17 melhores vagas de application developer para paraná (Contratando agora!)

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Operation Analyst / Senior Operation Analyst – DM & OCF

HealthRecon Connect -
Colombo, PR

Candidate-se Agora

Detalhes da vaga

Tempo integral
Há 5 horas

Qualificações

SFTP
Microsoft Office
Graduação
Inteligência artificial

Descrição completa da vaga

HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At HealthRecon Connect, day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel.

HealthRecon was certified a Great Workplace by Great Place to Work® Sri Lanka since 2018 and was adjudged one of the 40 Best Workplaces in Sri Lanka by Great Place to Work® Sri Lanka in 2021. We are also a participant of the United Nations Global Compact.

We are looking for Operations Analyst / Senior Operations Analyst – DM & OCF to join our team. Please review the criteria and other information listed below thoroughly prior to applying and pay specific attention to the work week, shift details and other features of the job.

Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short-listed for the first round of interviews will be contacted. Thank you for your understanding.

Job Vacancy:
Operations Analyst / Senior Operations Analyst – DM & OCF

Work Week:
Monday to Friday

Shift Window:
7:30 PM to 4:00 AM SLST (Night Shift)

Important: HealthRecon Connect currently operates under a hybrid work arrangement, with the number of remote workdays varying by team. However, depending on client deliverables and business needs, employees may be required to work on-site for all five weekdays.

By applying, you acknowledge and agree to be available for in-person work five days a week if required.

Other Features:
Full-time
US calendar applicable

Responsibilities:

Daily production carried out efficiently according to the daily production targets specified by management.
Generate denial reports, analyze and work based on priority levels.
Download/ verify correspondences from Box folder/ SFTP/ HER to fix denied claims.
Ensure daily allocated denials are fixed as expected and submit report to the management.
Ensure proper analysis being done before reaching out to other stakeholders and resolve internal gaps are identified eliminated.
Develop Denial and AR Root Cause analysis and share with management review
Ensure 30 plus paid rate is achieved as expected for the assigned client/s
Ensure QA reports are reviewed, fixed and responded back to the QA teams within 24 hours.
Ensure to responded back to all internal e-mails within the shift time
Enforce company regulatory standards to ensure the area of responsibility is in compliance with HIPPA and ISO standards.
Ensure to respond back to all internal e-mails within the shift time
Daily and Weekly assigned reports to be shared within the given timelines.
Ensure other functions are notified on identified denial trending to avoid repetitive denials and provide new instructions to update SOPs in a timely manner.
Ensure to update SOPs in a timely manner and according to the required level.
Conduct random QA on a percentage decided by the management.
Perform QA daily if allocated and ensure to share QA reports with the relevant personnel.
Denial fixes quality to be maintained at 98% accuracy or greater.
AR follow up to be maintained at 98% accuracy or greater.
Conduct training to newcomers on the job specific functions.

Qualifications/Criteria:

Bachelor’s degree in Finance, Healthcare, Business, or related field.
At least 2 years RCM experience with at least 1 year in DM & OCF Allergy specialty.
In-depth knowledge of IMS and AMD Systems.
Passion for solving problems.
Ability to work with MS Office package.
Good written and verbal communication skills.
Ability to work under pressure.
Tenacity.

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application developer vagas para: paraná

Operation Analyst / Senior Operation Analyst – DM & OCF

Site Reliability Engineer III, GWCP

Accounting Internship (F/M/X)

Tier 3 Enterprise Management (EM) Development

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Tier 3 Level EM OSD Support SRV

DDSB Program | Introducing 3500 Alliance

TechOps SAP Senior FICO Consultant (SAP AMS)

Senior Site Reliability Engineer

Site Reliability Engineer III, Guidewire Cloud Platform

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