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7.0 - 10.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Title: Operations Manager Location: Perungudi, Chennai (PST Shifts) Experience: 7-10 years (minimum 3–5 years in Managing Operations ) Employment Type: Full-time Company Overview: Perfict Global is a leading provider of IT services and solutions, dedicated to helping businesses leverage technology to achieve their goals. With a focus on innovation and customer satisfaction, we deliver cutting edge solutions tailored to the unique needs of each client. As we continue to grow, we are seeking an experienced Operations Manager to join our team in Chennai. About the Role: We are seeking an experienced and results-driven Operations Manager to lead and oversee our strategic operations across, US IT Recruitment verticals Bench Sales and the Business Development . The ideal candidate will possess a strong background in people management , team building, and client relationship management within the US staffing industry . Key Responsibilities: Lead and manage end-to-end operations for Bench Sales, Direct Client and Tier 1 Business Development, and IT Recruitment teams. Develop and implementstrategic plans to drive growth in client acquisition, consultant deployment, and revenue generation. Mentor and manage cross-functional teams; create performance goals, conduct reviews, and drive employee engagement and retention. Establish and nurture strong relationships with key clients and consultants to ensure ongoing satisfaction and repeat business. Monitor market trends, competition, and industry developments to identify new opportunities for expansion. Partner with internal stakeholders to optimize recruitment processes, delivery capabilities, and client service quality. Report on KPIs and operational performance to senior leadership; recommend data-driven improvements. Required Qualifications: 7–10 years of experience in US IT staffing/recruitment, with a minimum of 3–5 years in a people management or leadership role. Proven expertise in managing Bench Sales, BD, and full-cycle IT recruitment teams. Strong understanding of US staffing compliance, immigration policies (H1B, CPT, OPT, etc.), and contract types (W2, C2C, 1099). Demonstrated success in building client relationships and expanding business portfolios. Excellent communication, negotiation, and leadership skills. Preferred Qualifications: Prior experience in setting up or scaling a recruitment delivery center or offshore team. Exposure to applicant tracking systems (ATS) and CRM platforms. MBA or equivalent degree is a plus. Company Website: www@perfictglobal.com Show more Show less
Posted 1 month ago
2.0 years
0 Lacs
Hyderābād
On-site
Job Description : SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer Department Development Open Positions 1 Skills Required Surgery Coding Location Hyderabad, Telangana, India Years Of Exp 3 to 7 years Posted On : 05-Jun-2025
Posted 1 month ago
1.0 years
0 - 0 Lacs
Mohali
On-site
Job Title: US IT Recruiter Location: Mohali Work Hours: Night Shift (US Time Zone) Experience: 1-3 Years Employment Type: Full-Time Job Summary: We are seeking a results-driven and experienced US IT Recruiter to join our talent acquisition team. The ideal candidate will be responsible for sourcing, screening, and placing IT professionals across various domains for our US-based clients. You should be familiar with the US job market, tax terms, and visa types. Key Responsibilities: Source candidates using various platforms including job boards (Dice, Monster, CareerBuilder), social media, LinkedIn, and internal databases. Screen resumes and interview candidates to assess technical skills, experience, and fit. Coordinate with hiring managers to understand job requirements and client expectations. Negotiate rates and terms with candidates (W2, C2C, 1099). Submit qualified profiles to clients and follow up on interview feedback. Maintain and update candidate records in the ATS (Applicant Tracking System). Build and maintain strong relationships with candidates and consultants. Meet daily/weekly targets for candidate submissions, interviews, and closures. Requirements: 1-3 years of experience as a US IT Recruiter or in a similar role. Strong knowledge of US tax terms (W2, C2C, 1099) and work authorizations (US Citizen, GC, H1B, OPT, CPT, etc.). Experience working with VMS portals and direct clients is a plus. Excellent communication and negotiation skills. Ability to work independently in a fast-paced environment. Bachelor’s degree or equivalent education preferred. Preferred Skills: Familiarity with technical job roles like Java Developer, .NET Developer, DevOps, Data Engineer, etc. Experience using ATS and CRM tools. Prior experience working with staffing agencies or consulting firms. Benefits: Competitive salary + incentives Opportunity to work with reputed US clients Professional growth and training opportunities Job Type: Full-time Pay: ₹11,724.69 - ₹35,644.93 per month Schedule: Night shift Work Location: In person
Posted 1 month ago
2.0 years
2 - 4 Lacs
Mohali
On-site
Roles and Responsibilities: 1. This position will oversee coding activities to ensure customer service and quality expectations are met. 2. Primary contact for coding questions relating to Client Services and Operations. Review reports to identify specific issues, investigate and correct them as per the coding guidelines, and implement solutions. 3. Identify issues and proactively plan on the resolution for clients and accounts. 4. Maintain compliance in the process with HIPAA and ISO standards and adhere to company policies. Review and report on process updates and team metrics with the management team. 5. Review provider claims that have not been paid by insurance companies. 6. Handling patients' billing queries and updating their account information. Skills required: 1. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on denials. 2. Understand the Revenue Cycle Management of US Health Care. 3. Good Knowledge of Denials and immediate action to resolve them. 4. In-depth technical knowledge of ICD-9-CM, ICD-10-CM, CPT & Revenue Codes coding conventions, AP-DRG, APR-DRG, MS-DRG and APC assignment, present on admission guidelines, secondary diagnoses classification for MCCs/CCs, MDCs, E/M leveling, Medical terminology and anatomy and 5. physiology. 6. Strong analytical skills, including the ability to manage multiple tasks and create solutions from available information. Role: Medical Biller / Coder Industry Type: Medical Services / Hospital (Diagnostics) Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate Key Skills: E/M, HCPCS, Medical Coding Job Types: Full-time, Permanent Schedule: Day shift Morning shift Rotational shift Ability to commute/relocate: Mohali, Punjab: Reliably commute or planning to relocate before starting work (Preferred) Experience: Medical Coding: 2 years (Required) total work: 3 years (Required) License/Certification: AAPC (Required)
Posted 1 month ago
3.0 - 6.0 years
0 Lacs
India
On-site
Job Title: Senior AR Caller Company: Amromed Location: Perambur, Chennai Shift: Night Shift Job Type: Full-Time Job Description: Amromed is seeking an experienced Senior AR Caller to join our team in Perambur, Chennai . This role involves handling accounts receivable (AR) for the US healthcare industry, following up on claims, and ensuring timely reimbursements from insurance providers. Key Responsibilities: Follow up with insurance companies to resolve unpaid or denied claims . Handle denials, appeals, and reconsiderations efficiently. Analyze EOBs (Explanation of Benefits) and take necessary actions for claim resolution. Identify and escalate claim rejections, underpayments, and revenue leakage . Ensure compliance with HIPAA regulations and maintain accurate documentation . Work closely with the billing and coding teams to prevent claim errors. Meet daily/weekly targets for collections and follow-ups. Mentor and guide junior AR callers as needed. Required Skills & Qualifications: 3 to 6 years of experience in AR calling / RCM process for US healthcare. Strong understanding of insurance guidelines, CPT & ICD codes, and EOBs . Expertise in denial management, claim follow-ups, and resolution strategies . Excellent communication and negotiation skills . Ability to handle high call volumes and work in a fast-paced environment . Proficiency in using RCM software and claim processing systems . Willingness to work night shifts . Preferred Qualifications: Experience in handling high-value claims and complex denials . Strong knowledge of HIPAA compliance and medical billing procedures. Leadership skills with the ability to train and mentor junior team members . Why Join Amromed? Competitive salary and performance-based incentives . Growth opportunities within the US healthcare RCM industry . Supportive work culture with learning and development programs . Job Type: Full-time Pay: From ₹20,000.00 per month Benefits: Health insurance Leave encashment Life insurance Paid time off Provident Fund Schedule: Night shift Supplemental Pay: Yearly bonus Shift availability: Night Shift (Required) Work Location: In person
Posted 1 month ago
0 years
0 - 0 Lacs
India
On-site
Claim Processing: Preparing, submitting, and tracking patient insurance claims. Insurance Verification: Verifying patient eligibility, coverage details, and pre-authorization requirements. Coding: Assigning appropriate medical codes (ICD-10, CPT) to ensure accurate billing and reimbursement. Billing: Preparing and submitting accurate medical bills to insurance companies. Compliance: Ensuring adherence to insurance regulations, policies, and procedures. Patient Interaction: Communicating with patients about their insurance coverage, claims status, and payment arrangements. Record Keeping: Maintaining accurate records of patient insurance information and claims. Data Analysis: Analyzing insurance data to identify trends, discrepancies, and areas for improvement. Problem Solving: Resolving insurance-related issues and discrepancies. Collaboration: Working with internal teams (medical billing, coding, compliance) and external stakeholders (insurance companies, patients). Job Type: Full-time Pay: ₹15,000.00 - ₹18,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Supplemental Pay: Yearly bonus Work Location: In person Speak with the employer +91 8610300054
Posted 1 month ago
1.0 years
0 - 0 Lacs
Noida
On-site
We are hiring for dynamic candidates for US shift with a strong corporate ethics who can showcase the business skills to our US clients: Fresher to 1 year experience candidate can apply for this role with a strong communication. Skills Required: Should have strong communication skills Confident who can represent himself/herself to the US work culture Quick learner adapt things easily Foster to work on different job boards like, Indeed, Linkedin, Dice, Monster and career Builder etc. In Traning give us 100 percent of attitude towards hardworking candidate. Should have a basic knowledge of IT Staffing company when gives interview. The work and Roles & Responsibilities has to be done: Candidate Marketing Market Bench Consultants (H1B, H4-EAD, GC, OPT, CPT, USC) to prime vendors, implementation partners, and direct clients for contract roles. Showcase candidates' skills, expertise, and certifications to potential clients by tailoring resumes and preparing profiles. Develop and execute strategies to identify suitable job openings for bench candidates through job boards, LinkedIn, and vendor databases. Vendor Relationship Management Build and maintain relationships with prime vendors, MSPs (Managed Service Providers), and VMS (Vendor Management Systems). Negotiate rates and contract terms with vendors to secure placements for bench candidates. Act as the primary point of contact for vendors to address queries and resolve concerns regarding bench candidates. Job Posting and Networking Post candidate profiles on job boards (Dice, Monster, CareerBuilder) and relevant social media platforms for visibility. Leverage LinkedIn and other professional networks to identify new opportunities and connect with hiring managers. Join industry-specific groups and forums to expand the network of potential clients and vendors. Communication and Coordination Conduct regular follow-ups with consultants to update them on marketing progress and gather their feedback. Communicate candidate availability and skillsets effectively to potential vendors and clients. Work closely with recruiters and account managers to align marketing efforts with open job requirements. Pipeline and Metrics Management Maintain an updated database of available bench candidates, their skills, and visa statuses. Track and analyze key performance indicators, including submissions, interviews, and placements. Prepare and present regular reports on bench sales activities to management. Compliance and Documentation Verify candidate documents, including visa status, certifications, and employment eligibility. Ensure compliance with all federal and state employment regulations and company policies. Handle paperwork related to contracts, agreements, and onboarding processes. Consultant Engagement and Retention Build strong relationships with bench consultants to understand their career goals and preferences. Provide guidance on interview preparation, resume updates, and professional development. Keep consultants engaged by sharing market trends, job opportunities, and skill enhancement suggestions. Market Research and Strategy Stay updated on industry trends, skill demand, and market rates to align marketing efforts effectively. Identify high-demand technologies and proactively acquire consultants in those domains. Analyze competitor activities to enhance bench sales strategies and improve placement success rates. Key Skills Required Strong understanding of US IT staffing processes, work authorization types (H1B, OPT, CPT, GC, USC), and tax terms (W2, C2C, 1099). Proficiency in job boards (Dice, Monster, CareerBuilder) and LinkedIn for sourcing and networking. Excellent communication, negotiation, and interpersonal skills. Ability to multitask, prioritize, and meet deadlines in a fast-paced environment. Job Types: Full-time, Permanent, Fresher and 6 months experienced Pay: ₹18,987.06 - ₹25,814.22 per month Benefits: Health insurance Provident Fund Schedule: Monday to Friday Night shift US Shift Supplemental Pay: Yearly bonus Incentives Language: English (Required) Work Location: In person Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹25,000.00 per month Benefits: Food provided Health insurance Provident Fund Schedule: Monday to Friday Night shift US shift Supplemental Pay: Yearly bonus Work Location: In person
Posted 1 month ago
0.0 - 3.0 years
0 Lacs
Mohali, Punjab
On-site
Roles and Responsibilities: 1. This position will oversee coding activities to ensure customer service and quality expectations are met. 2. Primary contact for coding questions relating to Client Services and Operations. Review reports to identify specific issues, investigate and correct them as per the coding guidelines, and implement solutions. 3. Identify issues and proactively plan on the resolution for clients and accounts. 4. Maintain compliance in the process with HIPAA and ISO standards and adhere to company policies. Review and report on process updates and team metrics with the management team. 5. Review provider claims that have not been paid by insurance companies. 6. Handling patients' billing queries and updating their account information. Skills required: 1. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on denials. 2. Understand the Revenue Cycle Management of US Health Care. 3. Good Knowledge of Denials and immediate action to resolve them. 4. In-depth technical knowledge of ICD-9-CM, ICD-10-CM, CPT & Revenue Codes coding conventions, AP-DRG, APR-DRG, MS-DRG and APC assignment, present on admission guidelines, secondary diagnoses classification for MCCs/CCs, MDCs, E/M leveling, Medical terminology and anatomy and 5. physiology. 6. Strong analytical skills, including the ability to manage multiple tasks and create solutions from available information. Role: Medical Biller / Coder Industry Type: Medical Services / Hospital (Diagnostics) Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate Key Skills: E/M, HCPCS, Medical Coding Job Types: Full-time, Permanent Schedule: Day shift Morning shift Rotational shift Ability to commute/relocate: Mohali, Punjab: Reliably commute or planning to relocate before starting work (Preferred) Experience: Medical Coding: 2 years (Required) total work: 3 years (Required) License/Certification: AAPC (Required)
Posted 1 month ago
2.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Job Title: E/M IP or OP Medical Coder 📍 Location: Noida, India 💼 Experience Required: 2+ Years 🔹 Positions Available: Executive & Senior Executive Job Summary: We are looking for a skilled and detail-oriented Medical Coder specializing in Evaluation & Management (E/M), Inpatient (IP), or Outpatient (OP) coding . The ideal candidate will have at least two years of experience in accurately reviewing, analyzing, and assigning medical codes based on clinical documentation and regulatory guidelines. Key Responsibilities: ✅ Medical Coding & Compliance: Assign appropriate ICD-10, CPT, and HCPCS codes while ensuring compliance with industry regulations. ✅ Chart Reviews: Analyze medical records to determine accurate coding for E/M services, inpatient procedures, or outpatient visits . ✅ Billing & Documentation: Collaborate with healthcare providers to clarify documentation and optimize reimbursement processes. ✅ Auditing & Quality Assurance: Conduct regular audits to maintain coding accuracy and minimize denials or coding errors. ✅ Regulatory Updates: Stay up-to-date with coding guidelines, payer requirements, and medical coding changes . Qualifications & Skills: 🔹 Education: Certification in CPC, CCS, RHIA, or RHIT preferred. 🔹 Experience: Minimum 2 years in E/M, inpatient, or outpatient coding . 🔹 Technical Skills: Proficiency in medical coding software & electronic health records (EHR/EMR) . 🔹 Analytical Ability: Strong attention to detail with problem-solving skills . 🔹 Communication: Excellent verbal & written communication to collaborate with providers and billing teams. Show more Show less
Posted 1 month ago
0 years
0 Lacs
Pune, Maharashtra, India
On-site
Position Overview Job Title: Senior Database Developer, Vice President Location: Pune, India Role Description: The position is for an experienced database engineer in the Cross Product Technology domain (CPT) within Fixed income and currencies Technology (FIC) Organisation. The person will be responsible for database development activities and coordinating with the java developers and testing to respond to business challenges. The CPT domain covers a variety of existing systems and green-field projects. The Technology role is for a passionate and hands-on technologist with good experience of development, a track record for successful business delivery in a dynamic environment and good exposure to technology across the broader spectrum. The role in particular will include changes carried out across the collateral domain and working in close partnership with development teams, clients and other stakeholders. What We’ll Offer You As part of our flexible scheme, here are just some of the benefits that you’ll enjoy Best in class leave policy Gender neutral parental leaves 100% reimbursement under childcare assistance benefit (gender neutral) Sponsorship for Industry relevant certifications and education Employee Assistance Program for you and your family members Comprehensive Hospitalization Insurance for you and your dependents Accident and Term life Insurance Complementary Health screening for 35 yrs. and above Your Key Responsibilities We are looking for a Senior DB Engineer with proven track record of creating /maintaining complex stored procedures and hands on experience on applications with RDBMS frameworks. In this role you will be primarily responsible for design, development of functional & E2E database touch points for the projects that you will be working on. You are expected to plan and estimate for the efforts. You are also expected to contribute in end-to-end delivery, right from the requirements analysis , design discussions, scenario creation + automation, test execution and result reporting. You are expected to be able to work independently requiring minimal technical/tool guidance and technically guide and mentor junior members in the team Contribute to analysis for new business requirements Contribution to continuous improvement as part of DevOps implementation Work with peer teams to deliver successfully on integration points Participate in production issues investigation and resolution Your Skills And Experience Well versed and experienced with DB technologies and complicated stored procedure creations. Good understanding of SQL and experience in writing complex SQL queries. Experience in testing/automating systems with complex and huge data volumes. Experience working in Java/Oracle platforms that handle large volumes of data. Working knowledge of Java will be an added advantage. Jira, Confluence, Git, Maven, Teamcity/Jenkins, Artifactory exposure is a must. Experience working on microservices architecture Experience working in an Agile/DevOps environment Strong analytical and database design skills Proficient communication skills (written/verbal) Knowledge and Experience of working on reference data, collateral and/ or margin data platforms is advantageous along with experience with Google Cloud. Experience of exposure to the collateral management space would be beneficial. Ability to work in a fast-paced environment with competing and alternating priorities with a constant focus on delivery How We’ll Support You Training and development to help you excel in your career Coaching and support from experts in your team A culture of continuous learning to aid progression A range of flexible benefits that you can tailor to suit your needs About Us And Our Teams Please visit our company website for further information: https://www.db.com/company/company.htm We strive for a culture in which we are empowered to excel together every day. This includes acting responsibly, thinking commercially, taking initiative and working collaboratively. Together we share and celebrate the successes of our people. Together we are Deutsche Bank Group. We welcome applications from all people and promote a positive, fair and inclusive work environment. Show more Show less
Posted 1 month ago
8.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
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 Identify client technology and business needs and provide thought leadership to Optum sales team , to understand, define, and deliver effective and innovative solutions that address the client technical and business initiatives Act as a SME on the US Provider Health System domain Create, innovate, deploy and present data analysis on pursuits leveraging current tools and technologies including but not limited to Power BI, MS tools, AI and digital solutions Member of the technology solution team who coordinates with Optum subject matter experts, technical architects, etc., to ensure proposed Application Management Services/ITO and Infrastructure solutions meet or exceed client requirements and are cost competitive to the marketplace Demonstrates a self-starter attitude and is eager to experiment, invite and explores the potential in new ideas while understanding and mitigating the risk to the organization Client relationship building and solution presentation through the multi-phases of the sales cycle at a C-Suite level Manage client expectations in solution development, focus on outcomes and service levels Collaborate in developing the staffing approach, including a global sourcing strategy and delivery model, to mitigate risk, drive efficiency and quality Generate estimated Application Management Services /ITO solution delivery requirements including program management, new development efforts, enhancements, and ongoing operations Engage with 3rd party hardware, software and services vendors Collaborate with Optum subject matter experts, industry research and advisory firms to understand industry direction, competitive landscape, business trends, and emerging solutions Coordinate the solution, opportunity roadmap, value proposition, win plan, pricing, and executive deal reviews throughout the pursuit timeline Collaborate with Solution Sales Leads, Consulting Leads, Delivery Leads, Optum’s cross brand point solutions and offerings, and 3rd party software and hardware vendors as needed to support business opportunities and solutioning for commercial clients Build relationships and leverages a network of experts - internal and external - that enhance innovation and performance 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 Bachelor’s degree or equivalent experience (Master’s degree preferred) 8+ years of experience working with IT Outsourcing (ITO) functions leveraging a global sourcing model in either a consulting, account management, implementation or similar Client interacting role 4+ years of experience working with US Health System/Hospital IT Products & solutions Experience of creating and solutioning for application management services for healthcare clients (Provider preferred) Experience in solutioning and managing complex programs that expand over multiple years across teams Solid experience with proven work output of data analysis, data visualization and overall data management Knowledge on Healthcare standards such as HL7, FHIR, ICD-9/10, CPT, LOINC and SNOWMED, EDI and general APIs Deep knowledge and understanding of the US Healthcare Provider market and its business operations Good understanding of clinical system processes, workflows and clinical applications/modules like EHR, LIS, etc. Solid MS office (Excel, Word, PowerPoint) skill, Power BI and other data management skills Demonstrated advanced communication skills (written and verbal) to interact with clients on all aspects of their Optum relationship Demonstrated strategic vision to clearly understand and identify new opportunities to expand on existing relationships Proven to be a successful individual contributor with the ability to collaborate across multiple teams including other solution architects, COEs, delivery and operations Proven solid leadership skills with proven ability to foster and manage senior-level relationships in a highly matrixed environment Preferred Qualification Experience of working and expertise with at least one Commercial Provider EHR/EMR system (Epic, Cerner etc.) 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. #Gen Show more Show less
Posted 1 month ago
2.0 - 7.0 years
4 - 9 Lacs
Noida, Bengaluru
Work from Office
Hello Folks, Corrohealth is Hiring for Executive / Senior Executive - HIM Roles and Responsibilities: - Extracting relevant information from patient records. Examining documents for missing information. Assigning CPT, HCPCS, ICD 9/ICD-10-CM, APC, DRG and ASA codes. Ensuring documents are grammatically correct and free from typing errors. Performing chart audits. Informing supervisor of issues with equipment and computer program. Ensuring compliance with medical coding policies and guidelines. Ensuring that codes tally with doctors diagnosis Be updated about new coding rules as codes change from time to time Collecting and distributing coding related information and billing issues Required Expertise & Qualification:- 1+ years of work experience as a medical coder. Any one of the following coding certifications CPC, COC, CRC, CPC-P from AAPC CCS, CCA from AHIMA Proficient computer skills. Excellent communication skills, both verbal and written. Strong people skills & Outstanding organizational skills. Ability to maintain the confidentiality of information Interested candidates can connect with Vipin-7292096762 or Drop your CV - vipinkumar.sanjayshukla@corrohealth.com
Posted 1 month ago
3.0 years
0 Lacs
Andhra Pradesh, India
Remote
Part-Time Mental Health Therapist (Hybrid - Remote and In-Person) Location: Andhra Pradesh, India Our mission: to eliminate every barrier to mental health. Spring Health is the leading comprehensive mental health benefit for employers. We help employees understand their mental health issues and connect with best-in-class providers to get the right treatment at the right time. From early detection to full recovery, Spring Health is the only clinically validated solution in the market proven to be more effective than traditional mental healthcare. By combining the latest technology with vetted providers, we help engage 1 in 3 employees, reduce recovery times, and lower healthcare costs. We are an award-winning, passionate, and mission-driven team with the support of leaders in psychiatry. We are seeking qualified, part-time internationally licensed psychotherapists to join our provider network and deliver care with a tech-enabled, AI/machine-learning platform that puts patient outcomes first. What You'll Do Provide counseling to clients with benefits ranging from short-term goal-focused EAP, to employer health plans allowing as many sessions as medically necessary. Treat adults who have completed brief, evidence-based online screenings identifying their symptoms and areas of concern. Preferably, also be open to treating additional populations such as children, adolescents, couples, or families. Maintain a calendar displaying your availability and complete session documentation in a timely manner within our scheduling system. Use evidence-based treatment modalities and interventions that are tailored to your client’s needs. Collaborate with our dedicated provider support team, our licensed clinical care navigation team, and our administrative care support team whenever you need assistance. Provide culturally competent and empathetic care, upholding our values of diversity and inclusion for all races, ethnicities, and genders. Who you are You are properly qualified (licensed, if applicable) to practice counseling (as a Psychologist, Psychotherapist, Clinical Psychologist, etc.) in India. We are not able to accept applications from anyone requiring clinical supervision. You have a minimum of 3 years of independent, post-training experience. You have access to a computer or laptop, are comfortable with technology, and are tele-health competent You have training and experience in evidence-based modalities of care such as CBT, DBT, EMDR, ACT, CPT. You are comfortable with providing safety planning and intervention during situations where a client might present with higher risks. You are committed to quality clinical care and want to expand your capabilities and increase your effectiveness by being informed of client progress or challenges. You like working independently, but would also enjoy having the support of a team and opportunities for connections and collaboration with other providers and our master’s level clinical care navigators. If you are interested in / applying to see Spring Health members in person, please be aware that your own office space will be required. Why you'll like working with Spring Health You’ll set your own schedule to fit your professional and personal needs. Work from anywhere, as long as you have a confidential, private location with stable internet. No need to spend time marketing your practice, checking insurance eligibility, collecting fees, or submitting claims---we take care of the administrative work so that you can focus on clinical care. Grow your ability to provide effective care through feedback from evidence-based measures that help you identify what is working with your clients. Join a dynamic community where you will be supported, your work appreciated, and you’ll have the opportunity to help us shape the future of mental health care! In addition to finding people who are truly excellent at what they do, we take our values at Spring Health seriously: Members Come First We are genuine member advocates. Move Fast to Change Lives We build with urgency and intention. Take Ownership We extend trust and hold ourselves accountable. Embrace Diverse Teams & Perspectives We find strength in the diversity of cultural backgrounds, ideas, and experiences. Science Will Win We will achieve impact by innovation and evidence based frameworks. Candor with Care We are open, honest and empathetic. Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know. Show more Show less
Posted 1 month ago
8.0 - 12.0 years
10 - 12 Lacs
Bengaluru
Work from Office
Assistant Operations Manager Medical Billing & A/R Recovery Specialist Work Hours: 8:00 PM – 5:00 AM IST (Night Shift) Work Type: Work from Office Reporting To: U.S. Client (Daily Basis) About Us We are a U.S.-based, rapidly growing company specializing in the forensic recovery of aged and denied insurance claims, along with monthly medical billing for private practices. Our innovative approach drives fast expansion. We are seeking a confident, motivated professional to support our Operations Manager in ensuring client accounts run smoothly. Key Responsibilities Serve as the primary liaison between clients, internal billing teams, and the operations manager Communicate with U.S. clients to address and resolve inquiries Use billing software to review client accounts and monitor claim status Conduct spot checks on submitted/denied claims for accuracy Identify service issues and escalate them to the Operations Manager Suggest improvements to enhance client satisfaction and team efficiency Ensure consistency, accuracy, and timely account management Mandatory Qualifications & Skills 8–10 years of experience in medical billing with a strong focus on Accounts Receivable (A/R) Recovery Proficient knowledge of CPT, ICD-10 codes , and modifiers ( certification preferred ) Excellent communication skills – written and verbal (English) Strong problem-solving and follow-through skills Experience using billing software and client management tools Proficiency in Microsoft Excel , Word , and Google Sheets Prior experience with denial management, appeals, and payer communication Ideal Candidate Traits Outgoing, confident, and highly professional communicator Detail-oriented and highly organized Self-driven and capable of thriving in a fast-paced environment Passionate about maximizing client revenue and process optimization Why Join Us? Work closely with U.S. clients in a pivotal role Be part of a collaborative , mission-driven operations team Contribute to building a fast-growing, innovative medical billing division Real career growth potential in a high-impact role
Posted 1 month ago
0 years
0 Lacs
Chennai, Tamil Nadu, India
Remote
Job Overview: We are hiring an experienced IT Recruitment Specialist with strong domain knowledge in IT technologies, resume optimization, and U.S. staffing practices. The ideal candidate should be able to understand technical job requirements, optimize resumes accordingly, and handle full-cycle job submissions. This role is ideal for candidates who thrive in a performance-driven, remote environment. Key Responsibilities: • Work closely with consultants (H1B, OPT, CPT, GC, USC) to identify and market them for contract and full-time IT roles. • Customize and optimize resumes to match specific client job descriptions using correct keywords, formats, and domain terminology. • Source job opportunities using Dice, Monster, CareerBuilder, LinkedIn, and vendor/client relationships. • Submit qualified candidates, schedule interviews, and manage follow-ups and feedback loops. • Maintain strong vendor/client networks and build pipelines for ongoing job requirements. • Track daily/weekly submissions, interviews, and placement metrics. Show more Show less
Posted 1 month ago
1.0 - 6.0 years
2 - 6 Lacs
Chennai
Work from Office
Dear Candidate, Job Summary: The ED Professional Coder is responsible for accurate and timely coding of emergency department (ED) services using ICD[1]10-CM, CPT, and HCPCS coding systems. This role ensures compliance with official coding guidelines and regulatory requirements to support optimal reimbursement and quality reporting. Key Responsibilities: Review and analyze ED medical records to assign accurate diagnosis and procedure codes. Ensure coding compliance with federal and state regulations and guidelines, including CMS and HIPAA. • Apply coding guidelines and conventions for ED encounters, including E/M leveling based on documentation. Communicate with ED physicians and clinical staff as needed for clarification or documentation improvement. Abstract relevant data for reporting and billing purposes. Assist with audits and quality reviews to ensure coding accuracy and integrity. Keep current with changes in coding standards and payer-specific rules. Collaborate with revenue cycle and compliance teams to resolve coding or billing issues. Qualifications: Education: High School Diploma or GED required. Associates or Bachelors degree in Health Information Management or related field preferred. Certifications (Not Mandatory): Certified Professional Coder (CPC) AAPC Certified Coding Specialist Physician-based (CCS-P) AHIMA Certified Emergency Department Coder (CEDC) – AAPC (preferred) Experience : Minimum of 6 months to 5 years coding experience in an ED or outpatient setting. Strong knowledge of CPT, ICD-10-CM, HCPCS, and E/M guidelines. Familiarity with electronic health record (EHR) systems and coding software. Job Location: • Chennai Location. Immediate Joiners Preferred. Salary Negotiable Interested Candidates Share your resume to Email : Priyadharshini.ambigapathy@omegahms.com Phone : 9677167215/ 9047593228 Contact Person: Priya Hr
Posted 1 month ago
0.0 - 4.0 years
1 - 5 Lacs
Hyderabad
Work from Office
Hello, Here we have immediate opportunity. Company Name: CLOUD NINE TEK Position: BENCH SALES RECRUITER Experience: Freshers & 1-4 years Please share your resumes to hrindia@cloudninetek.com Skills Required: 0-4 years experience in US Staffing and Bench Marketing. Good experience in team management. Excellent in Market analysis and approaches. Need to develop good relations with Implementation partners, Direct Vendors and end clients. Need to have capacity to interact with Senior Consultants, screening their profiles and guiding them on the latest trends in the technologies. Good in networking and should have excellent reach out in the market. Need to have successful strategies in terms of marketing the consultants. Excellent Communication skills. Any Graduate/ postgraduate required. Work from home/ Remote is option is not available Thanks and Regards: S. SAI NARASA REDDY Designation: HR Specialist Contact Number: 7036191310 Address:Fortune 9 Building, Raj Bhavan Road, Somajiguda, Hyderabad, Telangana, 500082.
Posted 1 month ago
15.0 - 19.0 years
25 - 35 Lacs
Chennai
Work from Office
Demonstrated leadership and management skills, including the ability to lead and motivate a coding audit team. Experience in specialties - Spinal procedures, Implant, GI, musculoskeletal, CABG and other cardiac procedures, IVR & Radiation oncology
Posted 1 month ago
1.0 - 5.0 years
3 - 5 Lacs
Chennai
Work from Office
We Are Hiring: EM IP/OP Coders (Certified Only) Company: MedMetrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 1+ Year Required Specialty: EM Inpatient (IP) / Outpatient (OP) Joining: Immediate Joiners Preferred We are looking for experienced and certified medical coders with a background in EM IP/OP to join our team. Mode of Interview: Walk-in Salary: As per market standards (Negotiable based on experience) Eligibility: Certified Coders only with a minimum of 1.5 year of experience in EM IP/OP Work Mode: Work from Office only Address: :7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Interested candidates can call and schedule their interview with: Ranjitha (HR) 8807618852
Posted 1 month ago
1.0 - 5.0 years
2 - 6 Lacs
Chennai
Work from Office
We Are Hiring: Same Day Surgery Coders (Certified Only) Company: MedMetrix Work Mode: Work From Office (No Remote Option) Experience: Minimum 1+ Year Required Specialty: Same Day Surgery Joining: Immediate Joiners Preferred We are looking for experienced and certified medical coders with a background in Same Day Surgery to join our team. Mode of Interview: Walk-in Salary: As per market standards (Negotiable based on experience) Eligibility: Certified Coders only with a minimum of 1 year of experience in Same Day Surgery Work Mode: Work from Office only Address: :7th Floor , Millenia Business Park II, 4A Campus,143 , Dr. M.G.R. Road, Kandanchavadi, Perungudi,Chennai, Tamil Nadu 600096, India Interested candidates can call and schedule their interview with: Ranjitha (HR) 8807618852 ( Whatsapp and Call )
Posted 1 month ago
0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Location: Bangalore, KA, IN Areas of Work: Sales & Marketing Job Id: 13092 External Job Description Profiles Summary: The position is that of commercial personnel who would primarily be responsible for extending backend support to sales function by ensuring timely service of material to customers, effective warehouse operations and implementation of all laid down systems and procedures, thereby achieving overall business objectives. Primary Responsibilities:- Customer Service Review of Order Cycle Time (OCT) for delivery of material to Customers (Dealers, Project Sites etc.) based on orders received at Warehouse and as per defined benchmark Review with customers and sales team on regular basis for identification and resolution on material service related issues Support to other businesses like Home Improvement in terms of material storage and delivery Warehouse Management Monitor and improve the productivity of CFA Manpower deployed at Warehouse Conduct stock verification as per defined frequency and take measures to control stock variances Maintain documents and legal agreements related to Warehouse operations Implement and ensure usage of Transport Management System to improve customer service parameters, timely Review and rationalization of route plans Warehouse and Office Infrastructure Assess infrastructure requirements at the warehouse and sales offices and accordingly propose the capex projects Execution of Capex Projects as per project implementation schedule Overheads Assist and provide inputs to Regional Commercial team on the proposals for annual overheads budget Monitor and ensure freight cost per ton (CPT) and other overheads are within the budgeted limits Vendor Payments Process the vendor payments as per the defined payment terms Monitor and ensure no pending payments, open goods receipts and open advances at each vendor level Coordinate with Vendors for outstanding closure and quarterly balance confirmation within the defined timelines Statutory Compliances and Audits Track and ensure timely renewal of statutory licenses applicable for warehouse and office operations Updation of compliances in statutory portal (GRC) as per the due dates Initiate corrective and preventive actions for identified statutory non-compliances Participate and support with relevant documents during audits like ISO, 5S, Internal Audit Safety Monitor safety parameters and conduct safety audits as per schedule to provide safe working environment at warehouses and office premises Reports Prepare and circulate monthly reports on various parameters in a timely manner. Essential Graduate Degree in any stream (BA/B.Sc./B.Com/BBA/BBM/BMS) Minimum 50% marks throughout education without any backlogs Graduation must be through a full time course Show more Show less
Posted 1 month ago
1.0 - 4.0 years
1 - 4 Lacs
Chennai
Work from Office
Job Title: IPDRG Auditor Location: Chennai Employment Type: Full-time Experience Required: 3+ years in coding audit, especially inpatient Job Description: We are hiring IPDRG Auditors to ensure the accuracy, compliance, and quality of coding within our inpatient services. This role involves retrospective audits, coder feedback, and performance reporting. Key Responsibilities: Conduct regular audits of inpatient medical records and coding outputs Evaluate DRG assignments and identify discrepancies or errors Provide feedback and training to coders to improve accuracy and compliance Prepare audit reports and track coding performance metrics Stay updated with coding regulations and payer policies Qualifications: Advanced certification (e.g., CCS, CIC, or equivalent) preferred In-depth knowledge of ICD-10-CM/PCS and DRG grouping Experience in inpatient coding audits and CDI practices Excellent analytical and communication skills
Posted 1 month ago
1.0 - 3.0 years
1 - 4 Lacs
Chennai
Work from Office
Job Title: IPDRG Medical Coder Location: Chennai Employment Type: Full-time Experience Required: 1-3 years in inpatient coding preferred Job Description: We are seeking experienced Medical Coders to support our IPDRG (Inpatient Diagnosis- Related Group) operations. The ideal candidate will have a solid understanding of ICD- 10-CM, ICD-10-PCS, and DRG assignment methodologies. Key Responsibilities: Review and analyse inpatient medical records for accurate code assignment Assign ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines Ensure appropriate DRG assignment to optimize coding accuracy and compliance Collaborate with clinicians and auditors as needed for clarification Meet established productivity and quality benchmarks Qualifications: Certification in medical coding (e.g., CPC, CCS, or equivalent) Experience with IP coding and DRG grouping systems Familiarity with clinical documentation improvement (CDI) concepts is a plus Strong attention to detail and understanding of medical terminology
Posted 1 month ago
0.0 - 5.0 years
0 Lacs
Pune, Maharashtra
On-site
Address: Survey No 4/1, Mundhwa - Kharadi Road, behind Radisson Blu, Pandhari Nagar, Kharadi, Pune, Maharashtra 411014 Job Summary: The Mediclaim Executive is responsible for handling medical insurance claims, processing reimbursements, coordinating with insurance companies, and ensuring smooth claim settlements for patients. The role requires attention to detail, knowledge of insurance policies, and excellent communication skills. Key Responsibilities: Process and verify medical insurance claims for reimbursement and cashless services. Coordinate with hospitals, insurance providers, and TPAs (Third-Party Administrators) to facilitate smooth claim processing. Review and validate claim documents, ensuring accuracy and completeness. Follow up on pending claims, rejections, and discrepancies with insurers. Assist customers in understanding their health insurance policies and claim procedures. Maintain records of claims, approvals, and denials for reporting and audit purposes. Ensure compliance with regulatory guidelines and company policies regarding insurance claims. Address queries from patients, insurers, and hospital staff regarding claims and coverage. Identify fraudulent claims and report suspicious activities. Work on claim settlements, escalations, and appeals when required. Required Skills & Qualifications: Bachelor's degree in any field 1 to 5 years of experience in medical insurance claims processing, TPA, or hospital billing. Strong knowledge of health insurance policies, claim procedures, and IRDA regulations. Proficiency in MS Office (Excel, Word) and hospital management systems. Excellent communication and interpersonal skills. Strong problem-solving ability and attention to detail. Ability to handle multiple tasks and meet deadlines in a fast-paced environment. Preferred Qualifications: Experience in working with hospital billing departments or insurance companies. Familiarity with medical terminologies and coding (ICD, CPT). Knowledge of e-claims submission portals and insurance software. Job Types: Full-time, Permanent Pay: ₹20,000.00 - ₹25,000.00 per month Benefits: Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Work Location: In person
Posted 1 month ago
2.0 years
0 Lacs
Bengaluru, Karnataka, India
On-site
Description The Central Programs Team, India (CPT India) leads cross-functional projects that requires collaboration and partnership with Amazon businesses, geographical units and technical subject matter experts (SMEs). The projects are focused on initiatives to continually reduce risks and improve network WHS standards and procedures. Individuals gather business requirements, document functional and design specifications, identify appropriate resources needed, assemble the right project team, assign individual responsibilities and develop the milestones and launch schedules to ensure timely and successful delivery of the project. The team members measure and report progress, anticipate and resolve bottlenecks, provide escalation management, anticipate and make tradeoffs, and balance the business needs with the technical constraints. This a program management role responsible for executing per direction, the management of the WW WHS programs (standards, procedures, best practices) development, training and continuous improvement projects. The role involves hands-on work in the areas of understanding stakeholder needs and expectations, WHS regulatory research, global stakeholder engagement, data analytics and document technical writing. The candidate must be a self-starter and detail-oriented. They must be an effective communicator and send clear, concise and consistent messages, both verbally and in writing. Key job responsibilities Program/Process Improvement, Project Management Clearly and timely communicate findings, determinations, and recommendations to compliance management and business partners, both at periodic intervals and as needed regarding escalated or high-risk compliance issues. Guide management in the development/review of applicable policies, procedures and business practices. Engage in frequent written and verbal communication with management and business partners to accomplish goals. Execute and drive audits to completion per SOP. This includes drafting audit reports, stakeholder reviews of audit reports, finalizing and tracking audit reports in database and tracking issues in system (and SIM/TT management). Owns weekly/monthly reports and metrics. Identifies gaps in audit programs and processes and escalates to manager. Follows confidentiality rules with the documents reviewed. Drafts documents and revisions on audit reports per manager direction. Performs deep dive analysis/research on data/information/literature and creates recommendations/corrective actions based on identified deviations and recommends appropriate solutions. Earns trust of peers by understanding audit processes and programs. Makes recommendations to managers for input into roadmap strategic discussions and continuous improvement projects to drive program efficiencies. Basic Qualifications Bachelor’s degree or equivalent from an accredited university Minimum 2 years relevant program management experience Analytical skills with experience using Excel (analysis using aggregate functions and pivot table) Good communication skills both verbal and writing (Ability to communicate clear and coherent narratives) Preferred Qualifications Advanced Excel (Macros/VBA) Experience with Stakeholder Management across Geographies Program/Project Management Certification -Six Sigma Certification Knowledge of SQL/ Python Knowledge of visualization tools like QuickSight, Tableau etc. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner. Company - ADCI - Karnataka Job ID: A2941689 Show more Show less
Posted 1 month ago
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