Position Insurance Follow Up - 2 (ISP-2)
Shift US Shift (05:30 PM to 03:00 AM)
Job function· Checking denials from EOBs, ERAs by calling the Insurance Companies. · Calling the insurance companies for the specification of denials. · Reprocessing the claim over the phone or reopening the claims on the online portals · Filing an appeal to the insurance companies with the required information · Checking status of the appeal filed and reprocessed claims through IVR, Calls and online payer’s portal · Refilling corrected claims with coding/demographic/authorization/referral corrections. · Disputing with the insurance companies on incorrect denials. · Working on FTH (Fix The Hole) to prevent future denials · Tasking to the clients and other teams for required information · Preparing Trending Analysis on the denials and escalating to Supervisors · Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials. · Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.
Education +2 or Graduate in any stream
Training/Work
experience Billing & collections training and/or 1 year of industry experience in the relevant function
Other specifications Good English communication (reading, writing, listening, speaking) Understanding of US healthcare, HIPAA Good at Operating Computer - software and MS office
Capable of task execution based on work instructio
Shubham Vishwakarma
Full Stack Developer - Averlon
Similar jobs
Job Title: Sr. QA Engineer
Location: Pune, Banner
Mode - Hybrid
Major Responsibilities:
- Understand product requirements and design test plans/ test cases.
- Collaborate with developers for discussing story design/ test cases/code walkthrough etc.
- Design automation strategy for regression test cases.
- Execute tests and collaborate with developers in case of issues.
- Review unit test coverage/ enhance existing unit test coverage
- Automate integration/end-to-end tests using Junit/ Mockito /Selenium/Cypress
Requirements:
- Experience of web application testing/ test automation
- Good analytical skills
- Exposure to test design techniques
- Exposure to Agile Development methodology, Scrums
- Should be able to read and understand code.
- Review and understand unit test cases/ suggest additional unit-level coverage points.
- Exposure to multi-tier web application deployment/architecture (SpringBoot)
- Good exposure to SQL query language
- Exposure to Configuration management tool for code investigation - GitHub
- Exposure to Web Service / API testing
- Cucumber – use case-driven test automation
- System understanding, writing test cases from scratch, requirement analysis, thinking from a user perspective, test designing, and requirement analysis
iOS App Development
Swift
Objective CQualifications:
· Education: Bachelor’s or Master’s degree in Computer Science, Software Engineering, or a related field, or equivalent experience.
· Experience: Minimum of 5 years of experience in iOS development with a strong portfolio of released applications that can be shared for review.
· Technical Skills:
o Proficiency in Swift and Objective-C.
o Solid understanding of object-oriented programming
o Knowledge of memory management and multi-threading
o Experience with embedded databases and other system data stores
o Strong understanding of iOS frameworks such as UIKit, Core Data, Core Animation, and Core Graphics.
o Good knowledge of performance limits and characteristics
o Good sense of UI design execution principles
o Experience with RESTful APIs, JSON, and third-party libraries to connect to backend services.
o Knowledge of mobile app architecture patterns such as MVC, MVVM, and VIPER.
o Experience with version control systems, preferably Git.
o Familiarity with continuous integration/continuous deployment (CI/CD) pipelines.
o Implementation of automated testing platforms and unit tests, benchmarking and optimization
o Understanding of Apple’s design principles and interface guidelines.
Position- BD Intern
Duration- 6 Months
About the role:
We are currently looking for a Business Development Executive (BDE) to join our digital marketing team. The ideal candidate will be dynamic, results-driven, and have a background in business administration, commerce, or any related field. The primary responsibility of this role is to generate leads, conduct client meetings, and implement sales strategies to drive business growth. It is important that the candidate has a strong understanding of digital marketing concepts and strategies, along with excellent communication and presentation skills. Adaptability and the ability to thrive in a fast-paced environment are also essential qualities for this role.
Responsibilities:
• Utilize various digital marketing channels such as email marketing, social
media, content marketing, and SEO to attract potential clients.
• Conduct market research to identify target audiences and industries for prospecting.
• Build and maintain strong relationships with clients through regular
communication and follow-ups.
• Collaborate with the sales and marketing teams to develop and execute effective sales strategies to meet revenue targets.
• Stay updated on industry trends and competitor activities to identify new opportunities and stay ahead in the market.
• Excellent communication and interpersonal skills, with the ability to build rapport and influence decision-makers.
PHP
Laravel
CodeIgniterMagento e-commerce applications, from discovery through launch and maintenance. This role requires an individual who can collaborate effectively with team members, handle a fast-paced environment, and thrive amidst the stress that sometimes comes with start-up life. We work on complex, cutting edge e-commerce applications for some of the nation's most exciting brands in fashion, technology, and consumer packaged goods.
Responsibilities
- Help implement Magento e-commerce applications
- Active participation in discovery, launch and maintenance
- Installation and configuration of Magento 1 and 2
- Create custom e-commerce modules using object- oriented PHP and Magento APIs
- Implement custom skins and front—end templates
- Working in collaboration with teams in a start up environment
Requirements & Qualifications
- Certified Magento developer credentials
- Meaningful PHP Web Development experience
- Familiarity and experience with Model-View-Controller (MVC) architectural patterns
- Strong MySQL skills
- Experience using PHP to create and consume web services (e.g. SOAP, REST)
- Strong analytic and problem-solving skills
- Good knowledge of JavaScript
- Good knowledge of CSS and CSS pre-processors
- Linux System Administration experience strongly preferred, but not required
- Experience with release building and deployment software, such as Jenkins, preferred but not required
- Strong knowledge of architectural principles, design patterns and industry best practices
- Excellent communication and interpersonal skills, Fluent English.
- Experience in Magento or other e-commerce solutions.
React.js
Javascript
Redux/FluxWe are looking for a react.js developer to join our front-end development team. In this role, you will be responsible for developing and implementing user interface components using React.js concepts and workflows such as Redux, Flux, and Webpack. You will also be responsible for profiling and improving front-end performance and documenting our front-end codebase.
- Reviewing application requirements and interface designs.
- Identifying web-based user interactions.
- Developing and implementing highly responsive user interface components using react concepts.
- Writing application interface codes using JavaScript following react.js workflows.
- Troubleshooting interface software and debugging application codes.
- Developing and implementing front-end architecture to support user interface concepts.
- Monitoring and improving front-end performance.
- Documenting application changes and developing updates.
Qualifications: Any graduate/master
Experience: Min 1 yr of experience in managing any of the online community/ FB, Whatsapp, Discord, Brand Communities or communities on similar platforms.
CTC: 4.2L - 6.5L per annum
About Role: We at Pushstart enable a network of 30+ niche communities with 25K+ professionals. The community’s MAU is 75%+ and your role as a community manager is to create engagement within the community, manage end to end operations of the community and develop strategies for community growth.
Job Responsibilities:
- Community Strategy Development: Set, plan, and implement community impact and value strategies to align with community goals
- Social Media Management: Set, plan, and implement social media and communication campaigns and strategies
- Content Management: Provide engaging text, image, and video content for all community channels
- Building Relationships: Build and maintain relationships with community members, industry professionals, and founders.
- Community Satisfaction: Monitor, track, and report community Feedback
- Community Analytics: Monitor, track and drive community NSM and KPIs to align with community health goals.
- Event Management: Brainstorming, planning, implementing and managing all aspects of events, handling post-event reports.
Required Skills:
- Proven work experience as a community manager or in a customer success role
- Experience in launching community initiatives (newsletters, online forums, marketing campaigns, etc.)
- Ability to identify and track relevant community metrics (e.g. repeat attendance at events)
- Excellent verbal & written communication skills
- Hands-on experience with social media management
Preferred Skills:
- 1-3 years of experience as an account manager.
- Previous experience in working with startups.
- Knowledge around business and startups.
- Basic understanding of Tech products and user experience.
About us:
https://pushstart.in/">Pushstart started as a small FB group of entrepreneurs helping each other with their startup ideas 3 years back and has evolved into India’s most active and trusted community that caters to the needs of 25,000+ entrepreneurs across India.
Pushstart runs a network of 30+ niche communities via which entrepreneurs discuss their professional problems, exchange trusted business contacts, and help each other to GROW their Business together.
In addition to the communities, Pushstart dedicatedly helps entrepreneurs in networking by helping them get warm B2B Introductions with top-funded startups and hire verified agencies and freelancers, on-demand.
JavaDepartment: Information Systems
Reports to: Tech Lead - Regulatory Reporting IT, Product Control IT & Reference Data IT Internal Development & Support
About the Department: Information Systems
The Information Systems Department (‘ISD’) provides a full range of state of the art technology services to all departments within Mizuho International plc in London. This includes teams servicing the client-facing business units, Operations, Finance and Risk departments.
The department utilises modern delivery methodologies & techniques including Agile, Containerisation & Continuous integration.
Each team has resources to provide project management, analysis, software development, package implementation, systems integration services and application support and is expected to contribute to the change.
Primary Responsibilities
Summary
Within Regulatory Reporting, Reference Data & Product Control IT team, the developer will work towards enhancing and supporting our newly delivered financial data reference data platform, GoldenSource. This requires involvement in development and post production support project life cycle. This role will expose the individual to all business areas, including front office, settlements, custody and accounting.
This role will also involve providing 3rd Line support for any implemented solutions including incident, problem, and defect management
Specific Responsibilities
Design and development of the instrument reference data module
Conduct systems testing and support user acceptance testing
Dealing with day-to-day production problems and maintenance. This may require working shifts and/or being on-call out of normal working hours.
Adhering to Mizuho International development standards and procedures, including change control
Person Specification
Essential
Knowledge of the GoldenSource product
Experience in implementing and supporting the GoldenSource product in a financial institution
Minimum five years’ experience in Java and J2EE
Experience in using object oriented methodologies
Desirable
A broad understanding of Fixed Income, Equity and/or Futures processing through investment banking experience
Experience in using TDD/BDD agile methodology
Technical Knowledge/Skills
Essential
Experience with Publish/Subscribe messaging paradigms, distributed transaction processing based on JTA/JTS
Experience with installing, configuring and monitoring JBoss
GoldenSource Security master module
GoldenSource Customer & Counterparty module
UNIX skills in particular Linux
Excellent relational database skills, preferably ORACLE
Experience of using automated testing tools such as JUnit and mocking libraries such as jMock
Experience of working with XML based technologies such as XSLT
Desirable
Experience of Subversion, Ant, Maven and CI frameworks such as Bamboo.
Building connectors using the GoldenSource product tools
Experience of software configuration management
Experience with integration/acceptance testing frameworks such as FitNesse
WebServices
Document database experience, preferably MongoDB
Experience of Javascript on the client and Node.js
Qualifications
Degree or equivalent.
Active participant in relevant forums/external working groups.
Key Behaviors/Competencies
Operational Effectiveness and Innovation: Achieving Quality Results:
Delivering Tasks – Silver
Problem Solving – Silver
Flexibility & Drive to Improve – Silver
Risk Awareness – Silver
Enhance product Scope:
Strategic Business Management – Silver
Business Awareness – Silver
People:
Leadership – Silver
Management – Silver
Communication – Silver
Ethics and Conduct Level 1 – Silver
Ethics and Conduct Level 2 – Silver
Client Centricity – Silver
Effective Collaboration:
Team Working in Your team – Silver
Team Working With Other Teams – Silver
JavaJavascript
HTML/CSS
jQueryJavascriptReact.js
NodeJS (Node.js)
Follow CutshortShubham Vishwakarma
Full Stack Developer - Averlon