Medical Claims Payment Specialist Jobs in Chennai

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

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

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.

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

Ecommerce Executive / Specialist Department: Ecommerce Location: Chennai Type: Full-time Overview We are seeking a results-driven Ecommerce Executive/Specialist to manage Zebronics online category portfolio across multiple marketplaces. The role focuses on driving sales growth, improving product visibility, executing campaigns, and ensuring operational efficiency across platforms such as Amazon, Flipkart, and other e-commerce channels. The ideal candidate combines analytical skills with strong operational execution to manage multiple SKUs and categories effectively. Key Responsibilities Manage Zebronics category portfolio across e-commerce platforms, ensuring high product visibility and sales performance. Develop and execute platform-specific sales strategies to drive conversions, traffic, and category growth. Coordinate with platform category managers to plan and execute promotions, deals, and campaigns aligned with business goals. Maintain product data accuracy across platforms, updating specifications, images, and new product launches. Monitor and improve content scorecards as per platform guidelines to enhance product visibility and rankings. Plan and implement pricing strategies, discounts, and seasonal campaigns to maximize sales and profitability. Track category-level P&L, analyze spend versus ROI, and ensure profitability while achieving sales targets. Collaborate with finance teams to reconcile claims, commissions, and promotional spends with marketplaces. Analyze sales data, traffic, conversion rates, and platform metrics to identify trends, opportunities, and areas for improvement. Prepare and present weekly/monthly performance reports with insights on sales, growth, and competitive benchmarking. Recommend strategic adjustments to improve revenue and operational efficiency. Work closely with marketing, inventory, finance, and logistics teams to ensure smooth campaign execution and stock management. Liaise with marketplace representatives to resolve operational issues and ensure compliance with platform SLAs and policies. Required Skills & Competencies Strong knowledge of category management, product listing, and e-commerce operations across multiple platforms. Proven experience managing multiple SKUs and ensuring operational efficiency in a fast-paced e-commerce environment. Proficiency in MS Excel (Pivot Tables, VLOOKUP, Data Analysis) for reporting and performance tracking. Strong communication and stakeholder management skills. Ability to multitask, prioritize, and manage multiple projects simultaneously. Analytical mindset with a deep understanding of online consumer behavior and sales funnel optimization.

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

Junior Accountant Location: Chennai Organization: Zifo Job Description As a Junior Accountant, you will manage Accounts Payable processes, handle vendor payments, perform data entry in AP systems/Tally, and ensure compliance with TDS and other statutory requirements. This role is ideal for freshers eager to build a strong foundation in accounting within a global R&D services company. Key Responsibilities Manage and process all vendor bills and supplier invoices related to Accounts Payable Review and approve employee claims Issue, monitor, and manage purchase orders (POs) Update exchange rates in invoicing systems Assist in monthly book closures and account reviews Support statutory compliance activities including TDS, EPF, and GST filings Coordinate with auditors, banks, and external stakeholders for documentation Prepare MIS reports on open purchase orders and accounts payable Required Skills Good written and verbal communication skills Ability to work effectively in a team environment Working knowledge of Tally accounting software Basic Microsoft Excel skills including formulas (IF, SUMIF, VLOOKUP), pivot tables, and charts Solid understanding of accounting standards (cash/accrual basis) Education and Experience Bachelor s or Master s degree in Commerce (B.Com / M.Com) Freshers are welcome to apply Must be based in Chennai; this is a 100% on-site role About Zifo Zifo is a global R&D solutions provider serving the Pharma, Biotech, Manufacturing, Medical Devices, Specialty Chemicals, Oil & Gas, and other research-based sectors. Our expertise enables us to partner with leading biopharma companies worldwide. At Zifo, curiosity, science, and teamwork drive our culture. We value every individual s contribution and foster an environment where learning and collaboration thrive. Benefits Competitive compensation Earned leaves, paternity/maternity leaves Gratuity and health insurance covering spouse and children Equal opportunity employer committed to diversity and inclusion Kickstart your finance career with Zifo. Apply now and be part of a dynamic global team! Qualification : Bachelors or Masters degree in Commerce (B.Com / M.Com)

Introduction The Finance & Admin Business Analyst is essential to the ongoing profitable operations for one of the most globally recognized and respected companies in the world. By overseeing our financial activities, you will enable IBM to continue to bring to market ground-breaking innovations such as Artificial Intelligence, Cognitive Solutions, Cloud Infrastructure, and Blockchain technologies, to name a few. Your Role and Responsibilities As Delivery Practitioner, you are responsible for transaction processing in Accounts Payable and Accounts Receivable. If you thrive in a dynamic, collaborative workplace, IBM provides an environment where you will be challenged and inspired every single day. And if you relish the freedom to bring creative, thoughtful solutions to the table, there s no limit to what you can accomplish here. Responsibilities Co-ordinate all accounting activities associated with the General Ledger particularly fixed assets, inter-company, inventory, cash and bank, indirect tax and accruals. Identify risks or opportunities to revenues, cost and profitability and propose appropriate actions. Ensure client Service Level Agreements (SLA) and timelines are met. Required Technical and Professional Expertise Minimum 0-1 year work experience in Finance and Accounting Ability to manage order fulfilment, Collecting and applying Cash payments Experience to identify duplicate records in the Vendor Invoice receipt, verify and process the invoice accurately and in timely manner Knowledge to match Invoices and identify errors and resolve exceptions, prioritize invoices and reduce aging of invoice Be part of a team that are Compliant to SOX e.g. documents to be posted after due Approval Experience in handling manual and automatic payment requests along with verification and payment run proposal Solid understanding of Process Travel and Expense (T/E) claims and payments, duplicate payment resolution, recovery and vendor statement reconciliations Ability to handle queries through calls and Email follow-ups Working knowledge of basic accounting and various accounting principles. Ability to detect duplicate and or error records and take appropriate actions Proficient in expense management Preferred Technical and Professional Expertise Proficient in Microsoft Office applications and familiar with Accounting terminologies Experience in handling queries via calls and emails is highly desired Comprehend and process data, handle order fulfilment, collect and apply cash payments Follows procedures, comfortable in adapting to transformation within business unit You love collaborative environments that use agile methodologies to encourage creative design thinking and find innovative ways to develop with cutting edge marketing trends Ambitious individual who can work under their own direction towards agreed targets/goals. Ability to manage change and be open to it good time management and an ability to work under stress Proven interpersonal skills while contributing to team effort by accomplishing related results as needed Maintain technical knowledge by attending educational workshops, reviewing publications We wish you great success in your career and encourage you to bring your best self to work with IBM. Qualification : Minimum 0-1 year work experience in Finance and Accounting

Reconciliation Specialist Location: Chennai Experience: 2 5 years Employment Type: Full-Time Job Summary We are seeking a detail-oriented Reconciliation Specialist to manage and execute accurate financial reconciliations. The ideal candidate will have a strong background in account reconciliation, excellent problem-solving skills, and hands-on experience with tools like Excel and Tally. Key Responsibilities Perform detailed reconciliations of customer accounts, bank statements, and payment processor reports. Identify and resolve discrepancies in a timely and accurate manner. Collaborate with cross-functional teams (e.g., Accounting, Operations) to investigate and resolve inconsistencies. Analyze reconciliation data to spot trends, anomalies, and potential risks. Maintain comprehensive documentation for all reconciliation processes and activities. Support continuous improvement of internal controls, policies, and reconciliation workflows. Utilize Excel and Tally for automating reconciliation tasks, generating reports, and improving overall efficiency. Requirements 2 5 years of experience in reconciliation, accounting, or finance roles. Strong understanding of reconciliation principles and financial accuracy. Proficiency in Microsoft Excel (VLOOKUP, Pivot Tables, etc.) and Tally. Excellent analytical and problem-solving skills. Attention to detail with strong organizational and documentation abilities. Ability to work independently as well as collaboratively across teams. If you are meticulous, process-driven, and thrive in a high-accuracy financial environment, we d love to hear from you!

IPDRG Coder Location: Chennai Experience: Minimum 1 Year Department: Medical Coding Job Summary We are looking for an experienced Inpatient DRG Coder with strong expertise in ICD-10-CM and ICD-10-PCS coding to accurately assign MS-DRGs or APR-DRGs for hospital inpatient services. The ideal candidate will ensure compliance with coding guidelines and work closely with clinical teams to ensure thorough documentation. Key Responsibilities Review inpatient medical records and accurately assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes. Determine appropriate MS-DRG or APR-DRG assignment based on coding rules and grouping logic. Maintain strict adherence to coding compliance standards, including CMS, AHA Coding Clinic, and hospital policies. Collaborate with physicians to clarify or query insufficient or ambiguous documentation. Achieve or exceed accuracy and productivity targets as defined by management. Stay current with updates to DRG classifications and regulatory changes impacting inpatient coding. Qualifications Certified Coding Specialist (CCS) or equivalent certification is required. Minimum of 1 year of experience in Inpatient DRG (IPDRG) coding.

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: 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: 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

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.

Job Title: Specialist Banking Operations (Disputes & Chargebacks) Location: Chennai Employment Type: Full-time About Zeta: Zeta is a next-gen banking technology company redefining how banks and fintechs build and launch modern financial products. Founded in 2015 by Bhavin Turakhia and Ramki Gaddipati, Zeta offers the industry s first fully cloud-native, API-driven banking stack Zeta Tachyon supporting issuance, processing, core banking, lending, fraud & risk, and more, all from a single vendor platform. With over 15 million cards issued globally, Zeta is transforming customer experiences for leading banks and fintechs across global markets. Zeta Tachyon enables: Digital-first cardholder experiences Native embeddable banking support Hyper-personalized card programs Rapid product configuration and launch Real-time innovation via APIs and event streams Next-gen back-office and compliance capabilities Zeta has a global team of 1700+ employees, 70% of whom are in R&D. In 2021, Zeta raised $280 million at a $1.5 billion valuation, backed by SoftBank, Mastercard, and other top investors. About the Role: We re hiring a Cards Dispute & Chargeback Specialist to join our Banking Operations team. In this role, you will manage end-to-end dispute and chargeback operations for debit, credit, and prepaid card transactions. The ideal candidate will have hands-on experience with card network regulations (Visa, Mastercard, RuPay, UPI), strong analytical skills, and the ability to work effectively with cross-functional teams and external partners. Key Responsibilities: Manage the entire dispute lifecycle for debit, credit, and prepaid card transactions. Investigate dispute scenarios such as: Fraudulent transactions Merchandise not received Service not rendered Duplicate billing Other eligible chargeback cases Assess dispute validity per card network regulations (Visa, Mastercard, RuPay, UPI). Execute chargeback processes: representments, pre-arbitrations, compliance cases, etc. Prepare and submit supporting documentation in line with scheme-defined timelines. Collaborate with issuers, acquirers, merchants, customers, and internal teams for case resolution. Stay up-to-date on regulatory guidelines (RBI, PCI DSS) and scheme rules. Track and report key operational metrics: Dispute volumes Aging reports Recovery rates Win/loss ratios SLA adherence Communicate professionally with customers regarding dispute status and outcomes. Support internal/external audits, regulatory reporting, and compliance assessments. Identify areas for process automation and continuous improvement to boost operational efficiency. Required Skills & Competencies: Familiarity with fraud detection tools, dispute management systems, and transaction monitoring platforms. Strong understanding of RBI regulations, PCI DSS, and other financial compliance frameworks. Exposure to process improvement methodologies (e.g., Lean Six Sigma, RPA). Excellent analytical, investigative, and problem-solving skills. Effective communication and stakeholder management skills. High attention to detail with the ability to manage sensitive cases discreetly. Ability to work independently while maintaining team alignment and compliance standards. Qualifications & Experience: Bachelor s degree in Finance, Business Administration, or a related field. 3 5 years of experience in banking operations, fintech, or card processing environments. Minimum 2 years of experience specifically handling disputes and chargebacks. Equal Opportunity: Zeta is proud to be an equal opportunity employer. We are committed to fostering an inclusive workplace that celebrates diverse backgrounds, cultures, and perspectives. We welcome applications from all individuals and believe that diversity drives innovation and success. Qualification : Bachelors degree in Finance, Business Administration, or a related field

Position: Senior Java/AWS Engineer Work Type: Onsite Location: Chennai, Tamil Nadu, India About Fiserv: Calling all innovators find your future at Fiserv. We are a global leader in Fintech and payments, moving money and information in ways that move the world. We connect financial institutions, corporations, merchants, and consumers millions of times a day quickly, reliably, and securely. Every time you swipe a credit card, pay via a mobile app, or withdraw money, Fiserv is involved. If you want to make an impact on a global scale, come make a difference with us. About Your Role: As a Senior Java/AWS Engineer (Application Development Sr Professional II), you will join a dynamic team creating solutions that make financial transactions seamless and secure. You ll design, develop, and maintain applications aligned with client needs, leveraging the latest technologies. What You ll Do: Lead design, development, and implementation of software applications to support Fiserv s business objectives. Collaborate with cross-functional teams to gather requirements and translate them into technical specifications. Code, test, and debug applications to ensure optimal performance and reliability. Mentor and provide technical guidance to junior developers. Participate in continuous improvement and Agile development processes. Responsibilities may evolve as needed to meet business demands. Experience You ll Need: 4+ years in application development. 2+ years experience in Java, C, C#, C++, or similar programming languages. 2+ years working with SQL databases. 2+ years with cloud services like AWS, Azure, or GCP. 2+ years of experience with CI/CD pipelines and DevOps practices. 2+ years experience working in Agile methodologies. Equivalent combination of education and related experience considered. Experience That Would Be Great to Have: Extensive Java programming and object-oriented design experience (+8 years). Expertise in Spring Boot, Spring JDBC, and Spring ecosystem. Experience in microservices and batch application development. Strong understanding of AWS cloud services, Docker, and Infrastructure as Code (Terraform). Proficient with Git and CI/CD pipelines (especially GitLab pipelines). Solid grasp of software development principles and best practices. Bachelor s or Master s degree in Computer Science or related field (or equivalent practical experience). Excellent communication, collaboration, leadership, problem-solving, debugging, and troubleshooting skills. Experience migrating COBOL mainframe batch applications to AWS (nice to have). Past mainframe background helpful but not required. Qualification : Bachelors or Masters degree in Computer Science or related field (or equivalent practical experience).

Job Overview As a Senior Process Analyst Order to Cash (O2C) at IBM Consulting, you will be responsible for managing accounts receivable processes such as posting and balancing daily cash applications, preparing journal entries, filing records, and performing general account reconciliations. This role offers the opportunity to work in a collaborative and dynamic environment, driving digital transformation using agile methodologies and AI-powered workflows. You'll work closely with clients across industries to enhance their hybrid cloud and AI journey. Key Responsibilities Receivables Management: Process and analyze accounts receivable, investigate entries, and handle audit preparation work. Cash Applications: Manage and balance daily cash applications, ensure proper allocation, and investigate unapplied payments. Direct Debit Operations: Handle Direct Debit runs, process rejections, and update Oracle systems as needed. Customer Interactions: Provide information regarding customer payments, refunds, and other accounts receivable questions. Adhere to SLAs: Ensure that all tasks are completed within the client-defined Service Level Agreements (SLAs) and timelines. Reporting & Analysis: Utilize reports to analyze account information, monitor customer account statuses, and improve cash application automation. Minimum Qualifications Education: Bachelor's Degree in Commerce, Accounting, or a related field. Experience: 3-6 years of experience in Order to Cash (O2C), with a solid understanding of accounting principles and accounts receivable processes. Hands-on experience in increasing cash application automation and reducing complexities across accounts. Proven experience in monitoring customer account statuses and cash application performance. Experience in collaborating with customers, sales teams, and finance functions to improve processes. Preferred Qualifications Education: Master's Degree in a relevant field. Experience: Proficiency in ERP Software: Experience using ERP systems (e.g., Oracle, SAP) as an end-user. Strong proficiency in MS Office applications for reporting and analysis. Ability to work under tight timelines and participate in change management initiatives. A team player who engages in team meetings and contributes to achieving business goals. Actively seeks opportunities for personal growth through educational workshops and publications. Why IBM Consulting? IBM Consulting offers a collaborative and innovative environment where curiosity and constant learning are encouraged. As a Senior Process Analyst, you will have the opportunity to work with leading visionaries in the industry, leveraging IBM's extensive technology platforms and strategic partner ecosystem. You will contribute to the hybrid cloud and AI transformation for top global companies and work on impactful, cutting-edge projects that accelerate meaningful change. Skills & Experience Technical Skills: Expertise in accounting and Order to Cash (O2C) processes. Strong problem-solving and analytical skills, with experience in automation and cash application processes. Ability to navigate ERP systems (Oracle, SAP) and MS Office tools for reporting. Communication & Collaboration: Excellent communication skills for interacting with clients and cross-functional teams. Experience working under pressure to meet business objectives and deadlines. This Role Offers The chance to work in a client-facing role that directly impacts digital transformation. The opportunity to drive process improvement and automation in the Order to Cash cycle. A supportive mentorship environment that encourages continuous learning and personal growth.

Introduction to role The Assistant Manager Meeting Registration Capability will be part of the Operations Team in AstraZeneca s Global Meetings and Events Team. You will be responsible for the registration process in the Cvent system, acting as the owner for the Registration Website process & capability. You will drive the strategy, serve as the linchpin between the Web team, GME service team, Solutions team & Meeting Management Company partners, and be the technical expert, line manager, and trainer for the WEB development team. Reporting to the GME Operations Manager and with a dotted line to the Senior Manager Technology & Process, you will be the go-to person for any technical challenges. Accountabilities Be the expert and driver for the Registration Website space, maintaining strong advisory relationships with GME LT, Service team, and MMC partners. Operationalize strategic plans with timely execution of deliverables. Project manage and coordinate Web team resources assigned to support GME. Maintain project plans, including all required activities, tasks, risks, issues, and resource requirements. Identify and report on potential barriers to progression and present solutions. Act as the expert for the Registration Website process regarding technology solutions, features, and functionality. Present solutions to fulfill GME s business requirements by acting as an internal expert and trusted advisor. Coordinate ongoing learning cycles for the web dev team ensuring they are on top of Cvent's newest features. Document roles & responsibilities in line with Cvent permissions for all parties involved. Cultivate ongoing learning and shared best practices within the team. Manage the assignment of web builders to projects. Ensure Web team performance SLA s & KPI s are measured & reported regularly. Set up a knowledge assessment process. Monitor Cvent certifications for all parties involved. Ensure a robust QC process is in place & documented. Manage individual performance (quarterly reviews) and development. Measure quality of work supported by future CSAT results. Manage partners' business reviews, collaboration sessions, vendor-led sessions, and partners' summits around the web reg process. Align account configuration changes with Solution & take change requests to LT for validation. Manage communications around major configuration releases. Gather user feedback for all towers & provide bi-annual holistic reviews to LT. Recommend opportunities for improvement. Drive registration website activity governance & compliance. Proactively and independently solve problems when challenges present themselves. Act as GME Cvent s Reg Web expert by organizing demos and creating onboarding processes. Cultivate new business opportunities by asking questions and sharing findings with LT for validation. Update GME SOPs in line with process amendments. Create & own a user feedback process & provide visibility to LT. Essential Skills/Experience Cvent Event Management Certification required. Cvent Event Management Advanced Certification and Cvent System Administrator Certification preferred. Excels at establishing and maintaining relationships across cultures and at all levels of an organization, including executives. Excellent organizational & time management skills with the ability to manage multiple responsibilities while maintaining high-quality standards. Strong sense of accountability; resourcefulness in identifying a problem or process improvement and following through to implement. Demonstrated ability to effectively work in an ambiguous environment. Proven analytical skills with consistent high attention to detail; accuracy in spelling and grammar. Demonstrates initiative, personal excellence, and integrity. Understands the use of web-based applications and database concepts (for reporting purposes). Proficient with MS PowerPoint and Excel to deliver presentations and reporting packages. Broad knowledge of technology solutions and packaged/cloud-based applications. Previous experience working across a geographically diverse team. Strong technical acumen and learning curve. Excellent communication and interpersonal skills. Excellent spoken and written English language skills. Proactive approach to problem-solving. Able to grasp and understand new technology and concepts. Bachelor s degree or equivalent. Desirable Skills/Experience Experience working in Sales & Marketing Portfolio preferably in Life Sciences Industry. Experience in any product management, preferably in the Meetings & events space. Knowledge of Web Services & Service Oriented Architecture. Experience working in a shared service environment. Experience working with 3rd party providers. 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, you'll be part of a team of specialists that is essential to our growth. Here you'll be valued for your niche knowledge, trusted with personal accountability to live up to your full potential, and make a significant contribution. We embrace innovative technology and reimagine technical practices to make a bigger impact on patients' lives. Our global, diverse network allows us to work seamlessly together, leveraging our combined skills to find new solutions that accelerate our impact. The business is committed to investing in our growth and development, keeping us ahead of our peers. 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 pos...