Roles &Responsibilities 

·      In-depthKnowledge and Experience in the US Health Care Payer System. 

·      4-6yrs of claimadjudication 

·      GoodCommunication skill both written and oral 

·      Experiencein MIS reporting for providing periodic reports to all relevantstakeholders. 

·      Musthave experience on SLA reporting and tracking. 

·      Musthave experience/knowledge on commercial priority groups and EDI groups. 

·      Coordinatewith IT team on the EDI fallouts.  

·      Mustworked on project coordination on membership process. 

·      Maintainingand Ownership of reports both internal as well as for the clients. 

·      Presentingthe data and provide deep insights about the process to the Clients as well asInternal Management. 

·      Adheringto various regulatory and compliance practices.  

·      Managingand coordinating training programs.

·      Abilityto coach and providing feedback to the team.  

KeyPerformance Indicators 

·      Ensuringthat the key Service Level Agreements are met consistently without anyexceptions. 

·      Workin tandem with all Business functions to ensure smooth business process. 

·      Retentionof key team members. 

Qualification& Experience 

Critical: Any Degree(Pass)

·      Graduation is a must in any stream of Education.

Interested candidates share your updated cv to manochitra@geval6.com

Roles &Responsibilities 

·      In-depthKnowledge and Experience in the US Health Care Payer System. 

·      5-10 years of experience in Data capture, Claimsadjudication.

·      Candidate should have Team handling, Quality and Clienthandling.  

·      Good Communication skill both written and oral. 

·      Experiencein MIS reporting for providing periodic reports to all relevantstakeholders. 

·      Musthave experience on SLA reporting and tracking. 

·       Maintainingand Ownership of reports both internal as well as for the clients. 

·       Presentingthe data and provide deep insights about the process to the Clients as well asInternal Management. 

·      Adheringto various regulatory and compliance practices.  

·      Managingand coordinating training programs.

·    Ability to coach and providing feedback to theteam. 

Qualification &Experience 

Critical: Any Degree(Pass)

·      Graduationis a must in any stream of Education 

Interested candidates share your updated cv to manochitra@geval6.com

Roles & Responsibilities 

·      In-depthKnowledge and Experience in the US Health Care Payer System. 

·      4-6 years of experience in Claims Adjudication.  

·      GoodCommunication skill both written and oral 

·      Experiencein MIS reporting for providing periodic reports to all relevantstakeholders. 

·      Musthave experience on SLA reporting and tracking. 

·      Musthave experience/knowledge on commercial priority groups and EDI groups. 

·      Coordinatewith IT team on the EDI fallouts.  

·      Mustworked on project coordination on membership process. 

·      Maintainingand Ownership of reports both internal as well as for the clients. 

·      Presentingthe data and provide deep insights about the process to the Clients as well asInternal Management. 

·      Adheringto various regulatory and compliance practices.  

·      Managingand coordinating training programs.

·      Abilityto coach and providing feedback to the team.  

Qualification& Experience 

Critical: Any Degree(Pass) 

Graduation is a must in any stream of Education

Interested candidates can share your updated cv to manochitra@geval6.com

• The person will have a strong people and processes orientation and should have demonstrated an ability to address complex logistical issues with at least 5 years of experience in operations.
• To deliver to the client in the metrics of productivity, quality and time 
• Ensure productivity (in terms of time taken per unit output) as per client specification during the ramp up stage and the steady stage. 
• Direct supervision of Manager - Operations who manage shifts and teams. 
• Ensure quality of output independently assessed by the quality team and client feedback. 
• Ensure delivery of specified productivity and quality within the time frame during the ramp-up stage and the steady stage 
• To lay down robust processes to plan, control and monitor the metrics of productivity and quality to provide leadership to the entire team. 
• Create a culture that promotes performance, transparency and participation 
• Ensure that employees are highly motivated and performing to their full potential by providing -Reward and recognition-Employee satisfaction-Performance management- role definition for operations team, restructuring, promotions, reassignments and appraisals 
• Training - Understanding training requirements and Developing and implementing programs 
• Overall growth and development 
• Client Relationship Management 
•  Profitability of the process 
• Optimization of revenues 
• Control expenses 
• Projections and budgets 
• The key challenge in this assignment would be to manage the stakeholders (internal as well as external) in a highly dynamic environment and ensure that delivery standards are maintained in a dynamic market environment.
• Would be responsible for building and leading large teams including managers and senior managers 
• Provide leadership and direction to experienced management team. 
• Responsible for Customer SLAs, Productivity, Cost Effectiveness, Capacity Utilization, planning, and control of all related metrics. 
• Responsible for forward planning, staff progression and succession planning 
• Responsible for identifying and managing operational risk, ensure compliance to all regulatory requirements. 
•  Responsible for recruitment, retention and other operational competencies like Quality, Training & process improvement. 
• Installing optimal processes, leading quality initiatives, adopting best practices and continuously improving through innovation to stay ahead in the market. 
• Identify new service offering by leveraging current business opportunities from existing clients. 
• Act as a Brand Ambassador for the Business Unit and project a highly professional image to theBusiness.

Notice Periods - Max 45 Days.

Interested candidates can share your updated cv to jan@geval6.com

We have a part time opening - senior developer for support team. It’s an 8-hour consultant role for one of our US Project

Location: Remote (Anywhere in India)

Experience: 3+ years

Required skills for this position:

Mandatory skills: Strong development experience in Unity 3D Gaming, along with ARand VR

Integration: Graphql

Front end: React in web Development.

Interested candidates can share your updated cv to jan@geval6.com/lawanya.m@geval6.com/lakshmi.r@geval6.com

• Primary responsibility will be training and observation oftrainees with respect to their performance against established trainingobjectives and recommendation of additional skill requirements as needed. 
• Train new, entry-level employees (Fresher-Coders) 
• Identify training gaps in the team and develop a plan withTraining Manager for retraining sessions. Will be responsible for successfulimplementation of retraining sessions. 
• Develop and update ED facility coding, EM OP & IP CodingTraining content and material 
• Assist in developing general training instructions, checklists,and audio-visual aids. 
• Responsible for creating required training modules.
• Conduct & assist in certifications trainings (CPC, COC, CEDC,CEMC).
• Perform all training activities in compliance with all company andUS healthcare & federal regulations.
• Maintain files of training materials. Maintain organized log(s) ofall training conducted.
• During non-training or non-production periods the trainer would beinvolved in conducting Refresher trainings for Coders, preparation of trainingmanuals, understanding & learning the process specificities of the variouscoding projects.
• Monitoring and reviewing the progress of trainees through Trainingneed analysis (TNA feedback).
• Amendingand revising Coding training programs as necessary based on industry updatesand client mandates.

Min 3 years’ coding experience in ED facility Coding, EM IP &OP Coding with CPC Coding certification). Preferably at least6-12 months experience in auditing, training, or SME role. Should haveexperience in prominent coding and billing software and coding tools. Should befamiliar with CPT, HCPCS, Modifiers, ICD-10-CM, Medical necessity, LCD lookup,NCCI edits, CMS RVU, Bundling edits, MUE edits.

Interested candidates can share your updated cv to jan@geval6.com

• 2+ Years of Strong understanding for Medical terminologies& anatomy, E&M, OP, IP. With CPC Certification.
• Experience in E&M Specialty Coding-Outpatient, Inpatient, observation, Critical care facilities using ICD,Modifiers, CPT, HCPCS codes.
• 2+years of work experience in Medical Coding
• Proficient computer skills, usage for MS excel& word.
• Ability to work with various coding software
• Excellent communication skills, both verbal andwritten
• Outstanding organizational skills
• Ability to maintain the confidentiality ofinformation
• Time management

Roles and Responsibilities:

• Code Diagnosis and Procedures: Interpret andassign medical codes for diagnoses and procedures from various types ofhealthcare documentation using ICD & CPT resources.
• Data Entry: Input data related to codedinformation and other healthcare data into computer systems.
• Review Records: Evaluate medical records forcompleteness and accuracy, confirming all required data is entered and properlycoded.
• Maintain acceptable productivity/quality ratesin accordance with coding policies.
• Quality Assurance: Regularly cross-referenceand verify data across different sources to maintain high data quality.
• Compliance Monitoring: Maintain adherence tocoding guidelines and HIPAA /HITECH regulations to maintain ethical standardsand avoid legal consequences.
• Continuing Education: Keep up to date withchanges in coding standards and participate in educational opportunities toimprove job performance.

Interested candidates can share your updated cv to jan@geval6.com

3. Sales Manager: Should have US BPO sales experience with US HR background. only Night shift, Need Excellent Communication.

a. Can have US Payroll and benefits team managementskills 

b. Should have handled US clients 

c. Should handle a team size of 25 - 30 FTEs

• Notice period : 1 Month Working days : 5 days 
• Work from Office – Night shift

Interested candidates can share your updated cv to anisha@geval6.com/ agalya.r@geval6.com

2. US Tax Manager: Should have handled comprehensive US payroll Taxes, only night shift, Exp 8 - 10 Years, Need Excellent communication.

a. Should have working knowledge of master Tax, dailyposting, Variance posting etc

b. Should have worked with US tax Notices.

c. Calling state and federal agencies forregistrations

d. filing quarterly 941 returns for multiple states

• Notice period : 1 Month Working days : 5 days 
• Work from Office – Night shift

Interested candidates can share your updated cv to anisha@geval6.com/ agalya.r@geval6.com

1. HR Manager - Should have handled HR activities for BPO operations 500-1000 WSE with a minimum of 8 - 10 Years Exp.

a. Should have implemented and handled Time &Attendance.

b. Appraisal Cycles

c. Training & Development

d. Managing the Recruitment Team

e. Designing Hierarchy, Strategic objectives, employeerelations, Orientations

f.  Statutory Compliances like ESI, PF, etc.

• Notice period : 1 Month Working days : 5 days 
• Work from Office – General shift

Interested candidates can share your updated cv to anisha@geval6.com