Urwah Admin

Prima Systems

Job descriptionJob Summary:We are seeking a skilled Database Developer to design, develop, and optimize database systems that support our business applications. The ideal candidate will have expertise in database design, performance tuning, and writing complex SQL queries while ensuring data integrity and security.Key Responsibilities:<ul><li>Design, develop, and maintain efficient database structures for new and existing applications.</li><li>Write complex SQL queries, stored procedures, triggers, and functions for data retrieval and manipulation.</li><li>Conduct database troubleshooting, debugging, and performance tuning.</li><li>Maintain database documentation, including schemas, processes, and security protocols.</li><li>Stay updated with industry trends and best practices in database technologies.</li></ul>Required Skills &amp; Qualifications:<ul><li>Bachelor's degree in Computer Science, Information Technology, or a related field.</li><li>3-5 years of proven experience as a Database Developer.</li><li>Strong proficiency in SQL specially in MS SQL Server.</li><li>Experience in strong query writing, query optimization, store procedure with complex logics specially in healthcare</li></ul>domain, performance tuning.<ul><li>Strong analytical and problem-solving skills.</li><li>Excellent communication and teamwork abilities</li></ul>Job Type: Full-timePay: Rs200,000.00 - Rs300,000.00 per monthWork Location: In person

Database Developer

As a MIPS Coordinator specializing in medical billing, you will be responsible for overseeing all aspects of the Merit-based Incentive Payment System (MIPS) program within our healthcare organization. Your primary focus will be to ensure compliance with MIPS requirements, maximize incentives, and facilitate the successful reporting of quality measures. You will collaborate closely with billing staff, clinicians, and other stakeholders to streamline processes, improve data accuracy, and drive performance improvements in MIPS-related activities.Responsibilities:<ul><li>MIPS Program Management:</li><li>Develop and implement strategies to effectively manage MIPS program requirements.</li><li>Stay informed about updates and changes to MIPS regulations and guidelines.</li><li>Coordinate MIPS-related activities across departments to ensure compliance and optimize performance.</li><li>Data Collection and Reporting:</li><li>Oversee the collection, validation, and submission of MIPS data to CMS or relevant registries.</li><li>Ensure the accuracy and completeness of data reported for quality measures, improvement activities, and promoting interoperability.</li><li>Performance Monitoring:</li><li>Monitor MIPS performance metrics and outcomes, identifying areas for improvement.</li><li>Analyze data trends and provide regular reports to management and stakeholders.</li><li>Collaborate with clinicians and staff to implement targeted interventions to address performance gaps.</li><li>Documentation and Compliance:</li><li>Maintain comprehensive documentation of MIPS-related activities, including data collection processes and reporting procedures.</li><li>Ensure adherence to MIPS program requirements and guidelines, including documentation standards and data security protocols.</li><li>Staff Training and Education:</li><li>Provide training and education to billing staff, clinicians, and other relevant personnel on MIPS program requirements, workflows, and best practices.</li><li>Foster a culture of continuous learning and improvement related to MIPS and quality reporting initiatives.</li><li>Quality Improvement Initiatives:</li><li>Collaborate with quality improvement teams to integrate MIPS requirements into broader quality improvement initiatives.</li><li>Identify opportunities for process optimization and efficiency gains in MIPS-related workflows.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs60,000.00 per monthEducation:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

MIPS Coordinator (Medical Billing)

Digital Prima Systems is a reputable healthcare technology company specializing in providing innovative solutions for medical billing and revenue cycle management. We are committed to assisting healthcare providers in optimizing their financial operations and ensuring timely reimbursement for services rendered.Responsibilities:<ul><li>Insurance Claims Processing:</li><li>Review and prepare accurate insurance claims for submission to various payers.</li><li>Verify patient insurance coverage, benefits, and eligibility.</li><li>Ensure proper coding (CPT, ICD-10, HCPCS) and documentation for claims accuracy.</li><li>Submit claims electronically or by paper according to payer requirements.</li><li>Payment Posting and Reconciliation:</li><li>Post payments received from insurance companies and patients into the billing system.</li><li>Reconcile payments against billed amounts to identify discrepancies.</li><li>Investigate and resolve any discrepancies in payments, adjustments, or denials.</li><li>Accounts Receivable Management:</li><li>Monitor and follow up on unpaid or denied claims to ensure timely resolution.</li><li>Contact insurance companies to inquire about claim status and facilitate payment.</li><li>Review aging reports regularly to prioritize and address delinquent accounts.</li><li>Initiate appeals for denied or underpaid claims and track the appeal process.</li><li>Patient Billing and Communication:</li><li>Generate patient statements and invoices for outstanding balances.</li><li>Work with patients to establish payment plans or arrangements.</li><li>Provide clear and compassionate communication regarding billing inquiries or issues.</li><li>Documentation and Reporting:</li><li>Maintain accurate and organized records of all billing and collection activities.</li><li>Generate reports on accounts receivable status, aging trends, and collection efforts.</li><li>Prepare regular updates and summaries for management review.</li><li>Compliance and Regulations:</li><li>Ensure compliance with HIPAA regulations and other billing guidelines.</li><li>Stay informed about changes in billing regulations and payer policies.</li><li>Implement best practices to maximize reimbursement and minimize compliance risks.</li></ul>Requirements:<ul><li>Proven experience as an Accounts Receivable Specialist in medical billing or a related field.</li><li>In-depth knowledge of medical terminology, billing codes (CPT, ICD-10, HCPCS), and insurance claims processes.</li><li>Proficiency in using medical billing software and electronic health record (EHR) systems.</li><li>Strong understanding of insurance policies, reimbursement methodologies, and billing guidelines.</li><li>Excellent analytical skills to identify and resolve billing discrepancies efficiently.</li><li>Effective communication skills to interact professionally with insurance companies, patients, and internal teams.</li><li>Detail-oriented with a high level of accuracy in data entry and financial calculations.</li></ul>Please share your resume 0325-7666161Job Type: Full-timePay: Rs80,000.00 - Rs95,000.00 per monthExperience:<ul><li>Account Receivable: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

AR Executive - Medical Billing

Join Prima Systems and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Prima Systems

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Database Developer

MIPS Coordinator (Medical Billing)

AR Executive - Medical Billing