Role: Claims Adjudication Process
Experience: 2.5-4 Years
Job Location: Coimbatore, Tamil Naidu
Work Timing: US Shift(Night Shift)
Job Description:
Claims Experience is required:
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More than 3 years of experience in handling the Healthcare claims adjudication process.
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Experienced level adjudicator providing analytical ability to review claim rules and workflows.
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Reviews claim requests to determine eligibility for processing and escalate to management as necessary.
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Responsible for the coordination and resolution of the administrative denials and appeals
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Ability to understand logic of standard medical coding (i.e. CPT, ICD-10, HCPCS, etc.).
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Ability to resolve claims that require adjustments and adjustment projects , Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
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Organizing and completing tasks per assigned priorities.
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Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
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Resolving complex situations following pre-established guidelines
Subodh Popalwar
Software Engineer, Memorres
About CIEL HR Services
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AngularJS (1.x)
Angular (2+)
React.js
NodeJS (Node.js)
MongoDBAbout HighLevel:
HighLevel is a cloud-based, all-in-one white-label marketing and sales platform that empowers marketing agencies, entrepreneurs, and businesses to elevate their digital presence and drive growth. With a focus on streamlining marketing efforts and providing comprehensive solutions, HighLevel helps businesses of all sizes achieve their marketing goals. We currently have 1000+ employees across 15 countries, working remotely as well as in our headquarters, which is located in Dallas, Texas. Our goal as an employer is to maintain a strong company culture, foster creativity and collaboration, and encourage a healthy work-life balance for our employees wherever they call home.
Our Website - https://www.gohighlevel.com/
YouTube Channel - https://www.youtube.com/channel/UCXFiV4qDX5ipE-DQcsm1j4g
Blog Post - https://blog.gohighlevel.com/general-atlantic-joins-highlevel/
Our Customers:
HighLevel serves a diverse customer base, including over 60K agencies & entrepreneurs and 450K million businesses globally. Our customers range from small and medium-sized businesses to enterprises, spanning various industries and sectors.
Scale at HighLevel:
Work with scale, our infrastructure handles around 30 Billion+ API hits, 20 Billion+ message events, and more than 200 TeraBytes of data
About the role:
Seeking a seasoned Full Stack Developer with hands-on experience in Node.js and Vue.js (or React/Angular). You will be instrumental in building cutting-edge, AI-powered products along with mentoring or leading a team of engineers.
Team-Specific Focus Areas:
Conversations AI:
-Develop AI solutions for appointment booking, forms filling, sales, and intent recognition
-Ensure seamless integration and interaction with users through natural language processing and understanding
Workflows AI:
-Create and optimize AI-powered workflows to automate and streamline business processes
Voice AI:
-Focus on VOIP technology with an emphasis on low latency and high-quality voice interactions
-Fine-tune voice models for clarity, accuracy, and naturalness in various applications
Support AI:
-Integrate AI solutions with FreshDesk and ClickUp to enhance customer support and ticketing systems
-Develop tools for automated response generation, issue resolution, and workflow management
Platform AI:
-Oversee AI training, billing, content generation, funnels, image processing, and model evaluations
-Ensure scalable and efficient AI models that meet diverse platform needs and user demands
Responsibilities:
- REST APIs - Understanding REST philosophy. Writing secure, reusable, testable, and efficient APIs.
- Database - Designing collection schemas, and writing efficient queries
- Frontend - Developing user-facing features and integration with REST APIs
- UI/UX - Being consistent with the design principles and reusing components wherever possible
- Communication - With other team members, product team, and support team
Requirements:
- Expertise with large scale Conversation Agents along with Response Evaluations
- Good hands-on experience with Node.Js and Vue.js (or React/Angular)
- Experience of working with production-grade applications which a decent usage
- Bachelor's degree or equivalent experience in Engineering or related field of study
- 5+ years of engineering experience
- Expertise with MongoDB
- Proficient understanding of code versioning tools, such as Git
- Strong communication and problem-solving skills
EEO Statement:
At HighLevel, we value diversity. In fact, we understand it makes our organisation stronger. We are committed to inclusive hiring/promotion practices that evaluate skill sets, abilities, and qualifications without regard to any characteristic unrelated to performing the job at the highest level. Our objective is to foster an environment where really talented employees from all walks of life can be their true and whole selves, cherished and welcomed for their differences while providing excellent service to our clients and learning from one another along the way! Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
.NET
C#Experice:5-6 Years
Notice: Immediate-20 Days(Max)
MUST HAVE SKILLS
1. Minimum 5+ years of experience in C#, .Net Core, Web API, MVC, and Entity Framework.
2. Strong object-oriented programming skills.
3. Very good communication skills.
4. Experience with RESTful APIs to connect other backend services.
5. Should have developed more than 2 applications.
6. CI/CD, GIT
7. Experience with performance improvement of applications.
8. Must have experience in Azure cloud (DevOps, AppService, and Azure functions)
strategy of the organization. This is an opportunity to build the brand from scratch by having
thoughtful content to engage its key target audience of parents across various platforms.
Key Responsibilities
• Conceptualize and create content to educate and engage our target audience
• Write research-backed, high-quality pieces that demonstrate thought leadership
• Produce different content types – longform, social media content, website content etc
• Monitor analytics to measure the effectiveness of the content strategy
What are we looking for?
• 2+ years of experience in professional content writing
• Passionate about writing – Get a kick out of writing well-crafted sentences
• High sense of ownership – Personally feel responsible for all the content published across the company
• Hungry to learn and grow -- Passion to learn, add skillsets & be a better professional
• SEO and SEM knowledge (good to have)
About Kloud9:
Kloud9 exists with the sole purpose of providing cloud expertise to the retail industry. Our team of cloud architects, engineers and developers help retailers launch a successful cloud initiative so you can quickly realise the benefits of cloud technology. Our standardised, proven cloud adoption methodologies reduce the cloud adoption time and effort so you can directly benefit from lower migration costs.
Kloud9 was founded with the vision of bridging the gap between E-commerce and cloud. The E-commerce of any industry is limiting and poses a huge challenge in terms of the finances spent on physical data structures.
At Kloud9, we know migrating to the cloud is the single most significant technology shift your company faces today. We are your trusted advisors in transformation and are determined to build a deep partnership along the way. Our cloud and retail experts will ease your transition to the cloud.
Our sole focus is to provide cloud expertise to retail industry giving our clients the empowerment that will take their business to the next level. Our team of proficient architects, engineers and developers have been designing, building and implementing solutions for retailers for an average of more than 20 years.
We are a cloud vendor that is both platform and technology independent. Our vendor independence not just provides us with a unique perspective into the cloud market but also ensures that we deliver the cloud solutions available that best meet our clients' requirements.
What we are looking for:
- Service Manager managing a team providing L1, L2 support for multiple applications
- Should be able to work in China hours as and when required
- 6-7 years of experience in a support role
- 2+ years’ experience in Prior experience in supervisory role
- Manage shift rosters, escalations
- Responsible for standing up and running the support team
- Managing the customer support department’s day-to-day functions.
- Ensuring that all processes used by the service desk are thoroughly documented, consistently audited, and regularly improved.
- Assigning tasks to support team members each day that are based on SLAs, technician availability, and the technician’s skills.
- High level knowledge of the Data Engineering space having supported data stores, data pipelines, and downstream reporting applications is desirable
- Periodic reporting to stakeholders
Why Explore a Career at Kloud9:
With job opportunities in prime locations of US, London, Poland and Bengaluru, we help build your career paths in cutting edge technologies of AI, Machine Learning and Data Science. Be part of an inclusive and diverse workforce that's changing the face of retail technology with their creativity and innovative solutions. Our vested interest in our employees translates to deliver the best products and solutions to our customers!
Brand Name: unHR
Profile: HR Operations
Website: https://unhr.in/" target="_blank">https://unhr.in/
Location: Hauz Khas (South Delhi)
Hours: 9:30 AM – 6:30 PM Mon-Fri, Sat 9:30 AM-4 PM
About The Promoters:
Dishi Jain : https://www.linkedin.com/in/jaindishi/" target="_blank">https://www.linkedin.com/in/
Ankit Bansal : https://www.linkedin.com/in/ankitbansal21/" target="_blank">https://www.linkedin.com/
unHR was incepted by the idea to help founders provide scalable and affordable solutions in HR. Our Expertise is to provide HR processes and frameworks and help founders with strategic HR advisory.
Roles & Responsibilities:
1. Set objectives for the HR team and track progress based on metrics.
2. Monitor internal HR systems and databases
3. Complete HR operational requirements by scheduling and assigning employees;
following up on work results
4. On-boarding (verifications & documentation, induction, training etc)
5. Generalist Activities (Employee engagement/relationship, payroll, PF’s,
events, CSR etc)
6. Miscellaneous Activities (Preparing various reports, Analysing Jobs/Hires -
quarterly/half yearly/annually sometimes daily)
7. Handel 4-5 clients at a time.
8. Visit one day in a week/month to the client’s place.
9. Should be okay with coordinating and scheduling for Tech Hirings.
Requirements:
1. 2-4 Years of experience in Operations.
2. Excellent analytical and decision-making abilities.
3. Team management skills.
4. Hands-on experience with Human Resources Information Systems.
5. Effective communicator with the ability to build relationships with senior leaders.
- Handle complete marketing activities of the company
- Deliver customer growth
- Be responsible for marketing communication
- Manage marketing budget and ROI
- Handle team comprising of internal resource + freelancers Candidate should have:
- Experience of handling marketing at B2C product-led start-ups for 3 to 4 years
- Expertise in performance marketing and SEO
- Strong analytics abilities and good communication skills
- Handled sizable marketing budgets
- Growth mindset - moving quickly, discovering growth hacks
ROLES & RESPONSIBILITIES:
- Responsible for Blockchain evaluation, smart contract development, implementation supporting the digital strategy group initiatives.
- Must have hands-on experience using Solidity.
- Experience in setting up Blockchain nodes and networks.
- Design and develop the architecture of Blockchain Solutions from a systemic standpoint.
- Responsible for creating technical solution architecture for a given business problem.
- Responsible for quality of the application and implements necessary checks and balances via peer review, code scans, automated tests.
- Set the standards for design and development.
- Oversees, maintains,s and supports existing software applications.
- Provide subject matter expertise in reviewing, analyzing, and resolving complex issues.
- Prepare user and systems documentation as needed.
- Design & implement Blockchain solutions which may run on Blockchain platforms and composed of multiple software packages based on Solution Architect.
- Lead a team of Blockchain juniors/trainees.
- Work with product managers and other product teams.
- Well versed in using GitHub.
- Should be flexible to explore different blockchains be it Ethereum, Ripple, Tron, AVA, Multichain, etc
Job Description
We are HealthTech company and are looking for an experienced and creative UI/UX Designer to join our team for building a Healthcare Ecosystem
As an UI-UX Designer, you will be responsible for delivering the best online user experience, which makes your role extremely important for our success and ensuring customer satisfaction and loyalty.
Responsibility:
- Understand product specifications and user psychology
- Collaborating with Designers and Developers to create intuitive, user-friendly software
- Find creative ways to solve UI-UX problems
- Communicate design ideas and prototypes to developers
- Responsible for understanding a client's vision and intent; conducting stakeholder conversations and workshops
- Develops understanding of users and customers through primary and secondary research, able to come up with a research plan and lead a team through the process of research and synthesis
- The ability to work collaboratively as part of a creative team that includes both clients and internal colleagues and bring new ideas to the table.
- The faculty to help us stay ahead by constantly improving our design processes.
Key skills:
- Minimum 1-3 years of experience in UX and UI designing
- Tools- Adobe XD, Photoshop, illustrator, Sketch are a must. The rest will be a good to have.
- working experience of mockups
- Ability to work with internal stakeholders and management
Python
Django
Amazon Web Services (AWS)
HTML/CSS
Java
JavascriptPythonAmazon Web Services (AWS)
Go Programming (Golang)
Follow CutshortSubodh Popalwar
Software Engineer, Memorres