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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

• 2+ years of Hands-on experience in Python, Django, Flask, Bottle, Design Patterns, Web Services (SOAP/HTTP, REST APIs)
• 2+ years of hands-on experience with Postgress, MongoDB.
• Experience with cache-store / message broker like Redis / RabbitMQ / Kafka
• Experience with AWS
• Experience in front-end development using react.js is a plus.
• Proficient understanding of code versioning tools, such as Git / Mercurial /bitBucket.
• DevOps knowledge to deploy code in production and hands-on experience with docker / Kubernetes.
• Self-motivated and a good team player.
• Good communication and interpersonal skills.
• Bachelor’s Degree in Engineering from a reputed Institute

We are looking to hire a Full-time, Remote (India) Backend engineer with a flair for writing full stack code to help create a SAAS product from the ground up in a niche industry.
This will be the v2.0 of an existing legacy platform with paying customers. This position is within the first few hires in the founding team of the revamped company.
We are on a mission to build a truly world class product and deliver at high speeds with high quality.

Read on and apply for the job if you are a doer, likes no BS, think you're competent enough to get things done, wants some quiet time every day, wants to make a difference, values work life balance and enjoy life outside work.

Experience -

At least 3 to 4 years building scalable SAAS applications in the cloud. It would be great to showcase anything progressive. Education from premier institutions, git contributions, tech blogs, volunteering, pet projects, etc.

Responsibilities -
- Architect, write, deploy and own the (SAAS) product from a technical standpoint working closely with other devs on the team
- Create and deliver the product end-to-end all the way to the user
- Write highly performant code and continuously measure performance and make the application better based on benchmarks
- Debug production issues and keep the application quality high always
- Assist with hiring more people when the team grows
- Pick up any appropriate work as in any early-stage company

General Skills Needed -

- Should be able to build and deploy multi-tenant SAAS applications end to end
- Need to have a technology-agnostic mindset. Should be able to easily pick up any new technology based on the use case.
- Should be an expert software craftsman/craftswoman. Must own the code and be proud of what you build.
- Write well thought out, well-tested code with extensive unit tests and integration tests so that the addition of future features is easy.
- Must know cloud deployment concepts and be comfortable creating and maintaining cost-effective cloud deployment strategies. AWS experience highly preferred.
- Must be able to design and architect simple, market-tested yet highly scalable solutions
- Must be able to quickly iterate and produce working software at a high speed. Must not be shy to scrap and rebuild when there is a need
- Must be appreciative of documentation and write well-documented code and technical documentation alongside

Technical Skills Needed -
- Expert level knowledge in Python and Django. We are a Python/Django/Javascript/ReactJs/AWS shop.
- Must have good knowledge/experience in creating cost-efficient and scalable cloud deployments (AWS preferred)
- Must have good knowledge of industry-standard design patterns and tools
- Must have a good understanding of various frameworks on authentication and authorization, billing and metrics
- Some experience in data analytics and reporting - creating reports based on the data collected and deliver to the frontend
- Expertise with Frameworks

1. Django, or similar backend frameworks
2. PostgreSQL, MySQL, any NoSQL or other database technology

Perks -

- Opportunity to build a SAAS product from the ground up. Lots of challenges to tackle on
- Work remotely from anywhere within India
- Emphasis on work-life balance and professional development
- Flexible work hours and a lot of autonomy
- Work with a very informal team collaborating over slack. No meaningless meetings. Focus on getting things done and not hours put in
- Opportunity to grow the team with the company
- Market salary and a yearly bonus outside the salary based on company + individual performance
- Generous PTO plan

Senior Fullstack Developer (MERN Stack) having min 4 years of relevant experience with hands-on experience in handling all aspects of Product Management internal and external facing Product development. Work with Founders to set a product vision and strategy that delivers unique value based on customer needs and expectation. Work closely with development and program management to deliver products and features.

Key Responsibilities

• Demonstrated experience managing the full product development life cycle, including product conceptualization,  prototyping, and development
• Software development experience to not just be able to solve stuff on your own but also to better communicate / manage and colloborate between team
• Hands on leader who's comfortable coding, providing code reviews, and leading complex architectural design discussions in team setting. Can set coding standards, ensure quality.
• Team leading experience
• Technical Expertise in AWS deployment
• Very deep capabilities to architect enterprise class applications on the cloud with web/mobile front ends. Microservices Architecture. Cross-platform integrations.

Stack base:

UI - Tailwind, styled components, react (familiar in Functional components and hooks) and react router

State management - Redux and redux saga,

Backend - Express and node,

Database - Redis and MongoDB with mongoose ODM