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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

About the Role:

We are seeking an experienced Scrum Master to lead cross-functional teams and drive successful delivery of projects within scope, time, and budget. The ideal candidate is a proactive leader with strong organizational and interpersonal skills, capable of managing multiple projects in a dynamic environment.

Key Responsibilities:

Project Planning and Management: Define project scope, goals, and deliverables. Develop detailed project plans, including schedules, milestones, and resource allocation. Coordinate internal resources and third parties/vendors to ensure flawless project execution, delivering projects on time, within scope, and within budget. 

Team Coordination and Communication: Facilitate coordination among the tech team, customer support team, and management. Conduct regular status meetings, report project progress to the CTO, and manage changes to project scope, schedule, and costs. 

Risk Management: Identify potential risks, develop mitigation strategies, and monitor project risks and issues, ensuring risk management processes are followed. 

Resource Management: Allocate resources effectively, monitor team workload, adjust assignments as needed, and provide guidance and mentorship. 

Quality Assurance: Ensure project deliverables meet quality standards and stakeholder expectations. Implement and maintain quality control processes, facilitating testing and validation. 

Documentation and Reporting: Maintain comprehensive project documentation and prepare project reports, including status updates, performance metrics, and lessons learned. 

Release Management: Plan and coordinate software releases with the DevOps team, ensuring schedules are met and communicating release plans to stakeholders. 

Sprint Planning and Agile Practices: Conduct sprint planning sessions, manage the sprint backlog, and facilitate daily stand-ups, sprint reviews, and retrospectives, ensuring Agile best practices are followed. 

Continuous Improvement: Identify and implement process improvements to enhance efficiency and productivity, fostering a culture of continuous improvement. 

Vendor and Partner Management: Manage relationships with external vendors and partners, coordinating and overseeing their work.

Customer Feedback Integration: Collect and analyze customer feedback with the customer support team, incorporating it into project planning and development. 

Change Management: Develop and implement change management strategies, effectively handling project changes and communicating them to stakeholders. 

Performance and Metrics Tracking: Monitor key performance indicators (KPIs) and project metrics, analyzing data to identify trends and improvement opportunities. 

Training and Development: Identify training needs, arrange relevant training sessions, and support team members' professional development. 

Product Roadmap Alignment: Ensure project activities align with the overall product roadmap, coordinating with management to adjust project priorities. 

Compliance and Standards: Ensure project activities comply with industry standards and regulations, addressing legal or regulatory issues with the Corporate Lawyer - Legal & Compliance. 

Conflict Resolution: Address and resolve team conflicts promptly, fostering a collaborative and positive work environment. 

Resource Allocation: Ensure optimal allocation and utilization of resources, adjusting as project needs evolve. 

Risk Reporting: Prepare and present risk reports to senior management, ensuring transparent communication of project risks and mitigation plans. 

Onboarding: Send onboarding emails to new tech team members, ensuring a smooth integration into the team.

Qualifications:



• Bachelor’s degree in Project Management, Engineering, or related field.
• CSM, PSM or similar certification is preferred.
• Proven experience managing projects in an agile or hybrid environment.
• Excellent communication and leadership skills.
• Strong analytical and problem-solving abilities.
• Proficiency in project management software such as JIRA, MS Project.

Responsibilities

● Be a hands-on engineer, ensure frameworks/infrastructure built is well designed,

scalable & are of high quality.

● Build and/or operate platforms that are highly available, elastic, scalable, operable and

observable.

● Build/Adapt and implement tools that empower the TI AI engineering teams to

self-manage the infrastructure and services owned by them.

● You will identify, articulate, and lead various long-term tech vision, strategies,

cross-cutting initiatives and architecture redesigns.

● Design systems and make decisions that will keep pace with the rapid growth of TI AI.

● Document your work and decision-making processes, and lead presentations and

discussions in a way that is easy for others to understand.

● Available for on-call during emergencies to handle and resolve problems in a quick and

efficient manner.

Requirements

● 2+ years of Hands-on experience as a DevOps / Infrastructure engineer with AWS and

Kubernetes or similar infrastructure platforms. (preferably AWS)

● Hands-on with DevOps principles and practices ( Everything-as-a-code, CI/CD, Test

everything, proactive monitoring etc).

● Experience in building and operating distributed systems.

● Understanding of operating systems, virtualization, containerization and networks

preferable

● Hands-on coding on any of the languages like Python or GoLang.

● Familiarity with software engineering practices including unit testing, code reviews, and

design documentation.

● Strong debugging and problem-solving skills Curiosity about how things work and love to

share that knowledge with others.

Benefits :

● Work with a world class team working on a very forward looking problem

● Competitive Pay

● Flat hierarchy

● Health insurance for the family

Greeting from Infoexcel Consulting

we are hiring for Automation Test Engineer
Mode of Hire: 6 Months Contract-to-hire

Please find the below JD

Core Skills:

• Strong knowledge in Selenium with Java
• Strong knowledge in Eclipse
• Experience in creation/ maintenance of framework
• Strong knowledge of testing concepts
• Selenium webdriver
• Mobile automation testing
• BDD - Cucumber
• Git Experience
• Familiar with OOP's concepts

Desired Skills:

• API testing

If Interested please do share me updated profile with below details

Full name:

Total experience:

Relevant experience:

Current ctc:

Expected ctc:

Holding offers, if yes please do mention how much offer, location,DOJ:

Official Notice period:

If serving LWD:

Thanks Best Regards

ALEKHYA PULLA | Senior Specialist-Leadership Hiring.

Website: www.infoexcelconsulting.com

• Your responsibilities will include:

  • Leading a high-performing team to create and implement strategic marketing initiatives across various marketing functions including performance marketing, events, social media marketing, product marketing and partnerships.
  • Creating and implementing the marketing plan in line with overall business objectives while striking a balance between longer-term strategic brand building activities, mid-term lead generation and nurturing, as well as quick wins to achieve targets
  • Using data and analytics for decision making and measuring marketing effectiveness as well as creating a culture of structured experimentation and iteration to drive growth
  • Building win-win relationships with new and existing partners
  • Manage the marketing budget to drive sustainable bottom-line growth

   

  Key Requirements

  • You have a degree in Marketing, Business Administration or related field.
  • You have prior experience in a similar role with a solid track record of success.
  • You have strong experience in Growth Hacking, Social Media/ Viral Marketing, managing demand generation & the customer acquisition funnel and performance marketing.
  • You have good knowledge of Campaign Management Tools (eg. Active Campaign), and Web Analytics Tools (eg. Google Analytics).
  • You are highly goal driven and work well in fast paced environments.
  • You possess strong analytical skills and are comfortable dealing with numerical data.
  • You have excellent communication & interpersonal skills.
  • You are adept at building relationships and liaising with multiple stakeholders and thrive in matrix environments.

• The opportunity to take on some of the world’s most meaningful challenges, helping customers achieve clean water, safe food, abundant energy, and healthy environments
• The ability to make an impact and shape your career with a company that is passionate about growth
• The support of an organization that believes it is vital to include and engage diverse people, perspectives, and ideas to achieve our best
• Thrive in a company that values sustainability, drives a safety-focused culture, and has been recognized as one of the most ethical companies in the world
• Comprehensive benefits package starting day 1 of employment- medical, dental, vision, matching 401k, company-paid pension, stock purchase plan, tuition reimbursement, and more!

What You Will Do:

• Gather and process raw data at scale (including writing scripts, web scraping, calling APIs, write SQL queries, manage PI data, etc.).
• Devise and deploy the core automated processes that pre-process, clean, and present the required data for further processing.
• Develop and implement standard quality checks/algorithms and continuously improve upon these in collaboration with software and marketing teams.
• Develop and deploy metrics, dashboards, and visualizations characterizing both individual accounts and corporate enterprises in analytically insightful and visually compelling ways
• Apply engineering knowledge in developing data-driven algorithms for anomaly detection, failure prediction, and optimization.
• Work closely with our field sales, marketing, and industry technical consultants to configure data aggregation and visualization platforms and sustain those platforms over time.
• Process unstructured data into a form suitable for analysis – and then do the analysis.
• Support business decisions with ad hoc analysis as needed. Work closely with the leadership team to create dashboards (such as Power BI) to drive agile decision-making.
• To develop prototypes and proof of concepts for the selected solutions.
• Work with our customers to develop data exchange technologies

Minimum Qualifications:

• Education: B.S. (Masters’ preferred) in Computer Engineering, Applied Mathematics, Engineering, Information Technology or any other technology-related field. An equivalent of this educational requirement in working experience is also acceptable.
• Candidates must have 2 – 5 years of experience working as a PI Developer and/or PI System Manager, in a fast-paced environment and complex business setting.
• Knowledge in: Excel macros & JSON for our Refined Knowledge & CrudeFlex applications, PI AF templates, and PI Cloud Connect, PI WebAPI, C# to send data from OSIsoft PI to Microsoft SQL, APIs and web programming, Python or R languages
• The candidate must have a demonstrated experience in building and maintaining reliable and scalable ETL on big data platforms as well as experience working with varied forms of data infrastructure inclusive of relational databases such as Microsoft SQL (on-prem & Azure), Oracle, & OSIsoft PI.
• The PI Developer must further have exceptional skills in SQL server reporting services, analysis services, Salesforce, integration services, Power BI, or any other data visualization tools.

Preferred Qualifications:

• Experience in analytics in the oil & gas industry is a plus.
• Experience in the Microsoft Azure stack including data factories, data gateways, & Power BI.  Experience in PI Integrator for Business Analytics is desirable.  Experience in Hadoop, Spark and other analytic technologies is a plus. Digital-enabled technology experience and passion.
• Communication Skills: Excellent communication skills in both verbal and written form. The PI Developer works closely with other functional teams in the CDS organization.  Communication skills are also imperative for the PI Developer in his collaborative role where he will have to interact cross-functionally with non-technical departments. To enable effective collaborations, the PI Developer will have an exceptional ability to convey complex messages in a clear, simplified, and understandable manner. The candidate will also be required to draft reports and prepare presentations for Director – Commercial Digital Solutions (CDS) and Director – CDS Operation. These reports and presentations must be clear, concise, unambiguous, engaging, and convincing, which will demand exceptional communication skills on the PI Developer’s part.
• Microsoft Office/Software: A candidate for this position must be highly proficient in the use of MS Word, MS Excel, PowerPoint, and Outlook, which will all be necessary for the creation of both visually and verbally engaging reports and presentations, for leadership.
• Interpersonal Skills: The PI Developer will be a result-driven individual, be passionate and a self-starter, be proactive requiring minimal supervision, be highly organized, have an ability to handle multiple tasks and meet tight deadlines, be a creative and strategic thinker, work comfortably in a collaborative setting, work comfortably with senior departmental leadership, and demonstrate an ability to remain calm during times of uncertainty and stress, inspiring the same in his team.
• People Skill: The candidate must be a people person who is able to form strong, meaningful, and lasting connections with others, enabling smooth and continued collaborative relationships, earning him the trust, and gaining the confidence of the Director – CDS Operation team, and other team members across the company.

• Responsible for client engagement & Manage the requirements
• Communicate with clients to identify their requirements and choice of property
• Coordinate the builder to arrange for the site visit and share the necessary information to clients
• Visit the connected properties and identify the USPs to pitch better to clients
• Manage the feedback from the client
• Understand the real estate market & comparison of the product
• Maintain good business relationship with client and builder
• Participate in seminars, conferences, and events to enhance the market & expand the business network
• Work with the team to share the responsibilities and work towards achieving team’s targets