AR Consultant Jobs in Chennai

Domain Expert AR Operations Location: Chennai Department: AR Operations Career Band: Professional II Role Overview: RCM & Denial Management We are seeking a Domain Expert to join our AR Operations team. You will act as a bridge between physicians and U.S. insurance providers, focusing on Revenue Cycle Management (RCM). Your core mission is to review Explanation of Benefits (EOBs), identify claim denials, and drive resolutions to ensure timely and accurate payment collection. Technical Skills & Core Competencies Claims & Denial Expertise: AR Calling: Minimum 1 year of experience in U.S. Insurance follow-ups and professional verbal communication. Denial Management: Deep knowledge of Denials, Appeals, and Referrals processes. Financial Oversight: Understanding of Recoupment issues and ensuring proper payment allocation. EOB Analysis: Proficiency in interpreting complex Explanation of Benefits to identify billing discrepancies. Process & Compliance: RCM Mastery: Thorough understanding of the end-to-end Revenue Cycle Management workflow. Regulatory Adherence: Strict maintenance of HIPAA compliance and patient data confidentiality during all interactions. Professionalism: Ability to maintain high standards of written and verbal communication with international insurance representatives. Key Responsibilities Operational Execution: Insurance Liaison: Execute calls to U.S. insurance companies to resolve outstanding billing issues and claim status. Strategic Resolution: Take decisive action on denied claims, including drafting Appeals and managing Referrals. Billing Accuracy: Identify and rectify billing errors to prevent recoupment and maximize collection efficiency. Team & Reporting: Workflow Efficiency: Work independently and efficiently under the guidance of the Team Leader AR Operations. Documentation: Ensure all actions taken on claims are accurately documented within the RCM system. Minimum Requirements Bachelor s degree or equivalent professional experience. 1+ year of experience specifically in AR Calling within the healthcare sector. Fluent command of the English language (spoken and written). Proven ability to work in a fast-paced environment while meeting quality and compliance benchmarks. Qualification : Bachelors degree or equivalent professional experience

Job Title: AR Analyst / Senior AR Analyst Experience Required: 1 5 Years Job Category: Billing Operations Job Location: Chennai Eligibility: Graduates from any stream About the Role: We are seeking a detail-oriented and self-motivated AR Analyst / Senior AR Analyst to join our Billing Operations team. The ideal candidate will have a strong understanding of provider billing, denial management, and Accounts Receivable (AR) processes, along with solid analytical and communication skills. Key Responsibilities: Manage accounts receivable follow-up for assigned payors effectively and independently. Analyze denials and take timely and appropriate action to resolve them. Work on correspondence, rejections, and appeal processes as needed. Apply knowledge of CPT, ICD, and Modifiers in analyzing and processing claims. Think analytically and use logical reasoning to troubleshoot AR issues. Ensure HIPAA compliance and maintain confidentiality of patient data. Collaborate with team members and contribute to achieving departmental goals. Required Skills: 1 5 years of experience in Accounts Receivable (AR) analysis within the provider billing domain. Strong verbal and written communication skills. Good interpersonal and team collaboration abilities. Proficiency in MS Office, especially Excel. Fast and accurate typing skills. Good computer literacy and system navigation skills. Preferred Qualifications: Exposure to correspondence and rejections is a plus. Understanding of modifiers, CPT, and ICD coding is essential. Qualification : Graduates from any stream

Job Title: Business Analyst / Functional Consultant SCM Location: Chennai, India (with travel) Experience: 3 to 6 Years Qualification: BE/B.Tech or Equivalent Job Purpose: The Business Analyst / Functional Consultant will manage client assignments with a focus on Supply Chain Management (SCM) domain processes like Manufacturing, Procurement, Inventory, and Sales & Distribution. This role combines functional and technical expertise to understand client needs, translate requirements, and ensure successful ERP implementation and support. Key Responsibilities: Interface with clients to understand business requirements and processes through meetings and discussions. Collaborate closely with client teams and stakeholders to map overall business processes. Manage client relationships including change request management, solution planning, and testing coordination. Define and document customer business functions and processes accurately. Develop requirements for new system implementations and enhancements to existing ERP solutions ensuring fit-for-purpose design. Lead business process reengineering and improvement initiatives aligned to SCM domain. Validate requirements and analysis models via reviews and walkthroughs with project stakeholders. Support preparation and review of user acceptance test (UAT) cases; act as liaison during UAT execution. Continuously seek improvements in process monitoring, issue detection, and customer value delivery. Perform first-level defect analysis, coordinate fixes with engineering teams, and plan deployment in production environments. Required Skills & Experience: 3 to 5+ years of strong domain experience in Manufacturing, Procurement, Inventory, or Sales & Distribution within an ERP context. Thorough understanding of end-to-end processes such as Procure to Pay (P2P), Order to Cash (O2C), and Stores Administration. ERP implementation experience preferred. Excellent verbal and written communication skills. Willingness to travel nationally and internationally based on business requirements. Competencies: Strong documentation and specification skills. Ability to work collaboratively across cross-functional teams. Deep domain and industry knowledge in SCM. Proficient in problem-solving and visual modeling techniques. Strong client engagement and relationship management skills. Work Location: Chennai (Base location) with readiness for travel and relocation for short or long-term assignments across other locations/countries. Qualification : BE/B.Tech or Equivalent

Job Title: Senior Functional Consultant I Location: Chennai, India Experience: 4+ years Qualification: Bachelor s Degree and Master s Degree (preferred) Job Summary: The Senior Functional Consultant will be responsible for end-to-end solution design, configuration, testing, deployment, training, and support of HR & Payroll products. The role requires excellent communication skills to engage with internal teams, customers, and stakeholders. The candidate should have strong domain knowledge in HR & Payroll, experience with multiple modules, and the ability to manage project deliverables under tight deadlines, including willingness to support ANZ time zones. Key Responsibilities: Design & Documentation: Conduct solution design workshops; prepare design documentation such as Solution Design Document (SDD), Process Flow Sheets (PFS), and integration documents. Collaborate with Center of Excellence (COE), Product, and Product Backlog (PB) teams for customer requirements. Conduct solution playback sessions. Provide knowledge transfer (KT) to Operations teams to prepare process books. Configuration & Engineering: Configure the product based on finalized design documents. Test configurations and customizations thoroughly. Deploy and package configured solutions/customizations/data for migration to subsequent environments. Training: Conduct user training sessions using standard or customized training materials aligned with the solution. Testing & UAT Support: Assist customers in developing test cases and data. Triage and resolve issues raised during testing. Coordinate with COE/Product/PB teams for new requirements. Prepare updated solutions and data for deployment to next environments. Parallel Run & Go-Live Support: Provide KT to Operations teams for parallel run initiation. Assist customers with parallel run strategies. Address issues raised by customers and Operations teams. Collaborate on production cut-over plans with Project Managers. Update SDD documents during Go-Live and Hypercare. Provide BAU support during Hypercare phase. Transition: Prepare transition checklists. Deliver KT sessions to Support teams. Product & Domain Expertise: Experience with HR & Payroll products with at least 3-4 full lifecycle implementations. Strong knowledge of at least 3 modules apart from Payroll (e.g., Core HR, Employee Information, Leave, Time Management, Compensation Planning, Expense). Good understanding of AU & NZ statutory requirements (at least one region). Preferably experience with Workday (WD), SuccessFactors (SF), and Oracle integrations. Basic understanding of integration systems and architecture. Demonstrated domain knowledge of HR and Payroll processes. Implementation & Methodology: Document test cases for configured solutions and customizations; support system and user acceptance testing to ensure quality. Independently conduct requirement gathering sessions, solution demos, and data migration activities. Ensure adherence to RAMCO MAGNA Enterprise Methodology. Assist project/program managers in drafting Entry, Exit, and Acceptance Criteria. Coordinate with product teams on bug tracking, feature requests, and roadmap items. Ensure timely submission of deliverables following governance processes. Provide knowledge transfers and handovers to support teams. Adhere strictly to Statement of Work (SOW), contractual, and management commitments. Mentor and guide junior consultants on product knowledge and processes. Other Requirements: Strong verbal and written communication skills to represent product and solutions to internal and external stakeholders. Ability to work under pressure and meet strict timelines. Willingness to work extended hours / support ANZ time zone as required. Qualification : Bachelors Degree and Masters Degree (preferred)

Job Description: The Senior Consultant - Services will be responsible for providing expert recommendations and technical guidance to enhance customer satisfaction with EMC storage solutions. You will actively contribute to the configuration, layout, and performance optimization of EMC products, including EMC Isilon, XtremeIO, and Data Domain. This role involves managing the storage infrastructure, executing disaster recovery processes, performing data migration, and contributing to the development of custom solutions. Additionally, you will handle daily operational tasks, manage customer relationships, and collaborate with technical teams to resolve issues. Your knowledge of IT operations, ITIL processes, and storage migration technologies will be vital in this role. You will be expected to stay current with the latest technical specifications and hardware requirements for EMC products. Key Responsibilities: 1. Proactive Recommendations: Help customers maximize their use of EMC storage solutions. 2. Technical Knowledge: Utilize expertise in EMC products (Isilon, XtremeIO, Data Domain) to configure, tune, and maintain storage solutions. 3. Storage Migration Management: Oversee the management of storage migration technology and execute required migrations. 4. Disaster Recovery & Data Migration: Assist with disaster recovery design and execution and perform necessary data migrations. 5. Customer Relationship Management: Build strong relationships with customers, ensuring satisfaction and resolving issues through negotiation and effective communication. 6. Operational Tasks & Availability: Ensure the availability and proper functioning of the storage infrastructure at customer sites. 7. Complex Software Implementations: Perform software implementations according to Statement of Work (SOW), Scope Document, and Architecture Design requirements. 8. Collaboration with Technical Teams: Work closely with internal teams to ensure the effective resolution of technical issues and implement custom solutions. 9. Stakeholder Communication: Participate in meetings to understand and address customer issues, ensuring positive feedback and satisfaction. Additional Responsibilities: 1. Root Cause & Trend Analysis: Validate analyses and reports related to performance, providing insights to key business stakeholders. 2. Change Order Compliance: Ensure compliance with Change Order Implementation Plans and Human Error standards. 3. Value Addition Activities: Mentor team members, prepare Standard Operating Procedures (SOPs), and share knowledge within the organization. 4. On-time Resolution: Ensure timely resolution and quality compliance of escalated tickets/incidents as per SLA. 5. Capacity Planning: Contribute to capacity planning and help in ensuring optimal resource allocation. 6. Customer Meetings: Actively participate in customer meetings to understand their challenges and provide solutions. Skills and Experience: 1. Technical Knowledge: In-depth knowledge of EMC Isilon, XtremeIO, Data Domain, and other EMC products. 2. ITIL & IT Operations: Strong understanding of ITIL processes and IT operations in regional and global infrastructure environments. 3. Storage Migration & Disaster Recovery: Experience in managing storage migration technologies and executing disaster recovery processes. 4. Customer Management & Leadership: Ability to manage customer relations, negotiate effectively, and lead technical implementations. 5. Analytical & Problem-Solving: Capable of conducting root cause and trend analysis to facilitate improvements. 6. Compliance & Documentation: Ensuring compliance with internal policies and maintaining documentation for processes, including knowledge sharing. Qualification : Bachelor of Technology

Job Title: Lead Consultant - HyperAutomation Career Level - E Introduction to role ECS is a global Centre for Enablement supporting AstraZeneca (AZ) business owners with multiple scalable solutions. ECS includes nearly 800 staff spread across 6 countries and capabilities in scope critical to how AZ builds, tests, and supports IT platforms and products of the future. The core IT capabilities within ECS scope include HyperAutomation (RPA / OpenAI / Low-Code No-Code/ Process-mining technologies), Software Quality & Testing, Extended Reality including AR/VR, Software Engineering, and Cross-functional Enterprise Software Platforms (Service Now, SalesForce). Accountabilities The Solution Architect of Software Engineering domain will work closely with the Head of Architecture (ECS), ECS projects teams, stakeholders across AZ and is accountable for design of software artifacts across ECS in compliance to global AZ enterprise standards, ensuring holistic Business, Application, Information, and Infrastructure architecture for components with ECS. The Solution Architect ensures that AZ technical solutions are delivered to AZ defined reference architecture and technology standards. The role will ensure that common architecture decisions are implemented consistently across the business and IT. The role will provide Information Technology architectural expertise and technical direction to system development and integration projects. The Architect will work on architectures for business solutions and will specialize in at least one architecture domain aligned domain for this role being Software Engineering. To be successful in this role the candidate needs to be an experienced solution architect who enjoys working in a fast-paced environment and a global team. The ability to work and communicate with senior business stakeholders to understand their goals, capabilities needed, and requirements and to translate these into comprehensive solution blueprints is essential. A clear, logical style, an ability to document solution architecture and key design decisions in a blueprint, and to work closely with business analysts and project managers is crucial. Essential Skills/Experience Relevant technical degree or equivalent. Proven skills and experience being a solution architect on projects and programmes. Proven development/design experience in Microsoft Power Platform. Expertise in following technologies: Microsoft Power Platform. Dynamics 365 customer engagement apps. Experience in one of the following technologies: Automation Anywhere. UI Path. Experience in more than one programming language (Java/Javascript/Python). Experience of developing innovative solutions, blueprints and standards for solution design. Experience implementing and maintaining business solution architectures under any formal framework for their domain of architecture. Experience of developing and managing relationships with 3rd party suppliers. Excellent analytical skills. Excellent communication, facilitation and relationship management skills. Strong networking skills with good internal/external links. Evidence of shaping innovative solutions that have a major impact within the business area and organisation. Awareness of developments in the marketplace for potential impact to AZ / ECS IT. Excellent business acumen and strong knowledge of manufacturing business processes. Demonstrated initiative, strong customer orientation, and cross-cultural working. Desirable Skills/Experience N/A When we put unexpected teams in the same room, we unleash bold thinking with the power to inspire life-changing medicines. In-person working gives us the platform we need to connect, work at pace and challenge perceptions. That's why we work, on average, a minimum of three days per week from the office. But that doesn't mean we're not flexible. We balance the expectation of being in the office while respecting individual flexibility. Join us in our unique and ambitious world. At AstraZeneca, our work has a direct impact on patients by transforming our ability to develop life-changing medicines. We empower the business to perform at its peak by combining cutting-edge science with leading digital technology platforms and data. Join us at a crucial stage of our journey in becoming a digital and data-led enterprise. Make the impossible possible by building partnerships and ecosystems, creating new ways of working, and driving scale and speed to deliver exponential growth. With a dynamic environment that encourages innovation, there are countless opportunities to learn, grow, and make a meaningful impact. AstraZeneca embraces diversity and equality of opportunity. We are committed to building an inclusive and diverse team representing all backgrounds, with as wide a range of perspectives as possible, and harnessing industry-leading skills. We believe that the more inclusive we are, the better our work will be. We welcome and consider applications to join our team from all qualified candidates, regardless of their characteristics. We comply with all applicable laws and regulations on non-discrimination in employment (and recruitment), as well as work authorization and employment eligibility verification requirements.

Medical Coder Multispecialty Denials (Radiology & Pathology) Location: Chennai Experience: Minimum 1 Year Department: Revenue Cycle Management (RCM) Employment Type: Full-time About the Role We are looking for a detail-oriented and experienced Medical Coder specializing in Radiology and Pathology denials management to join our growing Revenue Cycle Management (RCM) team. In this role, you will be responsible for identifying root causes of coding-related denials, reworking claims, and submitting appeals in alignment with payer guidelines. You will work closely with AR, billing, and compliance teams to drive timely resolution of denied claims. Key Responsibilities Review and analyze denied claims specifically in Radiology and Pathology specialties. Identify denial trends related to coding and take corrective actions. Apply accurate CPT, ICD-10, and HCPCS codes based on clinical documentation. Draft and submit coding appeals with appropriate justifications, coding references, and documentation. Collaborate with AR and billing teams to resolve complex denials and ensure clean claim submission. Adhere to payer-specific guidelines, LCDs/NCDs, and industry-standard coding protocols. Maintain coding accuracy, compliance, and productivity benchmarks as per company standards. Required Skills & Qualifications Minimum 1 year of hands-on experience in medical coding, specifically in Radiology and Pathology denials. Solid understanding of US Healthcare RCM processes, denial workflows, and appeal procedures. Strong command of CPT, ICD-10, and HCPCS coding systems. Experience with medical coding tools such as EncoderPro, Optum360, or similar platforms. Familiarity with payer-specific guidelines, including Medicare LCD/NCD policies. Excellent analytical and problem-solving skills. Effective written and verbal communication skills to support appeal writing and inter-team collaboration. Preferred Qualifications Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification is an added advantage. Experience working in an RCM/BPO/KPO environment is preferred. Exposure to additional specialties or multispecialty coding is a plus. Competitive salary and performance-based incentives Training and development programs for career growth A collaborative and supportive work environment Exposure to a wide range of specialties and payer systems

Medical Coder Multispecialty Denials (E/M) Location: Chennai Experience: Minimum 1 Year Department: Revenue Cycle Management (RCM) Employment Type: Full-time Job Summary We are seeking a detail-oriented and experienced Medical Coder specializing in Evaluation and Management (E/M) services to support our multispecialty denial management operations. The ideal candidate will be responsible for analyzing denied claims, identifying coding or documentation issues, and executing effective appeal strategies to maximize reimbursement in line with payer-specific guidelines and compliance standards. Key Responsibilities Review and resolve denied claims related to E/M services across multiple specialties. Analyze clinical documentation and assign accurate CPT, ICD-10, and HCPCS codes. Investigate reasons for denials such as incorrect levels of service, insufficient documentation, or bundling edits. Prepare and submit well-documented appeals based on payer-specific rules and coding guidelines. Collaborate with Accounts Receivable (AR) and billing teams to ensure timely resolution of denials. Ensure adherence to CMS, Medicare, commercial payer, and internal compliance policies. Consistently meet or exceed quality and productivity benchmarks set by the organization. Required Skills & Qualifications Minimum 1 year of experience in E/M coding and denial management. In-depth knowledge of 2021+ E/M coding guidelines and documentation requirements. Experience handling denials in multispecialty environments (e.g., Internal Medicine, Pediatrics, Cardiology, etc.). Familiarity with coding tools (e.g., EncoderPro, 3M, Optum360) and EMR/EHR systems. Strong understanding of payer-specific rules, including Medicare and commercial insurers. Excellent attention to detail, communication, and analytical thinking. Ability to work independently as well as in a team-oriented environment. Preferred Qualifications Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification (preferred). Previous experience in a US Healthcare RCM setting, especially with denials and appeals workflows. Competitive compensation and incentive structure Career growth opportunities in a high-impact RCM environment Ongoing training and support for certifications and coding updates Collaborative and inclusive work culture

Job Description: Join Verizon s World-Class Container Platform team and be part of an innovative, high-scale Kubernetes-based platform used to drive Verizon s Global Technology Solutions. As part of this team, you ll be responsible for the daily hands-on implementation and programming of services within a product team following agile principles. This includes orchestrating feature sets deployment into the Kubernetes CaaS platform, building Docker containers, and utilizing automated CI/CD pipelines. You ll work with a range of technologies such as AWS, Jenkins, ArgoCD, Python, and more, while managing platform deployments, testing, and maintenance. 1.1.1. Key Responsibilities: 1. Platform Development and Automation: Develop and maintain Kubernetes-based container platforms (EKS, OCP, OKE, GKE) at scale. Build and orchestrate services, deploy features using CI/CD pipelines and automated processes. Automate platform deployments, testing, maintenance, and decommissioning. 2. Full Stack Development: Design, develop, and implement scalable full-stack applications using React/Node. Develop and manage HTTP/RESTful APIs, microservices, and serverless applications using AWS technologies. 3. Cloud Infrastructure and Service Mesh Management: Work with AWS tools such as Lambda, EventBridge, Step Functions, and DynamoDB. Manage and troubleshoot Service Mesh lifecycle and related applications. 4. Agile and GitOps Processes: Participate in agile ceremonies, working in 2-week sprints to develop new services. Address Jira tickets and implement GitOps CI/CD workflows using tools like ArgoCD and GitLab. 5. Collaborative and Cross-Functional Engagement: Collaborate with platform customers, internal teams, and product teams to drive feature development and troubleshooting. Participate in Proof of Concept (POC) technical evaluations for new technologies. 1.1.2. Key Requirements: Education/Experience: Bachelor s degree or four or more years of relevant experience. Expertise in SDLC, Agile Development, and working with GitOps CI/CD workflows (ArgoCD, Flux). Strong backend development experience, preferably with Golang, Python, and Spring Boot. Technical Skills: Solid experience in Kubernetes, Docker, and cloud platforms (AWS, GKE, OKE, EKS). Experience with RESTful APIs, microservices, and serverless development (AWS Lambda, DynamoDB). Strong Terraform/Ansible/Bash scripting experience and CI/CD tools such as GitLab, Jenkins. Experience in service mesh management (Istio) and configuring applications. Certifications and Tools (Preferred): Certified Kubernetes Application Developer (CKAD). Certified Kubernetes Administrator (CKA), Kubernetes Security Specialist (CKS). Experience with security tools like Sysdig, Crowdstrike, or Fortify. Familiarity with monitoring tools like NewRelic, OTLP. 1.1.3. Why Verizon: At Verizon, you will be part of a dynamic team where creativity and innovation thrive. You'll have the opportunity to work with cutting-edge technologies in a collaborative environment, driving impactful projects that enhance the lives of people globally. With our commitment to fostering professional growth, Verizon is dedicated to empowering employees to continuously learn and succeed in their careers. Join the V Team to contribute to building the future of technology. Qualification : Bachelors degree or four or more years of relevant experience.

Billing Specialist (Demo and Charge Entry) Location: Chennai Department: Billing Operations Career Band: Professional II Role Overview: The Foundation of Billing Accuracy We are seeking a detail-oriented Billing Specialist to manage the critical front-end of our Revenue Cycle. You will be responsible for the precise entry of Demographics and Charges, ensuring that patient information is verified and billing data is submitted according to strict client protocols. Core Technical Responsibilities Data Management & Entry: Demographics (Demo) Entry: Accurately pull or create patient records using Face Sheets. Verify name, DOB, and contact details to prevent downstream claim rejections. Charge Entry: Translate medical services into billable charges by following specific Client Protocols and guidelines. Document Handling: Access and securely download Super Bills and Face Sheets from client file servers. Verification & Quality Control: Insurance Eligibility: Proactively check and update Eligibility Status to ensure the insurance provider is active before billing. Log Maintenance: Track and maintain status logs to ensure 100% accountability for all files received. Query Resolution: Maintain a real-time query log and ensure all client queries are updated by End of Day (EOD). Requirements & Qualifications Experience: Minimum 1 year of professional experience specifically in Demo and Charge Entry. Education: Graduate in any stream. Typing Proficiency: High speed and accuracy in typing to meet daily volume targets. Attention to Detail: Ability to spot discrepancies between Face Sheets and system data. Reporting Structure: Reports to Team Leader Billing Operations. Qualification : Graduate in any stream

Billing Specialist Payment Posting Location: Chennai Department: Billing Operations Career Band: Professional II Role Overview: Financial Reconciliation & Accuracy We are seeking a meticulous Billing Specialist to join our Payment Posting team. You will be responsible for the final stage of the billing cycle: ensuring that payments from insurance providers and patients are accurately reconciled. Your expertise in EOB review, Adjustment handling, and Denial Identification will be critical in maintaining a healthy accounts receivable. Technical Skills & Core Competencies Payment Processing: Manual & Auto Posting: Proficiency in managing high-volume payment entries, including electronic remittance and paper checks. Financial Formulas: Strong understanding of Co-pays, Co-insurance, and Deductibles. HSA/HRA Payments: Specific experience processing payments for Health Savings Accounts and Health Reimbursement Accounts. EOB & Denial Analysis: Explanation of Benefits (EOB): Ability to interpret complex EOBs to ensure payments are posted to the correct patient accounts. Coding Identification: Expert knowledge of CARC (Claim Adjustment Reason Codes) and RARC (Remittance Advice Remark Codes). Write-offs & Adjustments: Handling complex adjustment scenarios, including secondary insurance offsets like Medicaid. Key Responsibilities Account Reconciliation: Ensure all checks and electronic funds are posted to the correct patient accounts with 100% accuracy. Denial Documentation: Identify and document denial reasons and maintain clear records of insurance correspondence. Secondary Insurance Management: Process adjustments and write-offs specifically when a patient s secondary insurance is involved. Operational Quality: Maintain high standards of data entry speed and accuracy to meet daily financial closing targets. Minimum Requirements Experience: Minimum 1 year of professional experience specifically in Healthcare Payment Posting. Education: Graduate in any stream. Technical Skills: Excellent typing speed and attention to detail. Reporting: Position reports to the Team Leader Billing Operations. Qualification : Graduate in any stream

Integration Engineer Location: Chennai Experience Required: 4 5 Years Domain: US Healthcare / RCM Role Overview: Architecting Healthcare Connectivity We are seeking a Integration Engineer to build and maintain the bridges between healthcare platforms, clearinghouses, and our in-house data engine. You will be responsible for ensuring seamless data flow across EMRs, PM systems, and clearinghouses, leveraging a mix of traditional EDI standards and modern API-driven automation to drive RCM efficiency. Technical Expertise & Required Skills Healthcare Interoperability & EDI: X12 EDI Transactions: Hands-on implementation of 837 (Claims), 835 (Remittance), 270/271 (Eligibility), and 276/277 (Claim Status). HL7 & Standards: Deep understanding of HL7 interfaces for real-time and batch healthcare data exchange. Clearinghouse Integration: Proven experience connecting healthcare systems with major clearinghouses and data platforms. Automation & Modern Development: Web Scraping: Proficiency in Node.js and Puppeteer.js for headless browser automation and complex data extraction. API & Web Services: Strong experience with REST and SOAP API integrations. Cloud Environment: Familiarity with Google Cloud Platform (GCP), specifically App Engine, Cloud Functions, and Pub/Sub. Data Architecture: Solid understanding of NoSQL databases and data transformation pipelines. Key Responsibilities Design & Development: Architect seamless integrations between internal data engines and third-party healthcare applications. Compliance Management: Ensure all data exchanges strictly adhere to HIPAA standards and healthcare security protocols. Cross-functional Collaboration: Partner with Data Science and Automation teams to deploy and monitor integrations in GCP environments. System Optimization: Proactively troubleshoot and enhance integration performance for maximum scalability and reliability. Legacy Support: (Preferred) Work with PHP (Laravel) applications where necessary to maintain existing integration logic. What Makes You a Great Fit 4 5 years of specialized experience in the US Healthcare RCM domain. The ability to handle "non-standard" data extraction through automation workflows when traditional APIs are unavailable. Excellent debugging skills for complex, multi-party data pipelines. A collaborative mindset focused on creating high-impact, innovative healthcare technology solutions.

Business Intelligence Lead Experience: 6+ Years Location: Chennai Company: Kaleidofin About Kaleidofin Kaleidofin is a pioneering fintech platform creating a digital ecosystem to provide financial access for everyone, everywhere. Through our ki credit platform, we deliver credit health assessments, middleware integration, advanced risk management dashboards, and debt capital market structuring enabling financial institutions to serve underserved segments like women entrepreneurs, farmers, and MSMEs across India, Bangladesh, and Kenya. With over 6 million customers impacted and more than $3 billion facilitated in debt capital, Kaleidofin is backed by global investors including the Gates Foundation, Omidyar Network, and Blume Ventures. Recognized internationally by Forbes Asia and the United Nations, and winner of RBI s Swanari TechSprint and G20 TechSprint 2024, we are committed to innovation and impact. Role Overview We are seeking an experienced Business Intelligence Lead to drive data analytics and reporting efforts that inform strategic decisions across risk, credit, compliance, fraud detection, and product performance. The ideal candidate will bring strong leadership, a deep understanding of financial services data, and hands-on expertise in BI tools and data governance. Key Responsibilities Team Leadership & Development Lead and mentor the Data Analytics team; identify skill gaps and implement training plans. Data Analysis & Insights Leverage BI tools (Power BI, Tableau, Looker) to deliver actionable insights that drive business and partner strategies. Develop and optimize dashboards and reports aligned with business goals. Data Visualization & Reporting Create clear, interactive visualizations for diverse stakeholders, ensuring accessibility and timeliness. Manage robust data pipelines using ETL/ELT tools like Informatica, Talend, or Airflow. Collaboration & Stakeholder Management Partner with cross-functional teams to gather data requirements and support executive, regulatory, and product reporting needs. Present insights to senior leadership to promote data-driven decision-making. Process Improvement & Automation Automate routine reporting and continuously enhance BI tools and workflows for efficiency and accuracy. Data Governance & Compliance Maintain data quality standards and governance practices ensuring compliance with data privacy regulations. Interface with auditors and compliance teams as required. KPI Management Achieve >90% data accuracy through audits and corrections. Ensure >80% user adoption of BI products by monitoring engagement metrics. Deliver cost savings by evaluating BI-driven efficiency improvements. Who You Are Bachelor s or Master s degree in Computer Science, Data Science, Information Systems, or related fields. 6+ years in BI, analytics, or data architecture, with 3+ years in leadership or architect roles. Hands-on experience with BI platforms (Power BI, Tableau, Looker) and proficient in SQL querying. Strong knowledge of financial data domains: credit scoring, transactions, KYC, fraud, lending, payments. Experience with credit bureau data (Experian, Equifax, CRIF) preferred. Experience with cloud data platforms (AWS, GCP, Azure) and data warehousing concepts. Familiarity with machine learning applications in BI or data science is a plus. Relevant certifications such as Microsoft Data Analyst Associate or AWS Certified Data Analytics are advantageous. Join a high-impact team revolutionizing financial inclusion. Work with cutting-edge BI technologies in a fast-growing fintech startup. Thrive in a culture that values innovation, collaboration, and continuous learning. Qualification : Bachelors or Masters degree in Computer Science, Data Science, Information Systems, or related fields

Fundraising & Investment Associate Experience: 2+ Years Location: Chennai Department: Strategy & Investments Company: Kaleidofin About Kaleidofin Kaleidofin is a leading fintech platform building an inclusive digital ecosystem to provide finance for everyone, everywhere. Our ki credit platform integrates credit health assessments, middleware rails, risk management dashboards, and debt capital structuring to empower financial institutions serving underserved segments such as women entrepreneurs, farmers, and MSMEs across India, Bangladesh, and Kenya. With over 6 million customers impacted and more than $3 billion in debt capital facilitated, Kaleidofin has garnered global investor confidence from entities like the Gates Foundation, Omidyar Network, and Blume Ventures. Recognized by Forbes Asia and the United Nations, and award-winning in RBI and G20 TechSprints, we re committed to making a meaningful financial impact. Role Overview As a Fundraising & Investment Associate, you will be pivotal in driving our capital-raising efforts to support growth and impact. This role demands a mix of strategic insight, financial expertise, and excellent communication skills. You will support equity fundraising, identify grant opportunities, manage investor relations, and develop robust financial models and business plans. Key Responsibilities Support equity fundraising activities targeting institutional and impact investors. Identify and apply for grant funding aligned with Kaleidofin s mission in emerging markets. Build and maintain a pipeline of potential investors and funding partners. Develop detailed financial models, forecasts, and comprehensive business plans. Prepare persuasive investor presentations, pitch decks, and investment memos. Manage due diligence processes and coordinate closely with legal, finance, and compliance teams. Monitor market trends, investor sentiment, and funding benchmarks within fintech and impact investing sectors. Who You Are Master s degree in Finance, Business, Economics, or related discipline. MBA, CA (or CA-in-progress), or CFA Level II (or higher) is a strong advantage. 2 5 years experience in fundraising, investment banking, venture capital, or financial planning. Advanced proficiency in Excel for financial modeling and forecasting. Skilled in PowerPoint and other presentation tools. Excellent written and verbal communication skills. Self-driven, able to work independently and collaboratively in a dynamic, fast-paced environment. Passionate about financial inclusion and emerging markets. The chance to work at the intersection of finance and social impact. Direct collaboration with company co-founders. A mission-driven, collaborative, and entrepreneurial culture. Continuous learning and development opportunities. Competitive compensation with performance-based incentives. Qualification : Masters degree in Finance, Business, Economics, or related discipline

Denial Coding Auditor Location: Chennai Experience: Minimum 4-8 Years Job Summary We are seeking an experienced Denial Coding Auditor to analyze coding-related denials, identify root causes, and recommend effective resolutions. The role involves collaborating closely with Accounts Receivable (AR), coding, and compliance teams to enhance first-pass claim resolution and reduce denials. Key Responsibilities Conduct thorough reviews of denied claims to audit coding accuracy and adequacy of clinical documentation. Identify denial trends such as medical necessity issues, bundling errors, and modifier misuse. Recommend coding corrections and documentation improvements to prevent recurring denials. Work collaboratively with AR and appeal teams to facilitate timely and effective denial resolution. Support internal audits, compliance reviews, and quality improvement initiatives related to coding and denials. Qualifications Certified Coding Auditor credentials preferred (CPC-A, CPMA, or CCS-P). Minimum 3 years of experience in surgical coding and coding audits. Expertise across multiple surgical specialties and thorough knowledge of coding regulations and payer policies.

About Firstsource Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. We specialize in helping clients stay ahead through transformative solutions that optimize business processes, driving increased efficiency, deeper insights, and superior outcomes. As trusted brand custodians and long-term partners to over 100 leading global brands, we have a presence in the US, UK, Philippines, and India. Our rightshore delivery model offers end-to-end solutions across industries including Healthcare, Telecommunications & Media, and Banking, Financial Services & Insurance. We proudly serve Fortune 500 and FTSE 100 companies. Job Title: Senior Customer Service Associate (Senior CSA) Grade: H1 Job Category: Associate Function/Department: Operations Essential Duties and Responsibilities Claims Filing: File claims using appropriate forms and attachments. Denial Research and Appeals: Investigate account denials and file written appeals when necessary. Insurance Billing: Evaluate information from clients to determine the correct insurance to bill, ensuring necessary attachments or supporting documentation are included with each claim. Account Research: Research account details to gather necessary attachments and documentation for each claim. Claim Integrity: Ensure the accuracy and integrity of each claim filed. Documentation: Record all efforts and actions in the CUBS system and any other required systems. Patient Information Verification: Verify patient details and benefits before submitting claims. Account Appeals: Write appeals for accounts when required. Client Correspondence: Draft clear and professional letters to clients. Additional Duties and Responsibilities Goal Achievement: Meet regular goals and objectives as set by management. Confidentiality: Maintain confidentiality of account and patient information at all times. Compliance: Actively participate in the Corporate Compliance Program and ensure adherence to company policies. Project Assistance: Assist with other ad hoc projects assigned by management. Relationship Management: Maintain effective working relationships with state and federal agencies. Account Resolution: Resolve accounts in a timely manner. Workspace Organization: Maintain a neat, orderly, and efficient work station. Educational and Experience Requirements Minimum Education: High school diploma or equivalent. Experience: 1-3 years of experience in insurance billing is preferred. Insurance Knowledge: Familiarity with various insurance payers is preferred. Technical Skills: Proficiency in PC-based applications with the ability to type 30-40 words per minute. Communication Skills: Strong written and verbal communication skills. Organization and Time Management: Ability to prioritize tasks effectively in a busy environment. Professionalism: Capable of presenting oneself in a courteous and professional manner at all times. Self-Motivation: Ability to stay focused and productive with little or no supervision. Working Conditions Environment: Call center setting. Physical Requirements: Must be able to sit for extended periods of time.

Position: HR Business Partner Overview: DevRev is seeking a dynamic and experienced HR Business Partner to join our People Ops (HR) team. Based in one of our three offices in India, this role will serve as a trusted advisor, coach, and counselor to functional leaders and their teams globally. The ideal candidate will possess the ability to identify patterns, diagnose issues, and recommend both immediate and long-term solutions to foster a positive and inclusive work culture. Additionally, the candidate will bring technical expertise in at least one area of HR, such as talent management, total compensation, employee experience, or learning & development, to design and implement HR solutions that contribute to business success. This role requires a hands-on approach, with high business acumen, emotional intelligence (EQ), and exceptional communication skills being key to success. The HR Business Partner will actively engage with leaders to support the growth and development of teams and individuals while driving organizational goals. Key Responsibilities: Partner with functional leaders and teams globally to provide guidance, coaching, and counseling on HR-related matters. Analyze organizational trends, diagnose issues, and develop solutions that foster a positive, inclusive, and high-performing work culture. Provide expertise in at least one HR functional area (talent management, compensation, employee experience, learning & development) to design and implement HR solutions aligned with business objectives. Act as a strategic partner to senior executives, offering advice and support in talent management, leadership development, and organizational effectiveness. Support the development and implementation of HR initiatives that enhance employee engagement, retention, and performance. Serve as a trusted advisor to managers, offering coaching on leadership, team dynamics, and performance management. Build strong, trusted relationships across all levels of the organization, including remote teams, and provide tailored support to meet business needs. Stay informed on global labor laws, HR best practices, and industry trends to ensure compliance and alignment with organizational goals. Leverage data to provide insights and make informed decisions, while working collaboratively in a fast-paced, dynamic environment. Qualifications: Bachelor s degree in Human Resources, Business Administration, or a related field. 8+ years of progressive experience as an HR Business Partner, ideally in the technology industry. Strong knowledge of the dynamics of a sales organization, including incentive structures, performance metrics, and results-oriented cultures. Exceptional communication and interpersonal skills, with a high degree of emotional intelligence (EQ). Proven experience in HR business partnering, supporting global executives and senior leaders. Ability to build and maintain trusted working relationships and networks at all organizational levels, including remote teams. Strong knowledge of global labor laws and HR best practices. Data-driven with the ability to work independently and collaboratively in a fast-paced, evolving environment. Culture: At DevRev, our culture is built on the values of hunger, humility, honesty, and acting with heart. We are on a mission to help build the world s most customer-centric companies, using design, data engineering, and machine intelligence to empower engineers to deeply connect with and embrace their customers. Qualification : Bachelors degree in Human Resources, Business Administration, or a related field.

About ICON: ICON is the world s largest and most comprehensive clinical research organization, powered by healthcare intelligence. We are at the forefront of transforming healthcare by providing global clinical research solutions that help our clients develop groundbreaking treatments. With a commitment to excellence and innovation, we offer a dynamic and inclusive environment where every team member contributes to life-changing solutions. Role Purpose: As a Senior Clinical Data Coordinator (CDC), you will play a key role in ensuring the accurate, complete, and consistent generation of clinical databases. You will support various clinical data management activities to meet project-specific timelines, while adhering to Good Clinical Practices (GCP), ICON Standard Operating Procedures (SOPs), and relevant regulations. This role is ideal for professionals with experience in clinical data management, strong problem-solving skills, and a passion for ensuring high-quality data in clinical trials. Key Responsibilities: Data Management Activities: Perform core data management tasks, including data cleaning, query management, and external data reconciliations. Handle SAE (Serious Adverse Event) reconciliations and support study conduct and closeout activities. Download and import data into multiple systems, supporting data transfer processes and systems. Study Setup & Support: Assist in study set-up in the ADDS (Automated Data Download System). Work with data managers to handle questions, troubleshoot issues, and resolve data-related concerns. Technical & Compliance Support: Ensure compliance with GCP, SOPs, ICH guidelines, and applicable regulations. Support the specifications for conformance checks, data transfer agreements, and systems used for downloading/importing data. Collaboration & Communication: Maintain day-to-day contact with data managers and cross-functional teams. Communicate effectively across global teams and external stakeholders. Qualifications & Skills: Educational Background: University or college degree in Life Sciences, Computer Science, Pharmacy, Nursing, or a relevant equivalent degree. Experience: Minimum 4-6 years of experience in core Data Management (DM) activities within clinical trials. Hands-on experience with Query Management, Data Cleaning, External Data Reconciliations, SAE Reconciliations, Conduct Activities, and Closeout Activities. Strong experience with Electronic Data Capture (EDC) systems, Veeva EDC preferred. Technical Skills: Knowledge of end-to-end clinical trial data transfer processes. Proficiency in clinical data management systems and processes. Personal Skills: Excellent problem-solving skills and ability to work under pressure. Strong interpersonal skills and the ability to communicate effectively in a global, diverse environment. Excellent written and verbal communication skills. What ICON Can Offer You: ICON values its people, offering a competitive salary and benefits designed to enhance well-being and work-life balance. Some of the benefits include: Annual Leave Entitlements A range of health insurance offerings for you and your family Retirement Planning offerings for financial security Global Employee Assistance Programme (TELUS Health) offering 24/7 support Life Assurance Flexible country-specific optional benefits like childcare vouchers, gym memberships, subsidised travel passes, and more. Why Join ICON? ICON offers a dynamic environment where you will be part of a diverse team contributing to cutting-edge healthcare solutions. Join us and be part of a culture that rewards high performance and nurtures talent, with ample opportunities for growth and development in the clinical research field. If you have the relevant experience and are passionate about contributing to global clinical research, apply now and help us make a lasting impact on healthcare. Qualification : University or college degree in Life Sciences, Computer Science, Pharmacy, Nursing, or a relevant equivalent degree.

Job Title: Group Coordinator Operations Experience Required: 7 15 Years Job Category: Billing Operations Location: Chennai Eligibility: Graduates from any stream About the Role: We are looking for a dynamic and experienced Group Coordinator Operations to join our Billing Operations team. The ideal candidate will have strong expertise in Accounts Receivable (AR) Analysis, experience in team coordination, and the ability to independently handle operational responsibilities. This role demands excellent communication, reporting skills, and a strong understanding of medical billing operations. Key Responsibilities: Perform hands-on AR analysis with accuracy and efficiency. Demonstrate working knowledge of charge entry and payment posting processes. Generate, analyze, and present operational reports for internal and client review. Communicate professionally with clients via email regarding queries and updates. Lead and support a team by fostering collaboration and ensuring daily task completion. Provide guidance and oversight to junior team members, ensuring adherence to quality and performance standards. Manage daily operations independently while contributing as a collaborative team member. Required Skills: Minimum 5 years of experience in AR Analysis. At least 6 months of team handling experience. Excellent oral and written communication skills. Strong interpersonal and team management capabilities. Proficient in MS Office (Excel, Word, PowerPoint). Fast and accurate typing skills. Strong computer literacy and system navigation skills. Job Essentials: In-depth knowledge and hands-on experience in AR Analysis. Working knowledge of charge entry and payment processes. Ability to manage and lead a team while handling day-to-day operations. Strong client communication skills, especially via email. Skilled in report generation and presentation. Qualification : Graduates from any stream

Job Title: Manager / Senior Manager Operations Experience Required: 7 15 Years Job Category: Billing Operations Location: Chennai Eligibility: Graduates from any stream Work Mode: Work from Office Job Summary: We are seeking an experienced and strategic Manager / Senior Manager Operations to lead and oversee our end-to-end Revenue Cycle Management (RCM) operations. This role requires deep domain expertise in medical billing, strong leadership, and the ability to manage teams, clients, and data-driven decision-making effectively. Key Responsibilities: Lead and manage end-to-end RCM processes including Charge Entry, Payment Posting, and AR Management. Oversee daily operations and ensure quality, productivity, and process compliance. Manage and mentor teams; provide guidance, support, and performance feedback. Build strong relationships with clients through effective communication via email and calls. Drive data-driven decision-making through data analysis, report generation, and delivering presentations to management. Contribute to operational planning including transition management and FTE forecasting. Collaborate cross-functionally to improve process efficiency and resolve escalations. Maintain a high standard of professionalism, confidentiality, and integrity. Required Skills & Qualifications: Minimum 12 years of experience in end-to-end RCM operations. At least 3 to 5 years of experience in managing and leading teams. Strong oral and written communication skills. Excellent interpersonal skills and ability to work collaboratively or independently. Proficient in MS Office, especially Excel and PowerPoint. Demonstrated experience in client handling, data reporting, and process transitions. Job Essentials: Hands-on experience with Charge Entry, Payment Posting, and AR functions. Experience in handling client communications and escalations. Expertise in data analytics, reporting, and presenting business insights. Proven track record in transition planning and workforce (FTE) management. Qualification : Graduates from any stream