31 Nextgen Jobs - Page 2

Role Purpose The role incumbent is focused on implementation of roadmaps for business process analysis, data analysis, diagnosis of gaps, business requirements & functional definitions, best practices application, meeting facilitation, and contributes to project planning. Consultants are expected to contribute to solution building for the client & practice. The role holder can handle higher scale and complexity compared to a Consultant profile and is more proactive in client interactions. Do Assumes responsibilities as the main client contact leading engagement w/ 10-20% support from Consulting & Client Partners. Develops, assesses, and validates a client’s business strategy, including industry and competitive positioning and strategic direction Develops solutions and services to suit client’s business strategy Estimates scope and liability for delivery of the end product/solution Seeks opportunities to develop revenue in existing and new areas Leads an engagement and oversees others’ contributions at a customer end, such that customer expectations are met or exceeded. Drives Proposal creation and presales activities for the engagement; new accounts Contributes towards the development of practice policies, procedures, frameworks etc. Guides less experienced team members in delivering solutions. Leads efforts towards building go-to-market/ off the shelf / point solutions and process smethodologies for reuse Creates reusable IP from managed projects Mandatory Skills: Telecom BSS NextGen Ops. Experience8-10 Years.

MEDICAL CODER / MEDICAL BILLER Job Description We are looking for a detail-oriented and proactive Eligibility Executive to manage insurance verification and benefits validation for patients in the revenue cycle process. The ideal candidate will have experience working with U.S. healthcare insurance systems, payer portals, and EHR platforms to ensure accurate eligibility checks and timely updates for claims processing. Key Responsibilities Verify patient insurance coverage and benefits through payer portals, IVR, or direct calls to insurance companies. Update and confirm insurance details in the practice management system or EHR platforms accurately and in a timely manner. Identify policy limitations, deductibles, co-pays, and co-insurance information and document clearly for billing teams. Coordinate with patients and internal teams (billing, front desk, scheduling) to clarify eligibility-related concerns. Perform eligibility checks for scheduled appointments, procedures, and recurring services. Handle real-time and batch eligibility verifications for various insurance types including commercial, Medicaid, Medicare, and TPA. Escalate discrepancies or inactive coverage to the concerned team and assist in resolving issues before claim submission. Maintain up-to-date knowledge of payer guidelines and insurance plan policies. Ensure strict adherence to HIPAA guidelines and maintain confidentiality of patient data. Meet assigned productivity and accuracy targets while following internal SOPs and compliance standards. Preferred Skills & Tools Experience with EHR/PM systems like eCW, NextGen, Athena, CMD Familiarity with major U.S. insurance carriers and payer portals Strong verbal and written communication skills Basic knowledge of medical billing and coding is a plus Ability to work in a fast-paced, detail-focused environment Qualifications ANY LIFE SCIENCE DEGREE BSc, MSc, B.Pharm, M.Pharm, BPT NOTE CPC certification preferable

Experience : 1 2.5 Years Job Description Perform as an individual contributor with fair degree of accountability with minimum assistance. Execute unit testing to ensure the accuracy of his/her developments. Realize the development/requirement as per the technical specification provided. Adhere to all coding standards and performance measures, as per customer/organizations guidelines. Participate in all nominated trainings and proactively work on self-improvement and development. Required Technical Competencies Work experience as a Python Developer Working experience with JavaScript (also known as ECMAScript), including familiarity with data structures, data typing, and prototype inheritance Working experience with one or more of several popular JavaScript tools and frameworks, such as Node.js, CSS, React, Ember, or Vue Familiarity with common programming best practices, data patterns, and software design structures An understanding of common software project team management tools and practices, such as version control software, sprints, and daily scrums Expertise in at least one popular Python framework (like Django, Flask or Pyramid) Knowledge of object-relational mapping (ORM) Familiarity with front-end technologies (like JavaScript and HTML5) Team spirit Good problem-solving skills Knowledge in ABAP is an added advantage Required Behavioral Competencies Accountability: Takes ownership for and ensures accuracy of own work, meets deadlines, and asks questions about possible gaps to ensure clarity of ownership. Agility: Demonstrates a willingness to accept and embrace differing ideas or perceptions which are beneficial to the organization. Collaboration: Participates in team activities and reaches out to others in team to achieve common goals. Communication: Effectively communicates in written and oral form, well-organized thoughts to others. Speaks openly and honestly with all employees. Drives Results: Demonstrates a "can do" attitude and is willing to stretch self to achieve and exceed defined goals/targets. Certifications - Good to Have

About Calpion is an 18-year-old Dallas-headquartered technology firm that offers customers artificial intelligence solutions by building custom deep learning and machine learning algorithms, custom enterprise application development and maintenance, RPA solutions, cloud services, Salesforce consulting, customized invoice management software solutions, and other technology services We also offer automated bot-driven medical billing services Our healthcare offering includes a Salesforce platform-based practice management and billing software with automated patient e-statements and a payment portal, Along With Being SOC-certified And HIPPA-compliant, We Have Certified experts in deep learning & machine learning to provide intelligent solutions for your business, Helped Fortune 500 companies build custom enterprise-level applications, Provide remote & accurate AutoCAD Drawing, Drafting, 2D &3D modeling, and design services, Strategic partnerships with Microsoft, Amazon, SAP, HP, Worksoft, Microfocus, Tricentis, etc Partnered with UiPath to provide RPA solutions, We are headquartered in Dallas with multiple global Centers of Excellence around the industry, Focus: Healthcare, Logistics, Supply chain, Biotechnology, Hospitality, Manufacturing, and Airlines, ? Life at Calpion Inc, Calpion offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence, At Calpion, you'll be part of a vibrant team that thrives on creativity and problem-solving You'll have the chance to work on cutting-edge projects, harnessing the latest technologies and methodologies to deliver intelligent solutions that make a real difference for our clients, Calpion prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance If you are enthusiastic about joining a vibrant organization that values your input, Calpion is the ideal place to pursue your career goals, ? Job Title: Senior AR Caller / AR Caller Report To: Team Leader Experience: 1 5 Years Qualification: PUC / 12th Location: Bangalore / Coimbatore Shift Time: 6:30PM 3:30 AM Night shift Mode: Work from office Terms-Fulltime/Part time/Contractual: Full-time ? Job Summary As an AR caller/Senior AR Caller, you will be responsible for tasks related to medical billing These include contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims This role aims to ensure timely payment, maximize revenue, and minimize financial losses for healthcare providers, ? Key Responsibilities Meet Quality and productivity standards, Contact insurance companies for further explanation of denials & underpayments, Experience working with multiple denials is required, Take appropriate action on claims to guarantee resolution, Ensure accurate & timely follow-up where required, Should be thorough with all AR Cycles and AR Scenarios, Should have worked on appeals, refiling, and denial management Mandatory Skills Excellent written and oral communication skills, Minimum 1-year experience in AR calling Understand the Revenue Cycle Management (RCM) of US Healthcare providers, Basic knowledge of Denials and immediate action to resolve them, Follow up on the claims for collection of payment, Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables, Should be able to resolve billing issues that have resulted in payment delays, Must be spontaneous and enthusiastic ? Desired Skills Experience Physician billing is an added advantage Experience in EPIC, ATHENA and NextGen ? Talk about our culture and values At Calpion, we're not just a company?we're a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate These values drive our every move: Agile: We thrive on change, adapting swiftly to new challenges, Collaborative: Together, we achieve greatness through teamwork and diverse perspectives, Innovative: We push boundaries, constantly exploring new ideas and solutions, Fun: Laughter and camaraderie make our workplace a joyous one, Inclusive: Diversity is our strength, ensuring every voice is heard and valued, Passionate: We approach every task with dedication and enthusiasm, Join us at Calpion and be part of a culture that's not just about work?it's about innovation, growth, and making an impact,

Key Responsibilities: • Administration and management support of CrowdStrike Next-Gen SIEM/EDR • Perform threat research and threat hunting to identify emerging tactics, techniques, and procedures (TTPs) to build detection requirements using an intelligence driven approach • Develop, test, and deploy actionable high fidelity CrowdStrike Next-Gen SIEM detection rules. • Collaborate with Security Analysts to create playbooks for triage and response for actionable high-fidelity detections • Collaborate with SIEM architects to develop and define best practices for parsing data and normalizing data to a common event schema • Build and maintain utilities and tools to enable the managed services team to operate quickly and at a large scale • Analyse data, such as logs or packets captures, from various sources within the enterprise and draw conclusions regarding past and future security incidents • Develop and maintain processes and documentation

About The Role Role Purpose The role incumbent is focused on implementation of roadmaps for business process analysis, data analysis, diagnosis of gaps, business requirements & functional definitions, best practices application, meeting facilitation, and contributes to project planning. Consultants are expected to contribute to solution building for the client & practice. The role holder can handle higher scale and complexity compared to a Consultant profile and is more proactive in client interactions. ? Do Assumes responsibilities as the main client contact leading engagement w/ 10-20% support from Consulting & Client Partners. Develops, assesses, and validates a client’s business strategy, including industry and competitive positioning and strategic direction Develops solutions and services to suit client’s business strategy Estimates scope and liability for delivery of the end product/solution Seeks opportunities to develop revenue in existing and new areas Leads an engagement and oversees others’ contributions at a customer end, such that customer expectations are met or exceeded. Drives Proposal creation and presales activities for the engagement; new accounts Contributes towards the development of practice policies, procedures, frameworks etc. Guides less experienced team members in delivering solutions. Leads efforts towards building go-to-market/ off the shelf / point solutions and process smethodologies for reuse Creates reusable IP from managed projects ? ? ? Mandatory Skills: Telecom BSS NextGen Ops. Experience8-10 Years. Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention. Come to Wipro. Realize your ambitions. Applications from people with disabilities are explicitly welcome.