About the role
Responsibilities:
- Design, develop, and maintain RCM system integrations, including Eligibility and Benefits Verification (EBV), Prior Authorisation, Claims Submission and Adjudication, Billing, Payments, AR, and Denials.
- Build and manage system-to-system integrations beyond RCM when required.
- Develop and maintain backend integration services using Python.
- Design and consume RESTful APIs, webhooks, and batch-based integration interfaces.
- Integrate internal systems with external platforms, clearinghouses, payer systems, and partner applications.
- Design and optimise SQL database schemas and queries for integration workloads.
- Implement secure data exchange, authentication, authorisation, and access control mechanisms.
- Containerise services using Docker and manage container-based deployments
- Deploy, configure, and manage applications across AWS / Azure environments.
- Support microservices-based and event-driven architectures.
- Monitor, troubleshoot, and optimise integration flows and system performance.
- Collaborate with cross-functional teams to translate business workflows into scalable system solutions.
- Maintain technical documentation and follow engineering best practices.
Requirements:
- BE / BTech / MCA or any equivalent degree in computer science, engineering, or a related field.
- Strong hands-on Python coding experience (mandatory).
- Experience in RCM system integrations (eligibility, PA, claims, billing, and AR).
- Ability to design and implement integrations across different domains and platforms.
- Understanding of REST APIs, integration patterns, and data exchange mechanisms.
- Solid expertise in SQL databases (MySQL / MSSQL) and query optimisation.
- Hands-on experience with Docker and containerised applications.
- Experience deploying and managing systems on AWS / Azure.
- Familiarity with CI/CD pipelines and release processes.
- Experience using Git and issue tracking tools like JIRA.
- Strong problem-solving, analytical, and communication skills.