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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
JOB SUMMARY
Work on the website, enterprise applications (multichannel), embedded product UI’s
- Translate high-level design requirements into wireframes and engaging, intuitive, and functional user interfaces
- Ability to execute visual designs at all stages of the project. From conceptual to finalization and handover
- Ability to create visual design concepts, style guides, and design documents
- Conduct expert/heuristic evaluation reviews of the products and services. Providing design recommendations.
- Collaborate with product management and engineering teams to implement innovative solutions
- Work closely with the developer team, manage and maintain designs to meet customer needs, validate and ensure delivering world-class experiences
- Participate in design discussions and collaborative sessions with teams and stakeholders, offering and providing feedback on concepts and ideas to evolve the experience
- Create mood boards, mind maps and be a part of brainstorming sessions
- Deliver high fidelity schematics, workflows, interaction storyboards, and design deliverables that guide creative, content, and development efforts
- Be a productive and additive teammate, actively helping leaders and peers to raise the bar while also capitalizing on ideas from others
- Knowledge of Mobile, Tablet, and Desktop design constraints and patterns
What are we looking for?
Qualifications and Skills:-
- A talented UI/UX Designer with a keen eye for details, a storyteller, and a problem solver
- Excellent understanding of typography, Color, Layout
- Strong verbal and writing skills, ability to tell a story around an experience or solution
- Fluency in creating user flows, wireframes, and prototypes preferably on Adobe CS, Sketch, Axure, etc
- Contributes to building a design-centric work culture
We are looking for a Creative Content whiz
If being passionate and energetic about an early stage disruptive product sounds like something you’d like to fit into your LinkedIn bio, we're looking for you.
As part of the role, you'd be responsible for working closely with the business development and product teams to help plan brand marketing strategies and further turn them into impactful creative solutions. As part of the team, we’d need you to:
- Research and understand motivational factors in people
- Understand brand requirements, objectives, and audience demographics
- Create campaigns and experiences on Rippl using the available frameworks that are engaging and exciting (for example, an experience on Rippl is 'Submit a picture of yourself wearing red jeans, and win a badge from a brand)
- Generate insights for audiences around media, brands, consumers, and experiences
You would be a perfect fit if you
- Understand how products work and what makes people tick
- Are a creative problem solver, typically with outlandish ideas
- Know how to capture and engage people’s attention
- Have an unending appetite to learn, with an unquenchable drive to succeed
- Are aware and conversant with social media / trends etc.....
- Have great writing / content skills
Rippl is only just beginning, and it’s going to be an exciting journey of ideating, problem solving and cutting edge innovation.
We are looking for a Node.js Developer responsible for managing the interchange of data between the server and the users. Your primary focus will be the development of all server-side logic, definition and maintenance of the central database, and ensuring high performance and responsiveness to requests from the front-end. You may also need to integrate the front-end elements built by your co-workers into the application. Therefore, a basic understanding of front-end technologies is desirable, but not essential.
We are a top-quality boutique software development company. Delivering solutions that meet customers’ needs, business expectations. We combine proven techniques, industry knowledge and our technology expertise of skilled software developers to deliver high-quality software solutions.
Duties and responsibilities:
- Work as part of a team developing applications and services using Agile development methods.
- Contribute to team and organizational improvements in process and infrastructure.
- Code, test and operate node.js based services.
- Effectively use tools and ingenuity to identify and fix defects before they become a problem.
Requirements and qualifications:
- Previous working experience as a Node.js Developer for 2 years or more.
- In depth knowledge of Node.js.
- Hands on experience with HTML, CSS, and AJAX.
- Applicable knowledge of web libraries and frameworks.
- Familiarity with the whole web stack, including protocols and web server optimization techniques.
- Strong analytical skills and problem-solving aptitude.
- Ability to work with stakeholders and fellow developers.
- Good understanding of SQL databases.
- Good understanding of REST APIs.
About BiteSpeed - Hey there! We are a seed funded SaaS startup helping e-commerce brands on Shopify move away from boring, impersonal marketing emails and sell on chat apps like FB Messenger & Whatsapp.
Within a year of launch, we have 1200+ e-commerce brands across 50+ countries using our product (pretty cool right?).
Check us out here - https://apps.shopify.com/bitespeed-fb-messenger-chatbot" target="_blank">https://apps.shopify.com/bitespeed-fb-messenger-chatbot and do read through the 150 odd 5-star reviews to get a sense of what our customers say about us (we openly brag about this 😉).
About Us - We are a bunch of BITS Pilani graduates that started BiteSpeed out of our dorm rooms. When we started we hardly knew much about running a company, in fact most of us hadn’t written a line of code in our lives.
We were inspired by companies like Postman and Freshworks which have built market leading software companies from India and had a desire to create something world-class which we could be proud of.
So we jumped off the cliff and built a parachute on our way down (just as Reid Hoffman likes to say).
We could make a long, boring list of 20 company values but by now you probably do get a gist of the kind of people we are. We are young, ambitious self-learners on a journey to create a globally competitive software company from India.
About the role - We’re looking for a full-stack developer to join our founding team and lead our product development. If you’re someone who thrives on high ownership, can figure stuff out on your own and wants to be part of the zero-to-one journey, this might be for you.
What you’ll do:-
Tl;dr, we’re at 100k requests per day, you’ll take us to 10M requests per day.
As we’re still early at building a dedicated backend team, responsibilities will have breadth over a lot of cool stuff 🙌
- Looking out for cool new technologies and implementing them for required internal as well as business use cases
- Designing scalable architectures for backend systems
- Optimizing performance of applications for full scale production deployments
- Implementing business logic and developing APIs and services.
- Conceptualizing and implementing scalable databases across various services
- You’ll be hiring and mentoring junior developers
What makes you a good fit:-
- If you can write code that works, we should be good but read on (disclaimer: most of what follows is not a hard requirement);
- You have 2+ years of experience building and scaling backend systems from scratch;
- You've built serverless backend architectures using AWS platform and resources like Lambda, DynamoDB, Aurora, etc. (Brownie points if you’ve worked with NodeJS,Redis and Postgres);
- You have managed deployment at scale using CI/CD integrations and implemented error management systems like Sentry;
- Most of the above is us trying to sound legit about our stack, so if you’ve not worked with some of it & are open to learning or have better ideas, it’s totally cool;
- Be ready to jam to this every time we push to prod - https://www.youtube.com/watch?v=h9QNUcrjtOs;
If what we’re up to sounds interesting, do apply!
Know someone who might be a great fit? Refer them to us, if they end up joining and complete 3 months with us, we'll send you an Amazon Echo Dot as a gesture of thanks!
We are now looking to onboard an exceptional QA Engineer on our team. They will be an integral part of our technology function and work on challenging, cutting-edge problems, and contribute to the testing of various software systems and subsystems. They will be responsible to give a final go-ahead for new and interesting products for our B2B users and will work with the best minds in the industry.
What will you do?
- Test current products and identify deficiencies.
- Suggest solutions to identified product problems.
- Investigate product quality in order to make improvements to achieve better customer satisfaction.
- Plan, create, and manage the overall Quality Planning strategy.
- Collaborate with the Product Development team to ensure consistent project execution.
- Identify quality assurance process bottleneck and suggest actions for improvement.
- Oversee continuous improvement projects.
- Collect quality data.
- Identify key KPIs for product quality.
- Track quality assurance metrics, like defect densities and open defect counts.
- Prepare and present reports and metrics to Senior Management.
Please apply, if you have:
- A minimum of 2 years of experience as a Quality Assurance Engineer.
- An experience with a variety of different testing techniques such as UI Testing, Automated testing, Test Driven Development Strategies, etc
- An experience in testing tools such as Selenium, JMeter
- An experience with coding using Python, Java, Node.js.
- An experience with software QA tools and processes.
- Knowledge of MySQL
- A sense of ownership and pride in your performance and its impact on the company’s success.
- Critical thinker and problem-solving skills
- Good time-management skills
- Great interpersonal and communication skill
We have:
- A team of aces, from top-tier schools and startups, to work with
- A fast-paced, data-driven, and fun work environment
- A huge appetite for new, disruptive, creative, and implementable ideas
- An open work culture
We offer:
- Competitive salary
- Great working environment, opportunity to work directly with the founders on very exciting real-life problems.
- Opportunity to grow really fast.
- Opportunity to hire a team & mentor them in the future.
- ESOPs
Hiring process:
- Shortlist
- Intro call of 15min
- 1-2 Tech rounds
- HR round
- Offer rollout