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10.0 - 14.0 years
0 Lacs
thane, maharashtra
On-site
You have at least 10 years of experience in the Medical Coding business, specifically in Inpatient coding, Medical Coding guidelines, and Coding Techniques (ICD-10, CPT). You possess strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology, and Pharmacology. Proficiency in using MS Office is essential, along with excellent communication and interpersonal skills. As a Senior Manager Quality in the Home Health department of Business Excellence Coding, located in Airoli, Navi Mumbai, your responsibilities include: - Supervising and managing a team of 100+ Quality Analysts - Creating an inspiring team environment with open communication - Designing QA capacity planning according to project requirements - Delegating tasks, setting deadlines, and ensuring quality control based on client SLAs - Implementing the organization's Quality Management System effectively - Monitoring team performance, reporting on metrics, and conducting random audits - Performing Root Cause Analysis on audit observations, identifying knowledge gaps, and developing action plans with quality leads and operation managers - Identifying training needs, providing coaching to QAs, and resolving any team member issues or conflicts - Recognizing high performance, rewarding accomplishments, and encouraging creativity and business improvement ideas - Suggesting and organizing team-building activities and initiating action plans for improvement opportunities The ideal candidate for this role must have: - Over 10 years of experience in Medical Coding within Home Health, either in Operations or Quality teams - Leadership experience managing medium to large-sized teams for training & Quality teams, preferably across multiple sites - Certification such as CPC/CIC/COC/CSS If you meet these requirements and are ready to take on a challenging role that involves leading a team towards quality excellence in Medical Coding, we encourage you to apply for the position of Senior Manager Quality at our Airoli, Navi Mumbai office.,
Posted 1 week ago
5.0 years
0 Lacs
Mohali district, India
On-site
About the Role: We are seeking a sharp, detail-oriented Quality Analyst with proven experience in U.S. Healthcare Revenue Cycle Management (RCM) to join our growing team. This role is critical in ensuring accuracy, compliance, and process excellence across the entire RCM lifecycle—from End-to-End. If you have a passion for quality, a strong understanding of billing workflows, and a keen eye for detail, we'd love to hear from you. Key Responsibilities: Conduct quality audits for RCM functions, including Eligibility, Authorization, Charge Entry, Claims Submission, Payment Posting, Denial Management, and AR Follow-up Analyze test requirements and perform functional, regression, and end-to-end testing on healthcare billing applications Validate HIPAA-compliant claim files, payer rules, CPT/ICD code mapping, and insurance-specific workflows Perform backend data validation using SQL to ensure data integrity across billing and financial records Identify errors, audit trends, and training needs to improve team performance and billing accuracy Generating comprehensive reports on quality performance and sharing feedback with team members on a weekly or monthly basis. Collaborate with cross-functional teams, including operations, training, developers, and business analysts, to support process enhancements Track and report key quality metrics, driving continuous improvement initiatives Ensure compliance with HIPAA, CMS, and U.S. healthcare payer regulations Support UAT and production validations for new releases and billing system updates Lean Six Sigma (Green Belt / Black Belt): For reducing errors, improving workflows, and driving operational efficiency. Certified Quality Auditor (CQA) – ASQ: For professionals conducting audits of quality systems and processes. Project Management Professional (PMP): For managing cross-functional QA and system improvement projects. Certified Health Data Analyst (CHDA) – AHIMA: For analyzing healthcare data to improve billing and QA outcomes. SQL/Data Analytics Certifications (Microsoft, Oracle, Coursera): For backend validation and reporting. Required Qualifications: 1–5 years of hands-on QA or auditing experience in U.S. Healthcare RCM and medical billing In-depth knowledge of end-to-end RCM workflows : Eligibility, Authorization, Coding, Claims, Denials, and AR Solid understanding of HIPAA and healthcare data privacy standards Excellent attention to detail, communication, and analytical skills Experience with billing or practice management platforms (e.g., Kareo , AdvancedMD , eClinicalWorks , Athena , Epic , or Cerner ) and also in payor portals Why Join Us: Opportunity to work with a dynamic team of professionals and achieve growth and expertise in your chosen field. Competitive salary, bonuses, and comprehensive benefits package. Ready to take your design and development game to the next level? Join us!
Posted 1 week ago
3.0 - 7.0 years
3 - 7 Lacs
Hyderabad
Work from Office
Job Title: Senior Bench Sales Recruiter Location: Hyderabad, India Job Type: Full-Time | Night Shift (U.S. Time Zone) Experience: 4+ years (can be adjusted) Industry: IT Staffing / U.S. Recruitment Job Summary: We are looking for a Senior Bench Sales Recruiter with a strong track record in U.S. IT staffing to join our growing team in Hyderabad . The ideal candidate will have deep experience in marketing IT consultants (H1B, GC, OPT, CPT, etc.) to clients and vendors, building long-term relationships, and mentoring junior recruiters. This is a key role responsible for driving revenue through successful placements and leadership within the bench sales team. Requirements: Bachelors degree in any discipline (preferred: HR, Business, or IT). 4+ years of bench sales experience in U.S. IT staffing. Strong understanding of visa types: H1B, OPT, CPT, GC, USC, and tax terms (W2, C2C, 1099). Excellent communication and negotiation skills verbal and written. Proven ability to market consultants effectively through job boards (Dice, Monster, CareerBuilder), LinkedIn, and vendor networks. Familiarity with VMS systems, ATS tools, and sourcing best practices. Ability to work independently and lead by example in a fast-paced, target-driven environment. Willingness to work night shifts (U.S. EST/PST hours) . Interested can direct walk-in or share your resume at giri@vitelglobal.com Office Venue : White House, Suite No 813, Block- III, Kundanbagh Colony, Begumpet, Hyderabad, Telangana 500016 Meet: Mr. Giri
Posted 1 week ago
0.0 years
0 Lacs
Bengaluru, Karnataka
On-site
Please Note: English language proficiency is required for this role. This is a full-time , work from office role. This requires a U.S. schedule - India Night shift. Work Location: This is a Work from Office position and location is Bangalore at: Block 12B, Pritech Park,3rd Floor, SEZ Survey No 51-64/4, Bellandur,Village. Bldg 9A Rd, Bengaluru –Karnataka 560103 Shift: Night Contact: Nirmala 911 301 5045 Build Your Future! Come join our thriving team as a Claims Resolution Specialist! We are seeking ambitious, self-motivated and driven people just like you for a rewarding career in the RCM Healthcare arena. Why should you consider TSI (part of TSI family of companies)? Paid training Team-oriented work environment Growth opportunity Generous Incentive opportunity Comprehensive benefits package available: including medical insurance, paid time off and paid holidays! Transport facility (As per policy and shift) - Transportation provided Working 5 days/week TSI Healthcare specializes in revenue cycle management, offering tailored solutions for healthcare providers to address third-party insurance claims denials, manage underpayments, and optimize reimbursement processes. The Claim Resolution Specialist plays a versatile role in the claims workflow, tasked with submitting appeals to overturn denials and trigger payments or determining whether further action, such as additional appeals or account closure, is required. Specialists in this role may prioritize tasks based on claim complexity and workload, ensuring optimal productivity while maintaining compliance and accuracy. By efficiently processing high volumes of low-balance claims, the specialist ensures compliance, accuracy, and revenue recovery that supports client success. Appeal Submission and Resolution: Prepare and submit well-documented and persuasive appeals for denied claims, leveraging payer guidelines, contracts, fee schedules, and medical records to resolve issues and trigger payments. Escalation Management: Address claims escalated by Claim Status Specialists, resolving complex denial scenarios such as coding disputes, medical necessity issues, or payer policy conflicts. Underpayment Resolution: Investigate and address discrepancies between expected and actual payments, taking corrective action to resolve underpayments. Final Determination: Evaluate claims to determine if they are resolved or require further action, such as additional appeals, escalation, or account closure based on client requirements. Account Closure: Review and close accounts when collection efforts have been exhausted, ensuring proper documentation and compliance with client guidelines. Account Review Feedback: Identify incorrectly resolved claims and return them to the appropriate team for review, correction, or training, contributing to process improvements. Collaboration: Utilize documentation provided by Document Retrieval Specialists and Claim Status Specialists to perform resolution activities efficiently High school diploma or equivalent required. Minimum of three years of experience in healthcare claims management, denial resolution, or appeal writing. · Experience in high-volume, low-balance claims processing preferred. Familiarity with payer-specific policies, reimbursement methodologies, and contract terms. Knowledge of coding principles (e.g., CPT, ICD-10, HCPCS) and medical necessity documentation is a plus This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company. We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws INDJOBS
Posted 1 week ago
7.0 years
0 Lacs
Payum, Arunachal Pradesh, India
Remote
Position Summary We are seeking a strategic, results-oriented Director of Revenue Cycle to lead and optimize our revenue operations. This leadership role is vital to ensuring the financial performance, operational integrity, and regulatory compliance of the practice. The ideal candidate has deep experience in U.S. healthcare revenue cycle management, preferably within orthopedic or specialty care, and a strong track record of success in improving cash flow, managing payer contracts, and building high-performing teams. This position is ideally suited for someone based in Illinois with a strong understanding of state and federal healthcare regulations and payers. Key Responsibilities Own and lead the entire revenue cycle, from charge capture through final payment, ensuring efficient and compliant operations. Oversee functional teams in billing, coding, A/R, collections, payment posting, denial management, and revenue reconciliation. Drive key financial metrics including days in A/R, clean claim rates, denial rates, and collection effectiveness. Manage Managed Care Contracts, including payer negotiations, reimbursement modeling, implementation, and ongoing compliance. Collaborate cross-functionally with physicians, clinical staff, and operations to resolve billing issues and streamline workflows. Ensure compliance with federal/state healthcare regulations, payer requirements, HIPAA, and documentation standards. Identify, design, and implement process improvements to optimize efficiency, accuracy, and patient experience. Supervise the management of medical records and disability documentation in accordance with best practices. Lead, mentor, and develop a high-performing revenue cycle team aligned with organizational values and goals. Leverage data analytics to provide actionable insights and continuous performance improvement. Requirements Key Responsibilities Qualifications Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; Master's preferred. 7-10 years of progressive revenue cycle experience in U.S. healthcare settings, with 3+ years in a director or leadership role. Demonstrated success in orthopedic or specialty practice RCM is strongly preferred. Expert-level knowledge of billing, coding (CPT, ICD-10), collections, A/R, denials, and reimbursement methodologies. Proven ability to negotiate and manage Managed Care and value-based contracts. Familiarity with Illinois payer landscape and regulatory requirements is highly desirable. Strong EHR/PM system proficiency (Athenahealth, Epic, or similar platforms). Excellent analytical, leadership, communication, and organizational skills. Experience managing remote or hybrid teams and working across diverse cultures and departments. Benefits At Genesis, we believe that ethical, affordable, and high-quality care should be a universal right—not a privilege. After 17 years of practicing conventional medicine, we reimagined healthcare from the ground up. Through hundreds of hours of research and innovation, we developed a model that maintains our clinical excellence while expanding access to those who need it most. If you're a forward-thinking revenue cycle leader with a passion for healthcare transformation, we'd love to hear from you.
Posted 1 week ago
0.0 - 2.0 years
0 Lacs
Bengaluru, Karnataka
Remote
Please Note: English language proficiency is required for this role. This is a full-time , work from office role. This requires a U.S. schedule - India Night shift. Work Location: This is a Work from Office position and location is Bangalore at: Block 12B, Pritech Park,3rd Floor, SEZ Survey No 51-64/4, Bellandur,Village. Bldg 9A Rd, Bengaluru –Karnataka 560103 Shift: Night Contact: Nirmala 911 301 5045 Build Your Future! Come join our thriving team as a Certified Medical Coder! We are seeking ambitious, self-motivated and driven people just like you for a rewarding career in the RCM Healthcare arena. Why should you consider TSI (part of TSI family of companies)? Paid training Team-oriented work environment Growth opportunity Generous Incentive opportunity Comprehensive benefits package available: including medical insurance, paid time off and paid holidays! Transport facility (As per policy and shift) - Transportation provided Working 5 days/week We are seeking a Certified Medical Coder to join our growing team. In this role, you will be responsible for reviewing and coding both hospital and physician-billed charges for accuracy and compliance with established billing and coding guidelines. You will also analyze supporting medical documentation and address coding-related denials to ensure optimal reimbursement. This role reports directly to a Supervising Attorney or Supervisor and requires the ability to work onsite. Review and assign appropriate codes for both facility (hospital) and professional (physician) billed services Ensure accuracy of ICD-10-CM, CPT, HCPCS , and modifier usage per payer guidelines Evaluate and resolve claim denials, including medical necessity and timely filing issues Provide feedback on payer denials and assist with the appeal process when appropriate Reference and interpret UB04, CMS-1500, EOBs , and RAs to support coding validation Collaborate with internal teams and external partners to resolve coding discrepancies Maintain up-to-date knowledge of industry standards, payer-specific rules, and coding regulations Work independently and maintain productivity standards in an onsite setting Use electronic health record (EHR) systems and documentation tools to access and update coding information Refer to written training resources and coding references as needed Certified Billing and Coding Specialist (CBCS) or AAPC Coder Certification (Advanced level required) Minimum of 2 years of experience coding hospital and/or physician claims Strong knowledge of ICD-10-CM, CPT, HCPCS, UB04 , and CMS-1500 forms Familiarity with Medicare, Medicaid, HMOs, PPOs , and managed care plan guidelines Proficient in medical terminology, healthcare documentation, and coding best practices Strong comprehension, problem-solving, and conflict resolution skills Excellent verbal and written communication skills in English Ability to work independently with minimal supervision Preferred Skills: Experience working in a fully remote coding or RCM environment Prior involvement in denial resolution and payer appeals Comfortable using multiple healthcare platforms and EHR systems Ability to analyze coding patterns and identify billing trends This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company. We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws INDJOBS
Posted 1 week ago
7.0 years
0 Lacs
India
Remote
Position Summary We are seeking a strategic, results-oriented Director of Revenue Cycle to lead and optimize our revenue operations. This leadership role is vital to ensuring the financial performance, operational integrity, and regulatory compliance of the practice. The ideal candidate has deep experience in U.S. healthcare revenue cycle management, preferably within orthopedic or specialty care, and a strong track record of success in improving cash flow, managing payer contracts, and building high-performing teams. This position is ideally suited for someone based in Illinois with a strong understanding of state and federal healthcare regulations and payers. Key Responsibilities Own and lead the entire revenue cycle, from charge capture through final payment, ensuring efficient and compliant operations. Oversee functional teams in billing, coding, A/R, collections, payment posting, denial management, and revenue reconciliation. Drive key financial metrics including days in A/R, clean claim rates, denial rates, and collection effectiveness. Manage Managed Care Contracts, including payer negotiations, reimbursement modeling, implementation, and ongoing compliance. Collaborate cross-functionally with physicians, clinical staff, and operations to resolve billing issues and streamline workflows. Ensure compliance with federal/state healthcare regulations, payer requirements, HIPAA, and documentation standards. Identify, design, and implement process improvements to optimize efficiency, accuracy, and patient experience. Supervise the management of medical records and disability documentation in accordance with best practices. Lead, mentor, and develop a high-performing revenue cycle team aligned with organizational values and goals. Leverage data analytics to provide actionable insights and continuous performance improvement. Requirements Key Responsibilities Qualifications Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; Master's preferred. 7-10 years of progressive revenue cycle experience in U.S. healthcare settings, with 3+ years in a director or leadership role. Demonstrated success in orthopedic or specialty practice RCM is strongly preferred. Expert-level knowledge of billing, coding (CPT, ICD-10), collections, A/R, denials, and reimbursement methodologies. Proven ability to negotiate and manage Managed Care and value-based contracts. Familiarity with Illinois payer landscape and regulatory requirements is highly desirable. Strong EHR/PM system proficiency (Athenahealth, Epic, or similar platforms). Excellent analytical, leadership, communication, and organizational skills. Experience managing remote or hybrid teams and working across diverse cultures and departments. Benefits At Genesis, we believe that ethical, affordable, and high-quality care should be a universal right—not a privilege. After 17 years of practicing conventional medicine, we reimagined healthcare from the ground up. Through hundreds of hours of research and innovation, we developed a model that maintains our clinical excellence while expanding access to those who need it most. If you're a forward-thinking revenue cycle leader with a passion for healthcare transformation, we'd love to hear from you.
Posted 1 week ago
5.0 - 10.0 years
4 - 6 Lacs
Bengaluru
Hybrid
Develop tailored training on ICD-10, CPT, and MedDRA for clinical research. Include updated e-modules, case studies, and coding exercises. Ensure compliance with ICH-GCP, FDA, EMA, and HIPAA standards, focusing on data privacy and coding accuracy.
Posted 1 week ago
4.0 years
0 Lacs
India
On-site
Job Title: Senior Bench Sales Recruiter Location: Hyderabad, India Job Type: Full-Time | Night Shift (U.S. Time Zone) Experience: 4 years (can be adjusted) Industry: IT Staffing / U.S. Recruitment Requirements: Bachelor’s degree in any discipline (preferred: HR, Business, or IT). 4 years of bench sales experience in U.S. IT staffing. Strong understanding of visa types: H1B, OPT, CPT, GC, USC, and tax terms (W2, C2C, 1099). Excellent communication and negotiation skills—verbal and written. Proven ability to market consultants effectively through job boards (Dice, Monster, CareerBuilder), LinkedIn, and vendor networks. Familiarity with VMS systems, ATS tools, and sourcing best practices. Ability to work independently and lead by example in a fast-paced, target-driven environment. Willingness to work night shifts (U.S. EST/PST hours). Interested can share your resume at giri@vitelglobal.com
Posted 1 week ago
2.0 - 7.0 years
3 - 7 Lacs
Hyderabad
Work from Office
*Excellent oral and written communication skills. *Comfortable in working the night shift *Solid knowledge of sourcing techniques. *Must know to browse and submit online applications. *Technical expertise with an ability to understand and explain job requirements for IT roles *Must be a Self-Starter *Excellent communication skills ***Note : 1. People who are near to ECIL or willing to relocate can apply. 2. Ready to attend face to face interviews only - no virtual interviews. 3. Their is no Cab facility but Food will be provided in office itself.
Posted 1 week ago
4.0 - 6.0 years
0 Lacs
India
Remote
Job Title : Senior Bench Sales Manager – US IT Staffing (Remote – India) Company : Elegant Enterprise-Wide Solutions, Inc. Location : Remote (India) Experience Required : 4-6 Years Industry : US IT Staffing & Consulting (H1B) Tier 1 direct clients only** Job Summary: Elegant Enterprise-Wide Solutions, Inc. is seeking a highly experienced and proactive Senior Bench Sales Manager to join our remote team in India. The ideal candidate will have a proven track record in US IT staffing with a focus on Bench Sales, H1B transfers, and Tier 1 Vendor relationships. This is a results-driven role best suited for individuals who thrive in a fast-paced environment and can work independently while driving consistent placements. Key Responsibilities: Manage the entire lifecycle of Bench Sales for H1B, W2, and OPT/CPT consultants. Build and maintain strong relationships with Tier 1 vendors and direct clients. Aggressively market bench consultants through job boards, social platforms, and vendor networks. Revive and expand existing vendor relationships and develop new Tier 1 vendor networks. Coordinate with legal teams and vendors for H1B transfers, documentation, and onboarding. Work closely with consultants to gather project preferences and place them at higher rates. Negotiate client/vendor terms and manage communication until successful onboarding. Lead or support an offshore team for pipeline development, consultant submissions, and follow-ups. Ensure timely submissions, interview scheduling, and consultant status tracking. Monitor and place consultants in parallel or back-to-back projects to ensure continuous billing. Required Skills & Qualifications: Minimum 4–6 years of hands-on experience in US IT Bench Sales. Extensive knowledge of H1B processes, visa types, and compliance. Demonstrated ability to work with Top Tier 1 Vendors and direct clients. Strong background in handling H1B transfers and third-party consultants. Proficient in negotiation, rate finalization, and onboarding documentation. Proven experience in team leadership and ability to scale operations. Excellent verbal and written communication skills. Strong time management and organizational abilities. MBA in Marketing or relevant field preferred. Additional Preferences: Ability to work in a performance-driven environment with minimal supervision. Experience in placing consultants within tight deadlines and at competitive rates. Familiarity with remote tools and platforms for team coordination and tracking.
Posted 1 week ago
0.0 - 4.0 years
1 - 4 Lacs
Chennai
Work from Office
Hi, All Access Health Care Hiring HCC Coders Experience - 0.6 Months - 5 years Location - Chennai Specialty - HCC Certified only Work From Office NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Compensation: We offer highly competitive work environment with best in the business compensation package. Contact Name: Preethi HR Contact Number: 8072406288 WhatsApp alone preethi.b9@accesshealthcare.com For any other queries kindly reach out & drop Your Resume On - Call And discuss for interview schedule and process 8072406288 watsapp alone Send Updated Resume, Recent Photo, Aadhar with the Mentioned Details Your Interview Will Be Scheduled Rec Id - Needed to be done in Access Health Care Job App (Find in Play store) Name - Contact Number - Current Company - Experience - Location - Work Location - Applying For WFH/ WFO - Certification - Take home salary - Expected salary - Certification Number - Certification Number - NOTICE PERIOD - Active Bond - Email ID - https://chat.whatsapp.com/Ko1y1J7gLo43WGFFfRRAR2?mode=r_t
Posted 1 week ago
3.0 - 6.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Title: Bench Sales Recruiter Location: Perungudi, Chennai (Work from Office) Job Type: Full-Time, Night Shift (PST Hours – 7:00 PM to 4:30 AM IST) Experience: 3 to 6 Years Candidates with Bench Sales experience only need to APPLY . Others Please do not apply. Join Our Growing Bench Sales Team – Chennai (Night Shift) We are looking for a driven and experienced Bench Sales Recruiter to join our US Staffing division. If you have a strong vendor network and a proven record in placing bench consultants, this is your opportunity to work in a fast-paced, growth-focused environment with a performance-driven culture. Key Responsibilities: Market OPT, CPT, H1B, GC, and USC consultants to Prime Vendors and Implementation Partners . Build and maintain relationships with Tier 1 vendors and develop new vendor channels. Proactively search for suitable job requirements using portals like Dice, Monster, CareerBuilder, Net-Temps, JobServe , and LinkedIn . Negotiate rates and ensure timely submission of consultants for open roles. Assist consultants in resume formatting and interview preparation. Track and manage the status of submissions, interviews, and onboarding. Maintain a pipeline of rolled-off consultants and track contract end/start dates. Update and maintain assignment records and internal reports as per company standards. Required Qualifications: Bachelor’s degree or equivalent qualification. 3–6 years of Bench Sales experience in the US IT staffing industry . Established relationships with Prime Vendors and experience in direct submissions. Proficiency with recruiting tools and job portals. Strong communication, negotiation, and follow-up skills. Ability to work independently and within a team in a night shift environment . Why Join Us? Stable onsite role with a reputed US-based staffing firm. Performance-driven incentives and growth opportunities. Collaborative work culture and structured processes. Work with industry experts and expand your professional network. Company Website: www.perfictglobal.com
Posted 1 week ago
3.0 years
0 Lacs
Mohali
On-site
Desired Candidate profile Excellent communication, problem-solving and organizational skills Mandatory: Minimum 3+ years of experience in US Healthcare Medical Billing Must have 1 year experience in Team Handling Strong understanding of CPT, ICD 10, HCPCS, payer denials and AR workflow Proficiency in practice management systems. Preferred experience in Trizetto, Waystar, Jopari & NextGen. Immediate joiners will be preferred Flexible with shift timings Benefits Location: Mohali Exp: 6 Years Salary: Best in the Industry Facility: Cab facility, In-house meal facility Facility: Performance-based incentives Shift: 5 days in a week
Posted 1 week ago
0 years
1 - 3 Lacs
Farīdābād
On-site
Role overview As a Trainee Clinical Analyst you will: Assign and validate clinical codes to patient records per both UK guidelines (Training will be provided) and US guidelines (ICD-10-CM, CPT). Review patient charts, medical summaries and process invoices for coding completeness and compliance. Support QA activities and collaborate with UK/US clinicians and our India analytics team to ensure data integrity and coding consistency. Key responsibilities Review documentation (charts, discharge summaries, billing records) to extract and code clinical data Assign/validate codes in line with UK and US coding standards and payer requirements Generate routine & ad-hoc Excel reports (pivot tables, VLOOKUPs) to monitor coding accuracy and productivity Adapt to shifting priorities—support different projects, clients or workflows as business needs evolve Contribute to process improvements, update coding standards and participate in periodic audits Qualifications & skills Bachelor’s degree in Biology, Life Sciences or equivalent, or completion of an accredited ICD-10/CPT coding training program Solid grasp of human anatomy & medical terminology 6–12 months’ hands-on experience in medical coding, clinical data abstraction or allied healthcare analytics Advanced Excel proficiency (pivot tables, lookups, basic macros) Strong attention to detail, analytical mindset and excellent written/spoken English Nice-to-have AAPC (CPC) or AHIMA coding certification Experience with EHR/EMR systems Basic familiarity with UK clinical coding (OPCS-4) Job Type: Full-time Pay: ₹15,000.00 - ₹25,000.00 per month Schedule: Day shift UK shift Work Location: In person
Posted 1 week ago
3.0 - 6.0 years
7 - 11 Lacs
Chennai
Work from Office
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. Job Function Description Jobs in this function provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. *Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement. General Job Profile Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit Impact of work is most often at the team level Primary Responsibilities: Owns output at task level Work is generally limited to own function Sets priorities for the team to ensure task completion Coordinates work activities with other supervisors Develops plans to meet short-term objectives Identifies and resolves operational problems using defined processes, expertise and judgment Decisions are guided by policies, procedures and business plan Product, service or process decisions are most likely to impact individual employees and/or customers (internal or external) 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 Qualification: Graduate degree or equivalent experience Values Based Competencies Integrity Value: Act Ethically Comply with Applicable Laws, Regulations and Policies Demonstrate Integrity Compassion Value: Focus on Customers Identify and Exceed Customer Expectations Improve the Customer Experience Relationships Value: Act as a Team Player Collaborate with Others Demonstrate Diversity Awareness Learn and Develop Relationships Value: Communicate Effectively Influence Others Listen Actively Speak and Write Clearly Innovation Value: Support Change and Innovation Contribute Innovative Ideas Work Effectively in a Changing Environment Performance Value: Make Fact-Based Decisions Apply Business Knowledge Use Sound Judgement Performance Value: Deliver Quality Results Drive for Results Manage Time Effectively Produce High-Quality Work At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. #njp External Candidate Application Internal Employee Application
Posted 1 week ago
3.0 - 6.0 years
7 - 11 Lacs
Chennai
Work from Office
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: Lead a team of 75-90 certified coders. Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and legal work environment; developing personal growth opportunities 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 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 Experience in Performance Management, Project Management, Coaching, Supervision, Quality Management, Results Driven, Developing Budgets, Developing Standards, 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) Preferred Qualifications: Graduate of Life science Certified Professional Coder / Certified Coding Specialist with 2 years coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. #NJP #NTRQ External Candidate Application Internal Employee Application
Posted 1 week ago
1.0 - 5.0 years
3 - 4 Lacs
Bengaluru
Work from Office
About Client Hiring for one of the most prestigious multinational corporations !!! Job Title : AR Caller Denial Management Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience as an AR Caller in Denial Management. 2. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes. 3. Familiarity with healthcare insurance terminology, CPT/ICD coding basics. 4. Strong analytical and problem-solving skills. 5. Excellent communication skills (both verbal and written). 6. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. 7. Typing speed of at least 30 WPM with accuracy. 8. Ability to multitask and meet deadlines under pressure. Good Have Skills : Knowledge and expertise AR Caller in Denial Management. Roles and Responsibilities : 1. Review and analyze insurance claim denials from payers. 2. Make outbound calls to insurance companies to resolve denied or unpaid claims. 3. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses). 4. Take appropriate actions such as appeal filing, claim corrections, or rebilling. 5. Document all activities accurately in the client system or internal tools. 6. Follow-up on pending claims within the specified TAT. 7. Communicate effectively with insurance representatives and escalate complex issues when needed. 8. Work collaboratively with internal teams (coding, billing) to resolve denial trends. 9. Stay updated with payer-specific guidelines and industry regulations (HIPAA compliance). Location : Bangalore CTC Range : 3 to 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Lakshmi PS HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432489/WhatsApp @7892150019 lakshmi.p@blackwhite.in | www.blackwhite.in ******DO REFER FRIENDS ******
Posted 1 week ago
3.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Title: Interventional Radiology Medical Coder Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures Ensure compliance with ACR, CMS, NCCI, payer-specific rules, and LCD/NCD policies. Keep up to date with IR coding guidelines, CPT® changes, and compliance regulations. Support internal and external audits by providing detailed coding rationale and documentation. Qualifications: Certified Professional Coder (CPC) or CIRCC certification strongly preferred Minimum of 3 years of hands-on experience in Interventional radiology coding. MIPS Coding is Mandatory. Familiarity with radiology workflow, RIS/PACS systems, and coding tools. In-depth knowledge of CPT®, ICD-10-CM, and HCPCS Level II codes
Posted 1 week ago
3.0 - 5.0 years
0 Lacs
Haryana, India
On-site
Job Description The Procurement Buyer role is accountable for executing and managing critical steps in the order to cash cycle. It is the responsibility of the Buyer to manage a portfolio of both internal and external suppliers, placing orders and managing the fulfillment in a timely manner. Ensuring a robust MOS to manage key stakeholders and process flow is critical to achieving key customer and business metrics including OTTR and revenue targets. Procurement Buyer Review all Open orders on daily basis and ensure it is delivered from Supplier Review Pending PR’s daily twice and ensure all PO’s are sent to supplier Ensure all orders are duly acknowledged by supplier in the system Follow up and update missing OA’s in the system Ensure OA dates are within lead time Review open orders with internal customers and be proactive in expediting deliveries Schedule daily/weekly call with supplier to address, delivery, logistics and other queries Ensure to work with all suppliers to achieve revenue forecast Review LOC instructions and arrange documents from shipper. Control LOC shipments from the date of order till it is submitted in bank Scheduling weekly / Daily calls with suppliers and ensure past due lines are closed and minimize the OTTR failures Work closely with CPT freight forwarders for delivering material to customer. Resolve issues and escalate as required. Timely IBD creation, GR completion and verify posting of customer invoice. Verify shipping documents, coordinate with shipper/Customers on COC process Ensure to update all tracking details for CPT shipments in team room Execute MRBR report daily and ensure GR posted through batch job Resolve vendor invoice disputes in Dolphin and MRBR Resolve discrepancies with supplier, FF, and provide timely feedback to customers Performance Matrix to be published weekly (Missing OA’s, Past due, Dolphin) Review and handle Vendor expedite payments Qualifications Knowledge required End to end knowledge on supply chain management process Planning and Revenue forecast activities Knowledge on Trade compliance and COC process Responsible for end to end LOC Process Supplier Negotiation skills. Working experience with Freight Forwarder for all CPT shipments Experience required 3-5 years Experience with Six Sigma and Lean Tools Bachelor’s Degree Good Knowledge on SAP Soft Skills Powe r Point and Expertise in Excel About Us Honeywell helps organizations solve the world's most complex challenges in automation, the future of aviation and energy transition. As a trusted partner, we provide actionable solutions and innovation through our Aerospace Technologies, Building Automation, Energy and Sustainability Solutions, and Industrial Automation business segments – powered by our Honeywell Forge software – that help make the world smarter, safer and more sustainable.
Posted 1 week ago
0.0 - 3.0 years
0 - 3 Lacs
Mumbai City, Maharashtra, India
On-site
Aster Medcity is looking for Specialist Anaesthesiology to join our dynamic team and embark on a rewarding career journey As a Specialist in Anaesthesiology, you play a critical role in ensuring patient safety and comfort during surgical procedures or medical interventions Here's an overview of the responsibilities and skills typically associated with this specialization:Preoperative Assessment: Conducting thorough evaluations of patients medical history, physical condition, and current medications to determine their suitability for anesthesia Assessing and managing any pre-existing medical conditions that may impact the anesthesia plan Anesthesia Administration: Administering various types of anesthesia, such as general anesthesia, regional anesthesia, or local anesthesia, based on the specific needs of the patient and the surgical procedure Monitoring vital signs and adjusting anesthesia levels throughout the procedure to ensure the patient's comfort and safety Pain Management: Implementing effective pain management techniques before, during, and after surgical procedures This may involve administering pain medications, regional anesthesia techniques, or employing advanced pain management modalities Patient Safety and Monitoring: Constantly monitoring patients vital signs, including heart rate, blood pressure, oxygen saturation, and respiratory status during anesthesia Responding promptly to any changes or complications, and taking appropriate measures to maintain patient stability Emergency Situations: Being prepared to handle emergencies or complications related to anesthesia, such as adverse reactions, allergic responses, or cardiopulmonary events Having the knowledge and skills to perform resuscitation procedures and manage critical situations effectively
Posted 1 week ago
0.0 - 3.0 years
0 - 3 Lacs
Delhi, India
On-site
Aster Medcity is looking for Specialist Anaesthesiology to join our dynamic team and embark on a rewarding career journey As a Specialist in Anaesthesiology, you play a critical role in ensuring patient safety and comfort during surgical procedures or medical interventions Here's an overview of the responsibilities and skills typically associated with this specialization:Preoperative Assessment: Conducting thorough evaluations of patients medical history, physical condition, and current medications to determine their suitability for anesthesia Assessing and managing any pre-existing medical conditions that may impact the anesthesia plan Anesthesia Administration: Administering various types of anesthesia, such as general anesthesia, regional anesthesia, or local anesthesia, based on the specific needs of the patient and the surgical procedure Monitoring vital signs and adjusting anesthesia levels throughout the procedure to ensure the patient's comfort and safety Pain Management: Implementing effective pain management techniques before, during, and after surgical procedures This may involve administering pain medications, regional anesthesia techniques, or employing advanced pain management modalities Patient Safety and Monitoring: Constantly monitoring patients vital signs, including heart rate, blood pressure, oxygen saturation, and respiratory status during anesthesia Responding promptly to any changes or complications, and taking appropriate measures to maintain patient stability Emergency Situations: Being prepared to handle emergencies or complications related to anesthesia, such as adverse reactions, allergic responses, or cardiopulmonary events Having the knowledge and skills to perform resuscitation procedures and manage critical situations effectively
Posted 1 week ago
0.0 - 3.0 years
0 - 3 Lacs
Hyderabad, Telangana, India
On-site
Aster Medcity is looking for Specialist Anaesthesiology to join our dynamic team and embark on a rewarding career journey As a Specialist in Anaesthesiology, you play a critical role in ensuring patient safety and comfort during surgical procedures or medical interventions Here's an overview of the responsibilities and skills typically associated with this specialization:Preoperative Assessment: Conducting thorough evaluations of patients medical history, physical condition, and current medications to determine their suitability for anesthesia Assessing and managing any pre-existing medical conditions that may impact the anesthesia plan Anesthesia Administration: Administering various types of anesthesia, such as general anesthesia, regional anesthesia, or local anesthesia, based on the specific needs of the patient and the surgical procedure Monitoring vital signs and adjusting anesthesia levels throughout the procedure to ensure the patient's comfort and safety Pain Management: Implementing effective pain management techniques before, during, and after surgical procedures This may involve administering pain medications, regional anesthesia techniques, or employing advanced pain management modalities Patient Safety and Monitoring: Constantly monitoring patients vital signs, including heart rate, blood pressure, oxygen saturation, and respiratory status during anesthesia Responding promptly to any changes or complications, and taking appropriate measures to maintain patient stability Emergency Situations: Being prepared to handle emergencies or complications related to anesthesia, such as adverse reactions, allergic responses, or cardiopulmonary events Having the knowledge and skills to perform resuscitation procedures and manage critical situations effectively
Posted 1 week ago
8.0 years
0 Lacs
Pune, Maharashtra, India
On-site
Title Logistics Supervisor Duties And Responsibilities Coordinates and monitors the Freight Forwarder’s activities related to Project Logistics Assists as necessary in the preparation of required shipping documents (COO, packing list, BOL, etc.) Obtains and evaluates quotations for freight forwarding and carrier services for the Project Coordinates logistics activities with internal/external customers. Maintains appropriate records and prepares reports. Provides activity and status reports to management. Skills Required Knowledge of Incoterms in an international setting (FCA, FOB, CPT, DAP, etc.). Experience and knowledge in import and export clearance and H.S. Codes (HTS Codes) Experience and knowledge in coordinating Inland transportation Experience with containers shipments Experience with large Equipment (i.e. Breakbulk, large vessel, Modular shipments) Skills required for this job are typically acquired through the completion of an undergraduate degree and 8+ years of experience. Strong computer skills to include Outlook, Excel, Access and Power Point R2105199
Posted 1 week ago
5.0 years
0 Lacs
India
Remote
Job Title: SAP SF Succession & SF PMGM Consultant Experience: 5+ Years Location: Remote Contract Duration: Short Term Work Time: IST Shift Job Description: We are seeking an SAP SF Succession & SF PMGM Consultant with active certifications in Succession and PMGM. The candidate must have hands-on experience in at least two end-to-end implementations of the Recruitment module, strong configuration and integration expertise across RCM, ONB, and EC modules, and a deep understanding of provisioning, XML configuration, and role-based permissions. Responsibilities: Configure and implement SAP SF Succession and PMGM modules Lead and support at least two Recruitment module implementations Handle panel creation and configuration tasks Manage security roles, notifications, rules, and document centre operations Configure and manage user roles, admin roles, and RBP roles Manage and configure XML for Onboarding and recruitment integrations Integrate RCM with ONB and EC modules Develop and maintain adhoc reports and forms Schedule and manage jobs efficiently Ensure seamless recruitment to hiring process integrations Handle custom object creation, metadata framework configuration, and picklist management Perform provisioning tasks independently Skills & Experience Active certifications in SF Succession and PMGM Minimum 2 end-to-end implementations in the Recruitment module Hands-on experience in creation of Panels Experience working with Security Roles Familiarity with Notifications, Rules, and Document Centre Experience managing User Roles, Admin Roles, and RBP Roles Proficient knowledge in Onboarding XMLs Integration experience with RCM – ONB – EC Working knowledge of Adhoc Reports Experience in configuring and managing Forms Hands-on experience in scheduling and managing Jobs Expertise in end-to-end Recruitment Management process Knowledge of requisition management, job postings, agency management, candidate profile management, application templates, Interview Central, offer letter templates, and hiring processes Experience in integration of RCM with Onboarding and EC from candidate to employee conversion XML configuration experience for JRDM, CPT, and CDM templates Strong understanding of Employee Profile Management Experience in creating custom objects and configuring workflows Proficient in MDF Objects, Adhoc Reports, HRIS Sync, and instance synchronization Experience managing picklists and strong knowledge in picklist management Expertise in Meta Data Framework Ability to work independently in Provisioning
Posted 1 week ago
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