4+ RCA Jobs in Bangalore (Bengaluru) | RCA Job openings in Bangalore (Bengaluru)

In-depth knowledge in Healthcare and BPaaS domain, Good understanding in Delivery Excellence Framework, Expertise in business and IT processes, platforms, operations, controls and dependencies Secondary Skills: Intermediate to Expert proficiency in conducting audits & assessments in BPaaS domain areas, Proficiency in building, monitoring and testing controls for BPaaS

• Provide facilitation to ensure noiseless delivery and enable best practices adoption & evangelization through appropriate processes and platforms
• Solution consultant for projects to adopt right tools and measure to ensure product & service quality in the appropriate service lines
• Ensure effective governance of projects and deliverables
• Proactive risk management and mitigation, build known risks database to identify and mitigate risks proactively and establish oversight to monitor quality, targets and spending on implementation plan
• Enabling and co-working with the accounts / projects in compliance of regulatory requirements, other certification requirements of the Organization and the Customers for BPaaS domain. Support closure of external/internal audit findings, RCA/CAPA/FMEA for escalations
• Establish Integrated Risk and Delivery Governance models, and oversight to monitor quality, targets, overrun and penalty
• Build process mapping for BPaaS describing the high level activities across Product Service Lines establish ETVX, role definition, gating criteria, SLAs, OLAs and RACI
• Design and ensure operational and compliance controls are implemented, tested and monitored
• Build core competency to carry out DEx BPaaS audits and assessments

Role & responsibilities

• Should handle US Healthcare Physician Billing / Ambulance Billing Accounts Receivable.
• To work closely with the team leader.
• Ensure that the deliverables to the client adhere to the quality standards.
• Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
• Calling the insurance carrier & Document the actions taken in claims billing summary notes.
• To review emails for any updates
• Identify issues and escalate the same to the immediate supervisor
• Update Production logs.
• Strict adherence to the company policies and procedures.

Preferred candidate profile

• Min of 1+ year experience in US Medical Billing
• Should have strong knowledge in Healthcare concept.
• Should have good Verbal and Written communication skills.
• Excellent Knowledge on Denial management.
• Excellent Knowledge on Physician Billing / Ambulance Billing.
• Spot offer for the selected candidates.
• Should be proficient in calling the insurance companies.
• Meet the productivity targets of clients within the stipulated time.
• Ensure accurate and timely follow up on pending claims wherein required

Perks and benefits

• 5 Days Working
• Free two way cabs available
• Health Insurance
• Medical Insurance

Introduction

http://www.synapsica.com/">Synapsica is a https://yourstory.com/2021/06/funding-alert-synapsica-healthcare-ivycap-ventures-endiya-partners/">series-A funded HealthTech startup founded by alumni from IIT Kharagpur, AIIMS New Delhi, and IIM Ahmedabad. We believe healthcare needs to be transparent and objective while being affordable. Every patient has the right to know exactly what is happening in their bodies and they don't have to rely on cryptic 2 liners given to them as a diagnosis. 

Towards this aim, we are building an artificial intelligence enabled cloud based platform to analyse medical images and create v2.0 of advanced radiology reporting.  We are backed by IvyCap, Endia Partners, YCombinator and other investors from India, US, and Japan. We are proud to have GE and The Spinal Kinetics as our partners. Here’s a small sample of what we’re building: https://www.youtube.com/watch?v=FR6a94Tqqls">https://www.youtube.com/watch?v=FR6a94Tqqls

Your Roles and Responsibilities

The senior product manager will own end-to-end delivery of Synapisca’s AI based radiology products including defining scope, creating wireframes, creating execution plan, product launch, feedback incorporation and iterations. In this role you would not only get to flex your skills but also learn to thrive in a fast-paced start-up environment with a high degree of autonomy. This cross-functional leadership position requires you to work closely with the Engineering, Design, Category Management and Marketing teams to bring new products to life.

Being comfortable in the chaos of a fast-paced environment, dealing with ambiguity, a penchant for innovation, an innate ability to get into details and drive execution excellence is essential to success in this profile.The candidate must be creative, ask questions, and be comfortable challenging the status quo. The position is based in our Bangalore office.

Primary Responsibilities

• Building and executing new initiatives and roadmaps for retention and increasing customer lifetime value.
• Understand the healthcare market, customers and build business cases for new product opportunities.
• Listen to the users on a regular basis and figure out the opportunities to solve their problems.
• Manage product lifecycle from ideation to launch and beyond which would include liaising with multiple stake-holders.
• Work closely with partners and clients from 4 continents to localize the product builds as per their need and ensure adoption of the new features.
• Use data, creativity, and experimentation to constantly improve the product experience
• Plan product reviews with engineering teams and reviews with leadership. 
• Work on product roadmap, backlog, and deliverables. 
• Create and socialize artifacts that clearly communicate requirements including BRDs, user flows, and prototypes.  
• Formulate hypotheses and quickly validate with prototypes, user feedback, and experimentation.  
• Work with customers, support, and engineering teams to handle and resolve any critical customer issues that arise.

Requirements

• 5+ years in software product management with a consistent record of timely and quality delivery of software products
• Experience in one or more of the following is a plus: SaaS, HealthTech, Enterprise products etc.
• High bias for action with demonstrable history of identifying and resolving cross-project interdependencies
• Ability to juggle several initiatives and shift priorities as needed
• Exceptional communication skills (verbal and written communication) with a knack for storytelling
• Data Driven with proficiency on data querying and analysis.
• Experience with tools like SQL, Excel, Tableau, Qlikview etc. is preferred
• Have prior experience in the development team and understand how modern development frameworks function.
• Passionate about translating customer needs to usable design and process flows for growth levers and optimization.
• Have Good understanding of funnels, agile & sprints, and wireframes.
• Have the attitude to be comfortable with ambiguity and have the skill to transform broad ideas into action plans and display Empathy towards users and also your colleagues.
• Understand how the application functions and the technicalities around it.
• Have familiarity with tools like Google data studio, Firebase, Google Analytics, Product Analytics tools, Sketch and Figma.
• Love analytics and very frequent experimentation