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5.0 - 10.0 years
4 - 7 Lacs
Bengaluru
Work from Office
Dear Aspirants, Greeting from Sagility!! Immediate hiring for AM-Process Training in Bangalore-Work from office Job description: Role and Responsibilities The resource would be part of a dynamic team. Would be working with the other members of the training, operations and the quality teams to manage conduct of new hire training, while also being responsible for the quality performance of the newly trained resources by planning and executing various interventions during the on the job training phase. An approximate list of responsibilities is appended below (but not limited to): Should have experience working in Claims, PB, PDM & Credentialing Managing attrition and ensuring the batch throughput is as per the business targets and maintain healthy first pass yield (as per defined targets) Managing batch productivity & batch quality till the 90 days post classroom training Establishing and leading a review cadence, create performance benchmarks to measure and report to management Managing & working with clients, internal teams to drive content updation, effectiveness and availability Identifying and managing stakeholders by establishing requirements, performance reviews, collating feedback and drafting improvement plans where necessary Investing a substantial amount of time into self & team/ people development, by way of upskilling, cross skilling and formalized individual development plans Initiating or being a part of major improvement initiatives towards betterment of training practices, measurement and overall process improvement Leading a team of trainers & master trainers towards achieving laid down team goals & objectives Responsible for driving constant content review, analysis and improvements where necessary Implementing cost control through optimization of resources such as trainer availability, batch handover timelines, return on investment etc. Qualifications and Education Requirements Any graduate can apply for this position, however, should have a minimum of 5 years of U.S. Healthcare experience either in the Payor or Provider line of business, in a similar position (with people management being a key KRA). Two Way Cab will be provided. Interested candidates can share their profile to below mentioned mail ID. anitha.c@sagilityhealth.com Thanks & Regards, TA Team Sagility
Posted 1 month ago
8.0 - 13.0 years
8 - 17 Lacs
Gurgaon/Gurugram
Work from Office
Job description GM Analytics Solutions, based at Gurgaon with exclusive tie up with US Healthcare company is currently seeking a experienced professional for the position of Manager of Revenue Cycle Management., proficient in US healthcare willing to work in Night shift. This position will be responsible for all staff and operations of core healthcare related revenue cycle functions including billing, posting, AR, collections, coding and credentialing for multiple providers and provider groups. Candidates should be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. . Responsibilities include but are not limited to: Upholds teaches and enforces GM Analytics Solutions Core Values. Manages the staff and operations of the RCM department Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures. Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners. Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM. Provides education and policy updates for staff on a regular and as needed basis. Establishes and conducts performance reporting for all clients. Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle. Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified. Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims. Manages operational expenses in accordance with the budget.Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management. Requirements and Qualifications: 8+ years of experience in US healthcare Revenue Cycle Management with at least 5 years in an Executive Leadership role MBA degree from a reputed university required Expert level proficiency in core healthcare revenue cycle functions including billing, posting AR, collections, coding and credentialing. Certifications in medical billing/coding preferred Proven ability to lead and manage multiple projects and drive the team to results. Excellent interpersonal, oral, and written communication skills Ownership driven and results oriented Strong Microsoft Office skills, specifically Excel and PowerPoint. Have a flair for numbers, work well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude including willing to work some long hours. Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Strong presentation skills with internal and external customers. Experience to handle large teams Communicate effectively and clearly. An analytical mind. Ability to stick to time constraints and meet deadlines. Negotiation skills and the ability to develop strong working relationships. Solutions-minded, compliance-minded and results-oriented. Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately. Ability to juggle multiple priorities successfully. High-energy, the hands-on employee who thrives in a fast-paced work environment. Flexible, adaptable and can adjust to a rapidly changing and growing environment. Ability to develop both tactical and strategic solutions to business challenges. This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.
Posted 1 month ago
8.0 - 13.0 years
8 - 17 Lacs
Gurugram
Work from Office
Job description GM Analytics Solutions, based at Gurgaon with exclusive tie up with US Healthcare company is currently seeking a experienced professional for the position of Manager of Revenue Cycle Management., proficient in US healthcare willing to work in Night shift. This position will be responsible for all staff and operations of core healthcare related revenue cycle functions including billing, posting, AR, collections, coding and credentialing for multiple providers and provider groups. Candidates should be highly motivated to face challenges of a rapidly growing organization and committed to service excellence. . Responsibilities include but are not limited to: Upholds teaches and enforces GM Analytics Solutions Core Values. Manages the staff and operations of the RCM department Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office. Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures. Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners. Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM. Provides education and policy updates for staff on a regular and as needed basis. Establishes and conducts performance reporting for all clients. Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle. Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified. Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims. Manages operational expenses in accordance with the budget.Directs and oversees the development of operating and capital budget for the department. Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs. Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle. Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management. Requirements and Qualifications: 8+ years of experience in US healthcare Revenue Cycle Management with at least 5 years in an Executive Leadership role MBA degree from a reputed university required Expert level proficiency in core healthcare revenue cycle functions including billing, posting AR, collections, coding and credentialing. Certifications in medical billing/coding preferred Proven ability to lead and manage multiple projects and drive the team to results. Excellent interpersonal, oral, and written communication skills Ownership driven and results oriented Strong Microsoft Office skills, specifically Excel and PowerPoint. Have a flair for numbers, work well with people, aggressively anticipate impacts of workload/issues to team deadlines and have a positive work attitude including willing to work some long hours. Competency Requirements: Must possess the following knowledge, skills, and abilities to perform this job successfully: Strong presentation skills with internal and external customers. Experience to handle large teams Communicate effectively and clearly. An analytical mind. Ability to stick to time constraints and meet deadlines. Negotiation skills and the ability to develop strong working relationships. Solutions-minded, compliance-minded and results-oriented. Excellent organization and planning skills with the ability to define, analyze and resolve issues quickly and accurately. Ability to juggle multiple priorities successfully. High-energy, the hands-on employee who thrives in a fast-paced work environment. Flexible, adaptable and can adjust to a rapidly changing and growing environment. Ability to develop both tactical and strategic solutions to business challenges. This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.
Posted 1 month ago
0.0 - 5.0 years
2 - 6 Lacs
Navi Mumbai
Work from Office
WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.25 LPA TO 5.50 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Walk-ins directly.
Posted 1 month ago
1.0 - 5.0 years
1 - 5 Lacs
Bengaluru
Work from Office
Currently we are looking for *Provider Data Management* to join our team! Bangalore *Provider Data Management* * 2 - 4 years of experience * Package is up to 5LPA * Work from office * US shift timing * 2 way cab provided * Immediate joiners (15days notice period considerable) **Requirements for SPE:** * 2 to 4 years of Provider Data Management. * Any Graduate. * Must have all respective documents. Interested candidates Contact HR Nikkitha @ 8655884774/ nikkitha@careeerguideline.com and also refer to the people who are seeking for job
Posted 1 month ago
0.0 - 3.0 years
1 - 3 Lacs
Hyderabad/Secunderabad
Work from Office
Quantuspro Solutions is seeking a candidate with good analytical skills with understanding of US Health care/ Revenue Cycle Management/Accounts Receivables/ Claims processing. **EXCELLENT COMMUNICATION SKILLS IN ENGLISH IS VERY IMPORTANT** ** FRESHERS ARE WELCOME ** Job Description: - US Healthcare / Dental Billing Process - Accounts Receivables Calls - Denials and Appeals Management - End to End Billing Cycle Management - Posting Payments - Knowledge of Provider Credentialing - Knowledge of Insurance Eligibility verification - Knowledge in Dental Billing is a Plus - Excellent Communication Skills - Must be flexible to work in Day / Night Shifts - Good Typing Speed - Must be willing to work in Voice / Non-voice process Day Shift timings: 9 AM to 6 PM (IST) Night Shift timings: 8: 30 PM to 5: 30 AM (IST) FRESHERS ARE WELCOME ** Candidates with no experience but excellent communication, analytical skills, computer skills may also apply for this position. For further details please contact 7801017313/04035683890 Regards, HR Team Quantuspro Solutions
Posted 1 month ago
4.0 - 7.0 years
5 - 13 Lacs
Kochi, Ernakulam, Thrissur
Work from Office
Designation : Flutter Developer Experience : 4 to 7 years Location : Kochi, Kerala Notice Period:: Immediate to 15 Days(Max) Key Responsibility : Depth understanding of Android recommended design principles, interface guidelines and coding best practices. Take full ownership of the solution and be responsible for translating functional requirements into a product solution or offering. Design, build, and maintain Mobile Applications using Flutter . Deploy and maintain applications in enterprise app stores, Google Play Store, and Apple App Store. Collaborate with backend teams to define, design, and ship new features. Ensure the performance, quality, and responsiveness of applications. Strong understanding of Flutter State Management solutions such as Provider, Riverpod, Flutter Hooks, etc. Proficiency in using Flutter Tools and Libraries - Freezed, Dio, Shared Preferences, GoRouter, and Drift. Strong problem-solving skills and attention to detail. Familiarity with RESTful APIs , Third-Party SDKs , and APIs . Experience with Git and Version Control Systems .
Posted 1 month ago
3.0 - 5.0 years
9 - 11 Lacs
Bengaluru / Bangalore, Karnataka, India
On-site
Interview Mode is Face to Face at office locationNo virtual/Online interviews Location: kothnur,Bangalore Required Skills & Qualifications: 35 years of professional experience in mobile app development. Minimum 23 years of hands-on experience with Flutter and Dart . Experience in publishing apps to Google Play Store and Apple App Store . Solid understanding of OOP principles , mobile development lifecycle, and architecture patterns like BLoC , Provider , or Riverpod . Experience with Git, Firebase, and platform-specific development (Android/iOS). Familiarity with asynchronous programming and networking in Flutter. Interested candidates share your updated resume to 7338191542 (whats app)
Posted 1 month ago
3.0 - 4.0 years
5 - 6 Lacs
Chennai
Work from Office
Overview Require Front end UI Flutter developer Responsibilities 3 to 4 years of professional experience in Flutter development . Proficiency in Dart programming language. Solid understanding of state management (e.g., Provider, Bloc, Riverpod). Experience with API integration , especially RESTful services. Hands-on experience with version control systems like Git. Familiarity with CI/CD pipelines for mobile apps. Experience publishing apps on Google Play Store and Apple App Store . Understanding of responsive UI/UX and mobile performance optimization. Essential skills 3 to 4 years of professional experience in Flutter development . Proficiency in Dart programming language. Solid understanding of state management (e.g., Provider, Bloc, Riverpod). Experience with API integration , especially RESTful services. Hands-on experience with version control systems like Git. Familiarity with CI/CD pipelines for mobile apps. Experience publishing apps on Google Play Store and Apple App Store . Understanding of responsive UI/UX and mobile performance optimization. Desired skills Experience with native Android (Kotlin/Java) or iOS (Swift) development. Knowledge of Firebase (Auth, Firestore, Cloud Functions, etc.). Familiarity with Agile/Scrum development processes. Understanding of app security best practices.
Posted 2 months ago
16.0 - 25.0 years
40 - 85 Lacs
Gurugram
Work from Office
Role: Operating Leader Revenue Cycle Management Location: Gurgaon Role Overview: We are seeking an experienced and results-driven Operating Leader to oversee large-scale revenue cycle management (RCM) operations, managing end-to-end service delivery, client relationships, and P&L for accounts and annual revenue management. This is a strategic role within the Healthcare vertical and will directly report to the Global Head of Healthcare Operations based in India. The Operating Leader should possess a strong track record in operational excellence, strategic client engagement, team leadership, and financial performance management in the healthcare RCM domain. Will be responsible for providing leadership and subject matter expertise in the Provider and Payer areas with Primary focus on RCM. The personnel will be responsible for driving growth and innovation within existing clients and new potential healthcare customers. The ideal applicant should bring 16+ years of experience in the US Payer and Provider area with at least 10+ years in Revenue Cycle Management. Prior Experience in BPO/Captive operations with hands on experience leading provider practice management systems will be an added advantage. Key Responsibilities: Operational Leadership Lead delivery and operational performance across assigned Provider and/or Payer accounts right from Transition to BAU. Should implement best practices and risk mitigation strategies for new and existing RCM operations Drive productivity, efficiency, and compliance across end-to-end RCM functions (coding, billing, collections, A/R, denials, etc.). Oversee multi-site or global delivery teams, ensuring high-quality service and SLAs are met. P&L Management: Own P&L responsibility for a high value business portfolio Drive revenue growth and profitability improvements through operational excellence, automation, and strategic account management. Develop and manage budgets, forecasts, and financial reporting for assigned portfolios. Own the P&L for the healthcare vertical, ensuring achievement of financial goals through data-driven decision-making and cost optimization. Strategic Initiatives and Process Improvement: Partner with senior leadership on strategic initiatives in RCM, including automation, analytics, digital transformation, and new service offerings. Lead transformation projects that drive cost reduction, enhance quality, and scale operations. Proactively work with technology and transformation teams to implement automation and reduce cost of operations Leverage advanced analytical skills to monitor performance metrics, identify trends, and implement corrective actions for sustained growth People & Performance Management Lead large, cross-functional teams, including front-line managers and operational support functions. Build differentiated RCM operating environment Foster a First Time Right team culture Mentor and develop operational leaders to ensure a strong succession pipeline. Foster a culture of accountability, continuous improvement, and employee engagement. Client Relationship Management Serve as a strategic partner to clients, understanding their business needs and proactively identifying value-add opportunities. Manage executive-level stakeholder relationships and provide regular business reviews and performance updates. Ensure high levels of client satisfaction and retention. Candidate Profile: Bachelors degree in Business, Healthcare Administration, or related field (MBA or advanced degree preferred). Minimum 16 years of experience in BPO/Captive operations focused on US Healthcare RCM. Proven expertise in managing large-scale healthcare operations across geographies. Strong financial acumen with a demonstrated ability to manage P&L and drive profitability. Deep understanding of healthcare industry trends, compliance, and best practices. Exceptional leadership, communication, and stakeholder management skills. Strategic thinker with a hands-on approach to execution and team development. Deep expertise in end-to-end Revenue Cycle Management (RCM), including patient registration, insurance verification, medical coding, charge entry, claims submission, payment posting, denial management, and AR follow-up. Preferred Skills: Exposure to global delivery models (India, Philippines, Nearshore). Knowledge of healthcare IT platforms (e.g., Epic, Cerner, Athena). Experience driving digital/automation initiatives (e.g., RPA, AI, analytics). Six Sigma or Lean certification (preferred but not required). Qualifications Bachelors Degree
Posted 2 months ago
3.0 - 5.0 years
5 - 10 Lacs
Bengaluru
Work from Office
Walk-in interview only -BLR No virtual Hands-on experience with Flutter and Dart Publishing apps to Google Play Store and Apple OOP principles,mobile development lifecycle & BLoC Provider/ Riverpod,Git, Firebase, Android/iOS Contact-Maya 9880516218
Posted 2 months ago
1.0 - 6.0 years
2 - 6 Lacs
Navi Mumbai
Work from Office
WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Walk-in Interviews
Posted 2 months ago
1.0 - 4.0 years
3 - 5 Lacs
Hyderabad
Work from Office
Job Title: Charge Entry Specialist Job Description: We are seeking a detail-oriented Charge Entry Specialist to join our healthcare team. The ideal candidate will be responsible for accurately entering and verifying patient treatment codes, maintaining records, and assisting with billing inquiries. This role is crucial for ensuring the accuracy of medical billing and coding, which directly impacts the financial health of our organization. . Responsibilities: Enter medical treatment codes into billing software accurately. Verify all patient demographic data and insurance information. Review and correct claims that have been denied or rejected due to incorrect coding. Ensure all required documentation is available for billing. Maintain confidentiality of all patient information in accordance with HIPAA guidelines. Resolve discrepancies in billing data. Work closely with the billing team to ensure accurate billing and reduce denials. Stay updated with changes in billing codes and medical terminology. Qualifications: Strong understanding of medical terminology, billing codes, and revenue cycle management. Excellent attention to detail and accuracy. Ability to maintain high levels of accuracy under pressure. Proficiency in using billing software and other relevant tools. Strong communication skills to interact with healthcare providers and insurance companies. Experience in medical billing or a related field is preferred. Education: Graduation mandatory experience matters more! Contact: please share your resume to below Contact HR- Aakshya - 8072294017 HR- Aravind - 7286960006 walk- in Location: Sutherland global Services DivyaSree TechRidge, Block P2, (North Wing) 7th Floor, Manikonda, Hyderabad 500089, Write Name on your top of your Resume - Akshaya / Aravind
Posted 2 months ago
12 - 22 years
20 - 35 Lacs
Noida
Remote
Min Exp - 12 yrs, Shift - 6:30 PM to 3:30 AM IST Only experience in US hospitals/Provider projects will be considered Exp in Waterfall Methodology E2E IT PM experience Immediate joiner preferred Share your CV at kavita.singh@elevancesystems.com
Posted 2 months ago
1 - 2 years
1 - 4 Lacs
Gurgaon/Gurugram
Work from Office
Authorization & Referral Associate Summary GM Analytics Solutions is looking for a driven, dedicated and experienced Authorization & Referral Associate, who is experienced in the medical billing domain,. Authorization Analyst is articulate professionals who can communicate with insurance companies and other payers in regards to unpaid claims and assist with actions and information needed to properly review, dispute, or appeal denial until a determination is made to conclude the appeal. Who should be proficient in US healthcare, and is comfortable working in Night shift (US time). Job Description Minimum 1-3 years experience is required in Authorization & Referral process for US Healthcare & should have knowledge in Commercial & Workers Compensation Insurance. Who can receive medication referrals and collects insurance information via multiple methods, runs test claims, and Completes administrative duties. Work in teams that process Authorization & Referral transaction which strive to achieve team goal. Can review clinical documents for prior authorization/pre-determination submission purposes. Who can contact referral source, patient, and/or doctors office to obtain additional information that is required to Complete verification of benefits or prior approvals. Can perform outbound calls to patients or doctor offices to notify of any delays due to more information needed to Process or due to prior authorization. Provides exceptional customer service to external and internal customers, resolving any customer requests in A timely and accurate manner. Ensures the appropriate notification of patients in regard to their financial responsibility, benefit coverage, And payer authorization for services to be provided. Maintains prior authorizations and verifies insurance coverage for ongoing services. Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per The direction of the leadership. Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify Patient information. Refer patients to Financial Counselors as needed to finalize payment for services. Document financial and pre-certification information according to a defined process on time. Request and coordinate financial verification and pre-certification as required to proceed with patient care; Document financial and pre-certification information according to defined process. Good Knowledge and understanding of Human Anatomy. Proficiency in Microsoft office tools Willingness to work the night shift Education/ Experience Requirements: Should be a Graduate from any stream. Should possess excellent communication & written skills. Quick and eager to learn and mold accordingly to the process needs. Should have knowledge in Medical Terminology, knowledge of the different types of health insurance plans; i.e. HMO s, PPOs, etc. Ability to effectively handle multiple priorities within a changing environment. Experience in diagnosing, Isolating, and resolving complex issues and recommending and implementing Strategies to resolve problems. Ability to coordinate with US counterpart either by phone or by email. Ability to multi-task and organizational timely follow up. Ability to follow established work schedule. Excellent Analytical Skills. Should have advanced computer knowledge in MS Office Suite, pMD soft, Acumen, Athena Health, and other applications/systems preferred. Salary BOE GM Analytics Solutions is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor. Competency Requirements: Must possess the following knowledge, skills & abilities to perform this job successfully: Broad understanding of clinical operations, front office, insurance and authorizations Ability to communicate effectively and clearly with all internal and external customers Detail-oriented with excellent follow-up. Solutions-minded, compliance-minded and results-oriented. Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately Ability to juggle multiple priorities successfully. Extremely strong organizational and communication skills. High-energy, a hands-on employee who thrives in a fast-paced work environment. Familiar with standard concepts, practices, and procedures within the field. Ability to work in a fast-paced, result-driven, and complex healthcare setting. Ability to meet strict deadlines and communicate timelines Takes a sense of ownership Capable of embracing unexpected change in direction or priority. Highly motivated to solve problems; proven troubleshooting skills and ability to analyze problems by type and severity Work Environment: Extensive telephone and computer usage. Use of computer mouse requires repetitive hand and wrist motion. Time off restricted during peak periods. Regular reaching, grasping and carrying of objects This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.
Posted 2 months ago
13 - 23 years
15 - 30 Lacs
Noida
Remote
Remote | Night Shift Looking for a skilled Project Manager with strong US Healthcare experience. Must be proficient in full-cycle project management and comfortable working night shifts. Send your resume to simran.agrawal1@r4solutionsinc.com ASAP.
Posted 2 months ago
13 - 23 years
15 - 30 Lacs
Noida
Remote
Remote | Night Shift Looking for a skilled Project Manager with strong US Healthcare experience. Must be proficient in full-cycle project management and comfortable working night shifts.
Posted 2 months ago
1 - 2 years
1 - 4 Lacs
Gurugram
Work from Office
Authorization & Referral Associate Summary GM Analytics Solutions is looking for a driven, dedicated and experienced Authorization & Referral Associate, who is experienced in the medical billing domain,. Authorization Analyst is articulate professionals who can communicate with insurance companies and other payers in regards to unpaid claims and assist with actions and information needed to properly review, dispute, or appeal denial until a determination is made to conclude the appeal. Who should be proficient in US healthcare, and is comfortable working in Night shift (US time). Job Description Minimum 1-3 years experience is required in Authorization & Referral process for US Healthcare & should have knowledge in Commercial & Workers Compensation Insurance. Who can receive medication referrals and collects insurance information via multiple methods, runs test claims, and Completes administrative duties. Work in teams that process Authorization & Referral transaction which strive to achieve team goal. Can review clinical documents for prior authorization/pre-determination submission purposes. Who can contact referral source, patient, and/or doctors office to obtain additional information that is required to Complete verification of benefits or prior approvals. Can perform outbound calls to patients or doctor offices to notify of any delays due to more information needed to Process or due to prior authorization. Provides exceptional customer service to external and internal customers, resolving any customer requests in A timely and accurate manner. Ensures the appropriate notification of patients in regard to their financial responsibility, benefit coverage, And payer authorization for services to be provided. Maintains prior authorizations and verifies insurance coverage for ongoing services. Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per The direction of the leadership. Collect, analyze, and record all required demographic, insurance/financial, and clinical data necessary to verify Patient information. Refer patients to Financial Counselors as needed to finalize payment for services. Document financial and pre-certification information according to a defined process on time. Request and coordinate financial verification and pre-certification as required to proceed with patient care; Document financial and pre-certification information according to defined process. Good Knowledge and understanding of Human Anatomy. Proficiency in Microsoft office tools Willingness to work the night shift Education/ Experience Requirements: Should be a Graduate from any stream. Should possess excellent communication & written skills. Quick and eager to learn and mold accordingly to the process needs. Should have knowledge in Medical Terminology, knowledge of the different types of health insurance plans; i.e. HMO s, PPOs, etc. Ability to effectively handle multiple priorities within a changing environment. Experience in diagnosing, Isolating, and resolving complex issues and recommending and implementing Strategies to resolve problems. Ability to coordinate with US counterpart either by phone or by email. Ability to multi-task and organizational timely follow up. Ability to follow established work schedule. Excellent Analytical Skills. Should have advanced computer knowledge in MS Office Suite, pMD soft, Acumen, Athena Health, and other applications/systems preferred. Salary BOE GM Analytics Solutions is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor. Competency Requirements: Must possess the following knowledge, skills & abilities to perform this job successfully: Broad understanding of clinical operations, front office, insurance and authorizations Ability to communicate effectively and clearly with all internal and external customers Detail-oriented with excellent follow-up. Solutions-minded, compliance-minded and results-oriented. Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately Ability to juggle multiple priorities successfully. Extremely strong organizational and communication skills. High-energy, a hands-on employee who thrives in a fast-paced work environment. Familiar with standard concepts, practices, and procedures within the field. Ability to work in a fast-paced, result-driven, and complex healthcare setting. Ability to meet strict deadlines and communicate timelines Takes a sense of ownership Capable of embracing unexpected change in direction or priority. Highly motivated to solve problems; proven troubleshooting skills and ability to analyze problems by type and severity Work Environment: Extensive telephone and computer usage. Use of computer mouse requires repetitive hand and wrist motion. Time off restricted during peak periods. Regular reaching, grasping and carrying of objects This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.
Posted 2 months ago
4 - 9 years
10 - 15 Lacs
Bengaluru
Work from Office
Position Overview: Aster Digital Health is seeking a highly skilled and detail-oriented Front End Engineer to join our dynamic team. The Front-End Developer will be responsible for creating and maintaining the user-facing aspects of web & mobile applications. This role involves translating UI/UX designs into interactive, responsive websites using HTML, CSS, and JavaScript. The developer will collaborate with designers and back-end teams to deliver seamless user experiences. Key Responsibilities: • Design, develop, and maintain high-quality, scalable front-end applications using Flutter for mobile and React for web. • Collaborate with designers, back-end engineers, and product managers to deliver user-centric features. • Ensure seamless user experiences through responsive design and cross-platform compatibility. • Optimize applications for maximum performance and scalability. • Implement clean, maintainable, and reusable code following industry best practices. • Participate in code reviews and provide constructive feedback to peers. • Manage delivery and maintenance lifecycle and contribute as key member to build and manage team of front-end engineers as per requirements. • Stay updated with emerging technologies and frameworks to enhance product capabilities. • Curiosity towards AI, Data sciences and Backend Engineering, and initiative to utilize the same for optimized working of front-end engineering team. Required Skills & Qualifications: • 3+ years of experience in front-end development with a focus on Flutter and React. • Proficiency in Dart (for Flutter) and JavaScript/TypeScript (for React). • Strong understanding of mobile and web architecture, including state management (e.g., Riverpod, Provider, Redux, Context API, Nextjs). • Experience with RESTful APIs, GraphQL, and third-party integrations. • Knowledge of modern UI/UX design principles and ability to translate Figma/Sketch designs into code. • Familiarity with testing frameworks (e.g., Jest, Flutter Test) and CI/CD pipelines. • Experience with Git version control and agile development methodologies. Preferred Qualifications • Experience with AWS, Azure, GCP. • Knowledge of performance optimization techniques. • Understanding of accessibility standards and best practices. • Experience in deploying applications to AWS, App Store, Google Play, and web hosting platforms
Posted 2 months ago
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Uplers
10536 Jobs | Ahmedabad
Amazon
10262 Jobs | Seattle,WA
IBM
9120 Jobs | Armonk
Oracle
8925 Jobs | Redwood City
Capgemini
7500 Jobs | Paris,France
Virtusa
7132 Jobs | Southborough