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5.0 - 10.0 years
50 - 70 Lacs
ahmedabad
Work from Office
Domain Expertise Areas & Role & Responsibility: Should be able to do as follows: Role & Responsibility : To work in the Top Management Founding Leadership role in Medical (Chronic Disease Oncology|Diabetes|Heart|Mental Health| COPD) as a Single-handed doer and as a Team Leader. -Top 1st Priority A) Medical R & D : - In-depth Clinical Knowledge in Chronic diseases of Oncology| Diabetes| Heart Disease | COPD | Mental Health. - Clinical Data Development, Clinical Data Acquisition, Clinical Validation for the requirement for AI Health & Clinical Data Management. - Clinical R & D & execution. Working in collaboration with the worlds Top Specialty Research Hospitals for multi-centred R & D. - KOL ...
Posted Date not available
2.0 - 7.0 years
3 - 5 Lacs
patna
Work from Office
- As a claim processing executive you will be responsible for handling all claim related activities on day today basis. - Checking all documents submitted by customers. - Verification of all documents with doctors, hospitals to cross check them for further process. - Coordination with customer if any document is missing or fake. Mentioning remark on every documents. - Coordination with head office to submit claim reports. - Coordination with branch head and other managers for smooth work process. - Maintaining MIS report on daily basis Qualification : MBBS, BAMS, BHMS Experience : 2 to 10 years in health insurance claim processing
Posted Date not available
5.0 - 10.0 years
25 - 30 Lacs
hyderabad
Work from Office
Role & Responsibility : To work in the Top Management Founding Leadership role in Medical (Chronic Disease Oncology|Diabetes|Heart|Mental Health| COPD) as a Single-handed doer and as a Team Leader. -Top 1st Priority A) Medical R & D : - In-depth Clinical Knowledge in Chronic diseases of Oncology| Diabetes| Heart Disease | COPD | Mental Health. - Clinical Data Development, Clinical Data Acquisition, Clinical Validation for the requirement for AI Health & Clinical Data Management. - Clinical R & D & execution. Working in collaboration with the worlds Top Specialty Research Hospitals for multi-centred R & D. - KOL Management. - Clinical Business Operations, Business Operation. - Medical Educati...
Posted Date not available
5.0 - 10.0 years
25 - 30 Lacs
noida
Work from Office
Role & Responsibility : To work in the Top Management Founding Leadership role in Medical (Chronic Disease Oncology|Diabetes|Heart|Mental Health| COPD) as a Single-handed doer and as a Team Leader. -Top 1st Priority A) Medical R & D : - In-depth Clinical Knowledge in Chronic diseases of Oncology| Diabetes| Heart Disease | COPD | Mental Health. - Clinical Data Development, Clinical Data Acquisition, Clinical Validation for the requirement for AI Health & Clinical Data Management. - Clinical R & D & execution. Working in collaboration with the worlds Top Specialty Research Hospitals for multi-centred R & D. - KOL Management. - Clinical Business Operations, Business Operation. - Medical Educati...
Posted Date not available
5.0 - 10.0 years
30 - 35 Lacs
jaipur
Work from Office
Founding Leadership Member/Director/Senior Consultant - Medical Operation/Medical Affairs Role & Responsibility : To work in the Top Management Founding Leadership role in Medical (Chronic Disease Oncology|Diabetes|Heart|Mental Health| COPD) as a Single-handed doer and as a Team Leader. -Top 1st Priority A) Medical R & D : - In-depth Clinical Knowledge in Chronic diseases of Oncology| Diabetes| Heart Disease | COPD | Mental Health. - Clinical Data Development, Clinical Data Acquisition, Clinical Validation for the requirement for AI Health & Clinical Data Management. - Clinical R & D & execution. Working in collaboration with the worlds Top Specialty Research Hospitals for multi-centred R & ...
Posted Date not available
2.0 - 7.0 years
3 - 5 Lacs
assam
Work from Office
- As a claim processing executive you will be responsible for handling all claim related activities on day today basis. - Checking all documents submitted by customers. - Verification of all documents with doctors, hospitals to cross check them for further process. - Coordination with customer if any document is missing or fake. Mentioning remark on every documents. - Coordination with head office to submit claim reports. - Coordination with branch head and other managers for smooth work process. - Maintaining MIS report on daily basis Qualification : MBBS, BAMS, BHMS Experience : 2 to 10 years in health insurance claim processing
Posted Date not available
5.0 - 10.0 years
5 - 10 Lacs
noida
Work from Office
We are seeking a qualified and experienced Manager-Claims to join our dynamic team. The ideal candidate will be responsible for reviewing, analyzing, and auditing health insurance claims from a medical perspective to ensure accuracy, compliance, and appropriateness of billed services and also ensure that providers adhere to contract.This role requires a keen understanding of medical conditions, health insurance policies, and the ability to collaborate with both medical professionals and insurance teams. Key Responsibilities: Claims Review and Audit: Conduct comprehensive audits of health insurance claims to ensure they meet company guidelines, industry standards, and regulatory requirements....
Posted Date not available
0.0 - 2.0 years
3 - 6 Lacs
hubli, tumkur, shimoga
Work from Office
0-2 years of experience as a BAMS/BHMS doctor. Excellent communication skills for effective interaction with patients and colleagues. Ability to work independently with minimal supervision. Proficiency in using electronic medical records systems. Email : monisha.lahiri@randstad.in
Posted Date not available
0.0 - 5.0 years
5 - 7 Lacs
hyderabad, gurugram, mumbai (all areas)
Work from Office
Knowledge of Claims processes: Indemnity (Cashless, Reimbursement), Fixed Benefit Products Understanding of Claims systems (process flow & System fields) Health, PA & Travel Experience in measurement of performance (TAT, accuracy in claims adjudication) Expectations management of the Claims team TAT & expectations management for specialized business handling. Ensure uniformity in quality & maintain TATs of Claims decisions Create & maintain standards/protocols for Claims team Audit claims decisions in adherence & compliance with the Claims guidelines, uniformity in decisions, and approval authority limits (In house and TPA claims) Periodic portfolio analysis: profitability (loss ratio / comb...
Posted Date not available
0.0 - 3.0 years
3 - 4 Lacs
bengaluru
Work from Office
Job description Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiate open billing and package, etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as ...
Posted Date not available
0.0 - 1.0 years
1 - 1 Lacs
kottayam
Work from Office
AYURVEDA DOCTOR JOB IN KOTTAYAM,KERALA,INDIA Qualification: BAMS Required Experience: 0-1 years experienced doctors only Gender: MALE/FEMALE Language Required: Malayalam Native Doctors Only Duty Time: 8HR (10 AM TO 5 PM) Type of Duty: OP ONLY
Posted Date not available
8.0 - 10.0 years
7 - 10 Lacs
dehradun, delhi / ncr, vadodara
Work from Office
Key Responsibilities: Report Reading: Analyze and interpret medical reports, lab results, and other diagnostic information to make informed treatment decisions. Patient Care: Provide compassionate and empathetic care to cancer patients, addressing their physical, mental, and emotional needs. Treatment Administration: Utilize Cancer Healer medicine based on Immunotherapy to treat patients at various stages of cancer. Medical Assessment: Conduct thorough medical assessments and develop individualized treatment plans for patients. Follow-up: Monitor patient progress, adjust treatments as necessary, and ensure complete patient satisfaction and safety. Collaboration: Work collaboratively with oth...
Posted Date not available
1.0 - 4.0 years
4 - 6 Lacs
hyderabad
Work from Office
Greetings From Scorelabs Inc! Claims Management Process for all the Health product line and portfolio Co-ordinate with multiple teams and stakeholders e.g. Underwriting, Hospitals, Claims. Evaluation of Health Claim Ratio Location - Hyderabad Required Candidate profile Any Medical Graduate like BAMS, BHMS, BUMS , MBBS etc. Minimum 1-3 years of relevant experience of practice or healthcare industry. Freshers & Exp both are eligible Hr Gowthami - 7842272470
Posted Date not available
1.0 - 3.0 years
5 - 6 Lacs
pune
Work from Office
Eligibility Criteria: Education: Bachelors degree (preferably in Life Sciences) OR Medical Degree (BHMS, BAMS, BUMS, MBBS, BPT, MPT, BDS) Minimum 1-2 years of exp in E/M Coding. CPC Certification is Mandatory. Good team player with strong interpersonal skills and high integrity. Should be ready to work in rotational shifts including night shifts. Should be ready to work from office.
Posted Date not available
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