3 Planning Appeals Jobs nearby Coimbatore

Description: Oversee the entire revenue cycle process, including patient registration, insurance eligibility & Benefits verification, charge capture, coding, billing, and payment collection/posting (Must have good hands-on Basic Claims Adjudication, AR & Denial Management/Appeals Process). Manage a team of accounts receivable and billing professionals, including hiring, training, and performance evaluations. Ensure that all coding and billing practices are compliant with government regulations and industry standards, including HIPAA and CMS guidelines. Monitor and analyse revenue cycle metrics to identify areas of improvement and implement process improvements to optimise revenue cycle performance. Work with internal and external stakeholders, including healthcare providers, insurance companies, and patients, to resolve billing and payment-related issues. Stay up to date with changes in healthcare regulations, industry standards, and technology to ensure the organisation's revenue cycle processes remain efficient and effective. Monitor key performance indicators and adjust processes as needed to meet goals. Conduct regular training and education sessions to keep staff up to date on changes in regulations and best practices. Perform end-to-end business diagnostic analysis to dissect to identify potential risks, gaps, and areas of improvement. Have a strong hold on managing internal & or external stakeholders to meet the business objectives/goals. Looking after capacity planning, staffing forecast and administration of the operations floor. Qualifications: Degree in any related field.12+ years of experience in Revenue Cycle Management in the US healthcare industry Key skills: 12+ years experience overseeing the end-to-end Revenue Cycle Management (US Healthcare). Good experience in Hospital Billing Mandatory. Should have strong domain knowledge with the ability to handle a team size of up to 50+ people across multiple functions like Eligibility Verification, Prior Authorisation, AR, Denial Management, Billing and preferably payment posting. Excellent written and verbal communication skills, with demonstrated ability to communicate effectively with executive leadership and all levels of the organisation. Proficient in MS Office applications, especially in MS Excel. Should have exposure to the complete medical billing cycle understanding each process. Should be a team player and collaborate in solving any issues that might arise in day-to-day transactions. Should have a very good knowledge & Control on Production/Quality & Attrition Management

As a skilled NextJS Developer at TeachEdison, you will be part of a dynamic team in Coimbatore, dedicated to educational technology innovation. Your main responsibility will be to work on creating and enhancing EdisonOS, a cutting-edge operating system for knowledge commerce, using the latest technologies. **Key Responsibilities:** - Develop and maintain features for EdisonOS using Next.js and React.js, following industry best practices. - Collaborate with cross-functional teams to design and implement solutions meeting business requirements. - Utilize TypeScript to ensure code quality, reduce errors, and enhance application efficiency. - Contribute to the design and implementation of REST APIs for seamless integration between client-side and server-side applications. - Implement and maintain UI/UX designs to improve the visual appeal and user experience of web interfaces. - Participate in Agile development processes, contribute to iteration planning, and enhance workflows. - Conduct code reviews and testing to ensure application performance, scalability, and security. - Provide technical guidance and mentorship to peers to support continuous learning and development. **Qualifications and Skills:** - Proficiency in Next.js for server-side rendering and building scalable applications. - Expertise in React.js to develop rich user interfaces with a component-based architecture. - Solid understanding of TypeScript for creating robust and type-safe applications with high coding standards. - Experience with supabase for enhanced database capabilities and efficient integration with back-end services. - Knowledge of Agile Methodologies for effective collaboration and timely delivery. - Basic understanding of UI/UX Design principles to contribute to intuitive user interface design. - Familiarity with REST APIs for integrating front-end elements with server-side infrastructure. TeachEdison is an Education Technology Company based in Bangalore, focusing on high-performance software solutions for educators. With a team of 11-50 professionals, we are committed to transforming education through technology. Learn more about us at www.teachedison.com.,

As a Visual Merchandiser in Coimbatore, your role will involve developing and implementing visual merchandising strategies for retail spaces based on brand guidelines and seasonal trends. You will be responsible for planning store layouts, window displays, and product placements to maximize visual impact and customer engagement. Additionally, you will work closely with the marketing team to align visuals with promotional campaigns and product launches. Key Responsibilities: - Ensure all visual merchandising displays are well-maintained, clean, and regularly updated. - Train in-store staff on visual merchandising principles and standards. - Analyze sales trends to evaluate the effectiveness of visual displays and adjust strategies accordingly. - Source display materials and coordinate with vendors for fixtures, signage, and props. - Conduct regular store visits and audits to ensure consistency in presentation across locations. - Stay updated on industry trends, competitor activities, and customer behavior to enhance visual appeal. Qualifications Required: - Prior experience in visual merchandising or related field. - Strong understanding of design principles and retail aesthetics. - Excellent communication and interpersonal skills. - Ability to work collaboratively with cross-functional teams. - Proven track record of driving sales through effective visual merchandising strategies. If you are passionate about creating visually appealing retail spaces and have the relevant experience, we encourage you to apply for this exciting opportunity.,

Job Description Job Title: Lead - Business Analyst US Healthcare (RCM AR & Workflow Tools) Location: Bangalore, Chennai or Hyderabad Experience: 8 to 12 years  Job Summary: We are looking for a highly analytical and result-oriented Lead Business Analyst with deep expertise in US Healthcare Revenue Cycle Management (RCM) especially Accounts Receivable (AR). The ideal candidate will play a pivotal role in driving requirement analysis, workflow optimization, sprint planning, and stakeholder engagement. Experience with workflow tools and agile ceremonies is essential. Key Responsibilities: Analyze and document end-to-end AR workflows and identify improvement opportunities Gather, validate, and translate business requirements into clear, actionable user stories and functional specs Facilitate and participate in sprint planning, backlog grooming, daily stand-ups, and sprint retrospectives Collaborate closely with Operations team to align business goals with delivery timelines Drive and coordinate User Acceptance Testing (UAT), including test case preparation and defect tracking Create reports, dashboards, and KPIs to support product process usage monitoring Build strong relationships with internal/external stakeholders and communicate insights and recommendations clearly Ensure compliance with HIPAA and all relevant data protection standards Required Skills & Experience: 48 years of hands-on experience in US healthcare RCM, with strong focus on AR (denials, appeals, cash posting, and collections) Proven track record with workflow automation tools Strong Agile experience, including sprint planning, backlog management, and delivery tracking Experience coordinating with PMG and supporting UAT lifecycle Exceptional communication and stakeholder management skills Highly analytical, outcome-focused, and capable of translating business challenges into solutions Preferred Qualifications: Knowledge of healthcare EDI formats (835/837), clearinghouses, or EHR systems like Epic/Cerner  

Role Overview: As a Senior QA Engineer with 6 to 10 years of experience in manual and automation testing within the Healthcare domain, you will be responsible for ensuring the quality, reliability, and compliance of healthcare applications. Your expertise in Appeals and Grievance Management and knowledge of healthcare compliance standards like HIPAA and CMS regulations will be essential in executing robust testing strategies. Key Responsibilities: - Lead and execute manual and automated testing efforts across healthcare applications. - Design and maintain automation frameworks using tools such as Selenium, Cypress, or Playwright. - Validate business workflows related to Appeals and Grievance Management to ensure regulatory compliance. - Collaborate with cross-functional teams to understand business requirements and translate them into test plans and test cases. - Perform functional regression, integration, API, and data validation testing. - Conduct root cause analysis and ensure timely defect resolution. - Participate in Agile ceremonies, contribute to sprint planning, and retrospectives. - Mentor junior QA engineers and promote best practices in testing and quality assurance. - Support UAT and production release validation. Qualifications Required: - Bachelor's degree in Computer Science, Information Technology, or a related field. - 6 to 10 years of QA experience with a strong mix of manual and automation testing. - Deep understanding of Healthcare domain workflows, especially Appeals and Grievance Management. - Experience with automation tools like Selenium WebDriver, TestNG, Cypress, and Postman. - Strong knowledge of API testing, REST, SOAP, and data validation using SQL. - Familiarity with healthcare compliance standards such as HIPAA and CMS. - Experience with defect tracking and test management tools like JIRA and Azure DevOps. - Excellent communication, analytical, and problem-solving skills. Additional Company Details (if available): N/A,

As a Quality Control Manager at a women's innerwear garment manufacturing company, your role is crucial in ensuring that the products meet the highest standards of quality, safety, and customer satisfaction. You will be responsible for overseeing every aspect of the production process, from raw material sourcing to the final inspection of finished products. **Roles and Responsibilities:** - **Quality Planning and Strategy** - Develop and implement quality standards and procedures, creating and maintaining quality management systems, policies, and protocols that align with industry standards and customer expectations. - Define quality objectives by setting clear and measurable quality goals for production teams, ensuring alignment with the company's overall goals. - Establish quality benchmarks for product quality, including fit, fabric quality, stitching, durability, and color fastness. - **Raw Material and Supplier Quality Management** - Evaluate and select suppliers based on their ability to deliver high-quality raw materials, including fabrics, elastics, and trims. - Conduct regular supplier audits to ensure compliance with quality standards. - Ensure that raw materials such as fabric, elastics, and other trims meet the required specifications for durability, comfort, and aesthetic appeal. - **Production Process Quality Control** - Monitor production lines from cutting to stitching to ensure each stage meets quality specifications. - Inspect and approve pre-production samples to ensure they meet quality standards before mass production. - Conduct in-process inspections to ensure workers adhere to quality guidelines and control defects early in the production cycle. - **Product Testing and Compliance** - Oversee the testing of garments for fit, durability, color fastness, shrinkage, and comfort to ensure compliance with industry regulations and customer standards. - Ensure products meet relevant local and international regulations and conduct performance testing on elasticity and stretch recovery. - **Quality Assurance and Improvement** - Implement corrective and preventive actions to resolve quality issues and prevent their recurrence. - Track defects and returns, analyzing root causes and recommending process improvements. - Continuously assess and improve manufacturing processes through quality improvement methodologies. - **Documentation and Reporting** - Maintain quality records and provide regular updates on quality standards, defects, returns, and corrective actions to senior management. - Document quality audits, internal audits, supplier audits, and inspections for transparency and accountability. - **Customer Satisfaction and Feedback Management** - Address and resolve quality-related customer complaints and collect feedback to inform design or production changes. - Ensure the company meets any quality certifications required by customers and manage customer satisfaction effectively. - **Team Leadership and Collaboration** - Lead and supervise quality control inspectors, technicians, and other team members to ensure effective implementation of quality standards. - Work closely with design, production, and logistics teams to integrate quality management into all stages of garment manufacturing. - **Technology and Equipment Management** - Ensure effective use of quality control tools and technology and regular calibration and maintenance of testing and production equipment. - **Sustainability and Ethical Standards** - Implement and monitor sustainable and ethical practices, especially concerning eco-friendly fabrics, responsible sourcing, and fair labor practices. In addition to the detailed responsibilities mentioned above, the company, Evora Retail Pvt Ltd, emphasizes sustainability, ethical standards, fair labor practices, and customer satisfaction. As the Quality Control Manager, you will play a vital role in maintaining these values and contributing to the company's success. If you are excited about leading a team towards ensuring top-quality products in the women's innerwear manufacturing industry, this opportunity at Evora Retail Pvt Ltd in Dindigul, Tamilnadu, is for you. Please note the contact details for further communication: - Contact No: +91 7418300783 - Email: accounts2@evoraretail.in Thank you for considering this role at Evora Retail Pvt Ltd. Best Regards, Elango.M Manager (Accounts, HR, Onboarding),

As an Infrastructure Development Manager, you will play a crucial role in leading the upgrade and expansion of EV charging stations across Kerala and Southern India. Your responsibilities will include: - Planning and executing infrastructure upgrades to enhance the visual appeal and functionality of existing sites, including canopies, lighting, and branding. - Managing multiple new site projects to ensure they meet safety, branding, and operational standards. - Collaborating with civil engineers, contractors, and vendors to deliver cost-effective projects on time. - Overseeing on-site execution, conducting regular inspections, and providing progress updates to the leadership team. To excel in this role, you should have a Bachelors degree in Civil Engineering, Architecture, or Construction Management, with at least 3 years of experience in infrastructure or project execution, preferably in EV charging, fuel stations, or retail infrastructure. Additional qualifications in project management or infrastructure planning would be advantageous. Strong project execution capabilities, aesthetic sensibility, and the ability to manage multiple stakeholders are key attributes for success in this position. You will have the opportunity to work in a dynamic environment and contribute to shaping India's sustainable mobility future. The job type is full-time, with a day shift schedule. Proficiency in Tamil, English, and Malayalam is preferred, and a willingness to travel 100% of the time is required. The work location is in person, and the application deadline is 15/06/2025, with an expected start date of 16/06/2025. As an Infrastructure Development Manager, you will play a crucial role in leading the upgrade and expansion of EV charging stations across Kerala and Southern India. Your responsibilities will include: - Planning and executing infrastructure upgrades to enhance the visual appeal and functionality of existing sites, including canopies, lighting, and branding. - Managing multiple new site projects to ensure they meet safety, branding, and operational standards. - Collaborating with civil engineers, contractors, and vendors to deliver cost-effective projects on time. - Overseeing on-site execution, conducting regular inspections, and providing progress updates to the leadership team. To excel in this role, you should have a Bachelors degree in Civil Engineering, Architecture, or Construction Management, with at least 3 years of experience in infrastructure or project execution, preferably in EV charging, fuel stations, or retail infrastructure. Additional qualifications in project management or infrastructure planning would be advantageous. Strong project execution capabilities, aesthetic sensibility, and the ability to manage multiple stakeholders are key attributes for success in this position. You will have the opportunity to work in a dynamic environment and contribute to shaping India's sustainable mobility future. The job type is full-time, with a day shift schedule. Proficiency in Tamil, English, and Malayalam is preferred, and a willingness to travel 100% of the time is required. The work location is in person, and the application deadline is 15/06/2025, with an expected start date of 16/06/2025.

Role Overview: As a Videographer and Editor at Mohsha Digital Solutions, your primary responsibility will be to oversee the entire video production process based in Madurai. You will play a crucial role in planning, shooting, and editing content to ensure high-quality video shoots that align with client and company objectives. Your hands-on expertise in camera operation, lighting, and visual storytelling will contribute to delivering exceptional work that makes a meaningful impact. Key Responsibilities: - Plan and execute video projects from start to finish, ensuring a seamless production process - Operate cameras effectively to capture high-quality footage that meets client expectations - Set up lighting equipment to create visually appealing shots - Collaborate with the team to bring creative ideas to life through video content - Edit videos using Adobe Video Suite, Da Vinci Resolve, and implement color grading techniques - Manage and operate camera equipment proficiently to achieve desired results - Work both independently and collaboratively in a fast-paced on-site environment - Demonstrate strong attention to detail and ensure that the final output aligns with the company's high-quality standards Qualifications: - Proficiency in video production, with the ability to plan and execute projects effectively - Hands-on expertise in camera operation, lighting, and shooting video - Familiarity with managing and operating camera equipment to produce desired outcomes - Strong attention to detail and an eye for visual storytelling - Ability to work independently or as part of a team in a fast-paced environment - Experience with video editing software, particularly Adobe Video Suite and Da Vinci Resolve, is advantageous - Excellent time management and organizational skills to meet project deadlines - Strong expertise in color grading techniques to enhance the visual appeal of videos Additional Company Details: Mohsha Digital Solutions partners with visionary entrepreneurs to drive business growth through digital transformation. They specialize in creating and publishing exceptional work that aims to make a meaningful impact. The company's collaborative approach ensures that clients achieve their goals while upholding a commitment to high-quality outcomes.,

As a Tax Associate at Intuit Management Consultancy, your role will involve planning and ensuring compliance with Direct and Indirect Tax Regulations applicable to the company in India, U.A.E., and Singapore. You will be responsible for various tax-related tasks such as IT computation, filing IT returns, filing TP certificates, and keeping the organization informed about the implications of tax laws on business decisions. Your responsibilities will also include dealing with tax authorities, working with external resources for advice and resolutions, and ensuring tax compliance, including computations, deposits, returns, assessments, appeals, Tax Audit, certification for Transfer Pricing, and Tax Deductions at Source (TDS). Additionally, you will need to ensure that statutory records are maintained and updated, study intercompany transactions and transfer pricing implications, review work papers for supporting annual tax returns, and manage departmental audits for GST, Excise, and Service Tax. As part of the corporate tax management team, you will be expected to make critical decisions, advise on new processes from a tax perspective, prepare MIS reports, provide accounting support related to taxation, and report on legal issues. You will also play a key role in the successful delivery of international tax engagements, identifying new business opportunities, and building client relationships. To qualify for this role, you should be a Qualified Chartered Accountant (CA) with at least 10 years of experience in Corporate Tax Department (Direct and Indirect). A Bachelor's Degree in Tax, Economics, Accounting, or Finance and an approved professional qualification is required. You should have post-qualification experience of 15-20 years, with a focus on direct and indirect taxes, and a track record of handling complex tax matters competently. Additionally, you should stay up-to-date on tax laws, rules, and have a good understanding of Accounting Standards. Your role will involve collaborating with a team of International Tax professionals, maintaining key client relationships, and contributing to the growth of the business. You will work across different service lines and jurisdictions, manage engagement economics, and stay updated on global developments in the international tax landscape to better advise clients. In summary, your responsibilities will include: - Planning and ensuring compliance with Direct and Indirect Tax Regulations - Dealing with tax authorities and external resources for advice - Managing tax compliance, including computations, deposits, returns, and assessments - Studying intercompany transactions and transfer pricing implications - Reviewing work papers for annual tax returns - Maintaining statutory records and updating them - Advising on new processes from a tax perspective - Collaborating with International Tax professionals - Staying updated on global tax developments You will be part of a dynamic team at Intuit Management Consultancy, where you will have the opportunity to grow and excel in your career.,

As an Interior Design intern at Urban Nest, you will have the opportunity to gain hands-on experience in a dynamic and innovative environment. You will be able to showcase your skills in AutoCAD, Google SketchUp, Adobe Photoshop, MS-Office, and Enscape. Your day-to-day responsibilities will include: - Collaborating with our design team to create detailed architectural drawings and renderings. - Assisting in developing conceptual designs for our luxury residential projects. - Utilizing your proficiency in AutoCAD and SketchUp to create interior documents and 3D models. - Working on material selection, lighting design, and space planning for various projects. - Presenting design proposals to clients and incorporating feedback into final designs. - Staying updated on industry trends and technologies to contribute fresh ideas to our team. Qualifications required for this role: - Must have completed B.Arch / B.Design / M.Design or relevant certification. About the Company: Urban Nest excels in interior designing and exhibition services, combining aesthetic appeal with functional design to create beautiful and practical spaces. By leveraging the latest technologies and industry best practices, Urban Nest delivers exceptional results that meet and exceed client expectations. The company's commitment to innovation and excellence sets it apart in the competitive market. If you are passionate about interior design and eager to learn from experienced professionals, apply now and kickstart your career with Urban Nest!,