, scheduling, and patient care. Develop and implement patient care plans in collaboration with doctors and other healthcare professionals. Supervise and evaluate nursing staff, providing feedback and coaching as needed. Ensure compliance with all medical protocols, regulations, and standards of care. Manage and maintain patient records, ensuring accuracy and completeness. Respond to patient and family concerns, addressing issues and providing support as needed. Collaborate with other healthcare professionals to ensure seamless care delivery. Manage and report on departmental budget and resources. Strong leadership and communication skills.

Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-quality patient care at customized/optimized cost. Creating the process for claim processing (Cashless and Reimbursement). Preferred candidate profile • Good Excellent oral and written communication, negotiation, and decision-making skills. • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities . Must be willing to work in non - clinic TPA EXPERIENCE mandatory. Clinical Exp.

Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-quality patient care at customized/optimized cost. Creating the process for claim processing (Cashless and Reimbursement). Preferred candidate profile • Good Excellent oral and written communication, negotiation, and decision-making skills. • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities . Must be willing to work in non - clinic TPA EXPERIENCE mandatory.Clinical Exp.

Responsibilities: Handle international calls with expertise Manage claims processing for healthcare clients Execute US processes efficiently Provide exceptional customer service globally Health insurance Provident fund Office cab/shuttle

Responsibilities: * Lead claims processing from intake to resolution. * Ensure compliance with regulatory requirements. * Optimize processes, reduce TAT & improve SLA. * Manage team performance and development. Annual bonus

Essential Functions (Duties and Responsibilities): 75% Resolve outstanding health insurance claims or documentation issues through analysis and co-ordination with relevant teams. Communicate with payers effectively and/or adhere to payer guidelines to achieve timely determinations. Perform tasks or related responsibilities and achieve desired output on specified process in healthcare RCM. Achieve desired quality of service as required by standard operating procedure and support in continuous performance improvement to offer best quality services. Responsible to maintain important logs and documentation regarding the details of the tasks performed. Support an environment of accountability and management against goals. Collaborate with cross-functional teams to resolve issues identified from day to day working of claims. 15% Identify and quantify work trends. Propose solutions to improve internal processes to facilitate a touchless revenue cycle. Work with internal teams across the Operations Division to prioritize and implement process improvements appropriately prioritized based on impact and business need. 10% Accept full ownership and responsibility for special projects Work with internal stakeholders and client-facing teams to identify and resolve claim issues impacting individual clients and/or discrete lines of business. Communicate effectively the status and resolution of any special projects, adhere to established timelines, and serve as a valued subject matter expert for internal teams. Education & Experience Required: Bachelor's degree or equivalent (Life science background) 3-6 years experience in fast paced environment Solid understanding of Anatomy & Physiology Comprehensive understanding of medical terminology Prior experience in processing multispecialty authorizations including contact with payers. Willing to work in the night shift. Knowledge & Skills: Healthcare RCM knowledge, preferred. Analytical skills and good communication skills Ability to clearly articulate actions taken and articulate next steps. MS office skills, required.

Role & responsibilities Job Description: Processing Membership / Claims transactions or a health care project in Chennai CDC5 location. User to be ready for work from office 5 days a week and should be based out of Chennai location. Should not have any arrears in academic semester. Should have WIFI connection in home. User should have good english written, understanding and communication skills. Should be strong in email drafting. Work Timings: 5 PM to 2:30 AM IST WFO/WFH: Work from office Qualification Any Graduation (BCom, BSC, BA, BBA Etc) except Computer science graduates.

Ready to shape the future of work? At Genpact, we don't just adapt to change we drive it. AI and digital innovation are redefining industries and were leading the charge. Genpacts AI Gigafactory, our industry-first accelerator, is an example of how were scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI, our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team thats shaping the future, this is your moment Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting-edge solutions we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation , our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn , X , YouTube , and Facebook. . Inviting applications for the role of Process Associate/Process Developer - P&C Claims Responsibilities: • Ability to draw accurate data selection from claim documents, attention to detail imperative, previous experience of claims strongly preferred • Review, quality control and amendment where necessary of cause of loss and loss location data contained within our claims systems across all lines of business • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims • Consistently meet established productivity, schedule adherence, and quality standards • Authorize the appropriate payment or refers claims to investigators for further review • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary • Consistently meet cycle time/productivity goals that are aligned with corporate objectives • Ability to consistently meet cycle time/productivity goals • Examine documents for completeness, accuracy, or conformance to standards Qualifications we seek in you! Minimum qualifications • Graduate from a recognized university • Relevant experience in P&C claims processing • Ability to communicate efficiently & effectively, both verbally and in writing • Good at MS Office Preferred qualifications • Analyze processes and procedures and identify errors or inconsistencies • Knowledge of different P&C insurance process and procedure Why join Genpact? Be a transformation leader Work at the cutting edge of AI, automation, and digital innovation Make an impact Drive change for global enterprises and solve business challenges that matter Accelerate your career Get hands-on experience, mentorship, and continuous learning opportunities Work with the best Join 140,000+ bold thinkers and problem-solvers who push boundaries every day Thrive in a values-driven culture Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the tech shapers and growth makers at Genpact and take your career in the only direction that matters: Up. Lets build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.

Description We are seeking a motivated and experienced Freelancer Insurance Executive to join our team in India. The ideal candidate will have 1-2 years of experience in the insurance industry, with a strong focus on client relationship management and sales. Responsibilities Develop and maintain relationships with clients to understand their insurance needs. Provide clients with information on various insurance products and services. Assist clients in completing insurance applications and processing claims. Stay updated on industry trends and changes in regulations affecting insurance policies. Conduct market research to identify potential clients and opportunities for growth. Prepare and deliver presentations to clients and stakeholders. Skills and Qualifications 1-2 years of experience in insurance sales or related field. Strong knowledge of various insurance products and services. Excellent communication and interpersonal skills. Ability to work independently and manage time effectively. Strong negotiation and closing skills. Proficient in Microsoft Office Suite and insurance management software.

Location: CHENNAI Role: Charge Entry Specialist Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Key Skills: Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing practices. Proficient in Microsoft Office Suite and healthcare billing software. Excellent attention to detail and strong organizational skills. Self-motivated, analytical, and able to work both independently and as part of a team. Perks And Benefits: Opportunities for Career Advancement Continuous Learning and Development Regular Appraisals and Salary Increments Positive and Supportive Work Environment Vibrant and Inclusive Office Culture Immediate Joining Preferred Candidate Profile: Graduate in any stream is mandatory. Should have proficiency in Typing (25 WPM with 97% of accuracy) 3+ years of experience required. Package up to 5LPA Contact Details: Contact Person - HR Revathi Call or Text - 9354634696 Please note that Provana is operational 5 days a week and works from the office.

Designation Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 3 years to 5 years Relevant Experience – 2 years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider Office Timings – UK evening shifts Working days- Mon-Fri Week offs – Sat & Sun Off

Designation Assistant Manager/Senior Team Lead /Team Lead Location - Nagpur, relocation candidates is also ok Overall Experience 5years or 3years Relevant Experience 2years as TL or Sr.TL Roles & responsibilities - Excellent communication Conflict Management Should have good experience in RCM, Denial Management, Claim Adjudication, Claim Processing, Claim Management Should have min 2years of experience in US Healthcare Payer or Provider. Office Timings UK -US shifts Working days- Mon-Fri Week offs Sat & Sun Off If above skills sets matches your current & prior experience than kindly share your updated resume @ VrushaliD1@hexaware.com or connect me on whats app with your updated resume 8999838823 for a role model discussion.

Pena4 Mega Walk-in Drive Alert! Dates: 12 June 2025 25 June 2025 Walk-in Interviews: 4:00 PM 7:00 PM Venue: Yashree Tech Park, 2nd Floor, Plot No. 11, HUDA Techno Enclave, Sector 3, Near Raidurg Metro Station, Hitech City, Madhapur, Hyderabad, Telangana – 500081 Nearest Metro Station: Raidurg Metro Station Open Positions: AR Callers (Physician Billing) Requirements: Minimum 1 year of experience in AR Calling (Physician Billing) Excellent communication skills CTC: Up to 4 LPA (based on your last CTC) Documents to Carry: Updated Resume Aadhaar Card Documents required to release your offer Current Offer Letter Last 3 months Salary Slips Get Hired On the Spot! Selected candidates will receive a Same Day Offer Letter . Contact Our Hiring Team: Lavanya: lavanya.chadaram@pena4.com | 9000274825 Sneha: sneha.arora@pena4.com | 9811314954 Don’t miss this exciting opportunity to accelerate your career with Pena4! Walk in with confidence, the right documents, and walk out with an offer in hand! #Pena4WalkInDrive #Pena4 #HealthcareRCM #ARCallingJobs #MegaHiring #JoinPena4

Exp:- 3 to 4 yrs US/UK Motor/ Marine Insurance, claims processing, addjuction, invoicing.

Domain (Insurance) Job Title: Analyst/Senior Analyst (Administrator) Start Date (Provisional): 1 Month or less Contract Length: 1 Year initial with extensions Preferred Location: Powai, Mumbai Qualifications: Minimum Graduate Strong written and verbal communication Minimum 6 months of work experience in US Insurance Operations Work model: Hybrid (2-3 Months onsite) Shift timings: US or UK Shift What you need to have: Essential: Graduate in any field Flexible to work in any shifts as per business requirement Expected shift timing 2:30 PM to 11:30 PM or 6:30 PM to 3.30 AM Excellent command on written and oral communication. Play a key role in building and transitioning functional capability to the service centre. Manage your book of work and ensure timely delivery on all cases as per SLAs (i.e. Meet SLAs on Accuracy, Productivity, and TAT as per agreed standards) Understand the process and execute case/request per the training provided and guidelines outlined in process manuals. Completing all training-related activities when assigned Any processing delays or open queries to be escalated to PL/TMs after due investigation. Any escalation or complaint received from clients or stakeholders should be notified to the line manager. Ensure adherence to policies & procedures as per organization standards and laid out SOPs. Ensure operational risks are highlighted on time and escalated to proper authorities for corrective action. Adherence to data and information security guidelines.

Max Life Insurance Company Limited is looking for Relationship Associate - Bancassurance to join our dynamic team and embark on a rewarding career journey Customer Relationship Management Relationship Associates in Bancassurance establish and maintain strong relationships with bank customers They engage with customers to understand their insurance needs, provide information about available insurance products, and offer personalized solutions based on individual requirements Insurance Product Knowledge They develop a comprehensive understanding of the insurance products offered by the bank This includes life insurance, health insurance, general insurance, and other relevant insurance solutions They stay updated on product features, benefits, terms, and conditions to effectively communicate the offerings to customers Sales and Cross-Selling Relationship Associates actively promote and sell insurance products to bank customers They identify cross-selling opportunities by analyzing customer profiles and financial needs They explain the features and benefits of insurance products, address customer queries, and guide customers through the insurance purchasing process Needs Analysis and Solution Design They conduct needs analysis for customers to determine their insurance requirements They assess the customer's risk profile, financial goals, and coverage needs Based on the analysis, they design suitable insurance solutions that align with the customer's preferences and financial capabilities Documentation and Application Processing Relationship Associates assist customers with the completion of insurance application forms and related documentation They ensure accuracy and completeness of information provided by customers and facilitate the smooth processing of insurance applications Customer Service and Support They provide ongoing customer service and support to address inquiries, claims processing, and policy servicing requirements They act as a point of contact for customers throughout the insurance policy lifecycle, resolving any issues or concerns that may arise

Job description URGENT OPENING FOR MEDICAL OFFICER Workings Hours: 9 Hrs Work Mode : Office Key Responsibilities: Review and assess medical claims submitted by corporate clients against policy terms and medical guidelines. Analyze clinical documents such as medical reports, diagnostic tests, prescriptions, discharge summaries, and other relevant medical records. Verify the authenticity, appropriateness, and completeness of medical documentation related to claims. Provide medical expertise to determine the validity and admissibility of claims. Collaborate with claims processing and underwriting teams to resolve discrepancies or clarifications related to medical information. Identify potential fraud, over-utilization, or discrepancies in claims through thorough medical evaluation. Maintain up-to-date knowledge of medical terminologies, treatment protocols, and emerging health trends relevant to claims assessment. Assist in developing and updating medical claim processing guidelines and protocols. Support training and capacity-building activities for claims staff on medical aspects of claims. Ensure compliance with regulatory and company policies during claims assessment. Communicate effectively with healthcare providers, corporate clients, and internal teams to clarify medical information as needed. Generate detailed reports and documentation on claim assessments and decisions. Qualification: BHMS, BMS

Primary Responsibilities: Lead a team of 25 - 30 certified coders. Maintains staff by orienting and training employees; maintains a safe, secure, and legal work environment Performance Management - Timeliness, Quality and Productivity metrics Planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies Drive employee engagement and retention activities by sharing companys vision and goals, empowering employees on tasks as per their skill set, providing regular feedback etc. 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: Graduate in any discipline Certified coder from AAP/AHIMA 2+ years of experience as Team leader or Assistant Manager Experience in handling a team of minimum 15 Experience from medical coding background only Experience in performance management, coaching, supervision, quality management, results driven, foster teamwork, handles pressure, giving feedback Proven ability to use Microsoft Office Products (Excel, PowerPoint etc.) Proven ability to operate basic office equipment (copier and facsimile machine)

Job Description Job Description In this role, you will handle a range of tasks related to accounts receivable management within the healthcare revenue cycle. We are specifically seeking candidates with experience in Revenue Cycle Management (RCM) or the healthcare industry. Experience: 1-2 Years: Associate Work from office only. Shift Timings:5.30 PM to 2:30 AM IST. Key Skills: Good communication skills. Proficiency in MS Office suite. Responsibilities: Assist in accounts receivable tasks, including billing, claims processing, and payment posting Communicate effectively with clients, insurance companies, and internal teams. Maintain accurate records and documentation of financial transactions. Collaborate with team members to resolve outstanding issues and discrepancies. Adhere to company policies and procedures related to accounts receivable management. Qualifications Qualifications Bachelors degree Strong attention to detail and accuracy Ability to prioritize tasks and meet deadlines Willingness to learn and adapt to new pro

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. Primary Responsibilities: Review and resolve complex cases with an end to end mindset to prevent issues or inquiries from recurring. Scope open inventory for like issues for cases worked to group and resolve batches. Demonstrate a knowledge of end-to-end processes of multiple different types of capitated and delegated arrangements within the Value Based Care Model Identify and articulate trends occurring within a risk entity or across multiple risk entities within claims processing and cost share application Identify and articulate trends with our assigned delegates with the Sr. Issue Resolution Analyst and partner to work towards shift left initiatives Partner and collaborate internally and with Risk Entities to correct claims processing and cost share application errors to prevent recurring issues. Actively participate in meetings with cross functional areas aligned by risk entities to share findings Identify and communicate opportunities for improving issue resolution processes, including automation. Clearly document findings and solutions for trended issues after performing root cause analysis Perform reconciliation of member inquiry cases, respond to the specific issue of the inquiry, as well as review for and resolve other issues that may be present for the member, outside of the inquiry Support and communicate with the Sr. Issue Resolution Analyst assigned to your Delegate. Perform root cause and trend analysis of issues by assigned Delegate. Clearly document findings and solutions to prevent future issues Communicate effectively (both written and verbal) with business partners Manages emotions effectively in high-pressure situations, maintaining composure, and fosters a positive work environment conducive to collaboration and productivity 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: Degree or equivalent data science, analysis, mathematics experience Experience supporting operational teams' performance with reports and analytics Experience using Word (creating templates/documents), PowerPoint (creation and presentation), Teams, and SharePoint (document access/storage, sharing, List development and management) Basic understanding of reporting using Business Insights tools including Tableau and PowerBI Expertise in Excel (data entry, sorting/filtering) and VBA Proven ability to work across lines of business, claims platforms and on service provider/Delegate issues as needed Proven solid communication skills including oral, written, and organizational skills

Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player 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 #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria SG 22 can apply will move laterally Performance rating in the last common review cycle of "Meets Expectations" or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine

Job Description In this role, you will handle a range of tasks related to accounts receivable management within the healthcare revenue cycle. We are specifically seeking candidates with experience in Revenue Cycle Management (RCM) or the healthcare industry. Experience: 2-4Yrs: Senior Associate Work from office only. Key Skills: Good communication skills. Proficiency in MS Office suite. Responsibilities: Assist in accounts receivable tasks, including billing, claims processing, and payment posting Communicate effectively with clients, insurance companies, and internal teams. Maintain accurate records and documentation of financial transactions. Collaborate with team members to resolve outstanding issues and discrepancies. Adhere to company policies and procedures related to accounts receivable management. Qualifications Bachelors degree Strong attention to detail and accuracy Ability to prioritize tasks and meet deadlines Willingness to learn and adapt to new processes and technologies

More than 6 years of experience in Business Analysis or related experience in IT Demonstrates good learning agility to understand the Product components Responsible for analyzing and understanding of business and functional requirements Translating complex business needs and requirements in detail and be able to translate them into functional and technical specifications . Work closely with developers and end users to ensure technical and functional compatibility Conducting detailed gap analysis of a product versus the requirements and doing Impact Analysis Creates project specific planning and scope documentation and secures stakeholder sign off Perform System Testing toensure the delivery of quality product and UAT support from a functional perspective Prepare release notes for new changes/enhancement done in the system Creates end-user documentation (e.g., user guides, process flow charts, training materials) Presents complex data and analysis in an easily understood format so it is suitable across diverse groups with varying abilities Facilitates cross functional communication and recognizes need to engage other stakeholders and SME's in a project Acts as a liaison between commercial and technical functions Strong problem-solving and analytical skills Understanding of Project Life Cycle and STLC Strong team player Work in TFS/Azure DevOps, tracking user stories and managing sprints Ability to work with a sense of urgency and attention to detail Excellent oral and written communication skills Preferred Experience in SQL queries Experience in ETL/EDI processes and Reports Experience of US Healthcare payer domain Knowledge of health insurance industry - Claims processing, ICD 9/10, Medicare, or Medicaid Experience in UML Modeling

Job Track Description: Requires experience in a professional, sales, or technical area through formal education. Performs technical-based activities. Contributes to and manages projects. Uses deductive reasoning to solve problems and make recommendations. Interfaces with and influences key stakeholders. Leverages previous knowledge and expertise to achieve results with teams and can complete work self-guided. A college or university degree required. General Profile Requires in-depth knowledge and experience. Uses best practices and understanding of business issues to improve products and services. Solves complex problems. Takes a new perspective using existing solutions. Works unaided and receives minimal guidance. Acts as a resource for colleagues with less experience. Functional Knowledge Understands and applies concepts in the field of expertise. Basic knowledge of related disciplines. Business Expertise Has knowledge of best practices and team integration. Is aware of the competition and what makes them different in the market. Impact Impacts a range of customer, operational, project, or service activities in teams. Works within broad guidelines and policies. Leadership Acts as a resource for colleagues with less experience. May guide small projects with manageable risks and resource requirements. Problem Solving Solves complex problems. Takes a new perspective on existing solutions. Exercises judgment based on reviewing many sources of information. Interpersonal Skills Explains difficult or sensitive information. Works to build consensus within a team. Responsibility Statements Serves as liaison between end-users and product development teams. Manages and communicates deliverable status to development teams. Reviews, defines, and documents project requirements. Examines requirements and defines technology solutions. Defines a go-to approach for system construction. Produces component specifications and translates these into detailed designs for implementation. Directs a small project team of business analysts across client portfolio projects. Helps prepare technical plans to ensure resources are available. Provides advice on technical aspects of system development and integration. Applies relevant technical strategies, policies, standards, and practices. Performs other duties as assigned. Complies with all policies and standards.