621 Bhms Jobs - Page 25

Urgent requirement for MBBS,BHMS,BDS,BAMS -Rajasthan(Jaipur) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: MBBS ,BHMS,BDS,BAMS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers c...

We have an exciting opportunity for enthusiastic BDS/ Pharm D graduates with 1 year experience and wants to kickstart their career in US healthcare industry. Please refer the below job Opportunity and if you are interested, email us your updated resumes to schedule the in-person interview. Job Title: Associate Job role: Clinical data abstraction from patient charts. Position Requirements: BDS / PharmD / BHMS graduate with minimum one year experience Willingness to work in US time zones (Night shift) Excellent communication skills and interpersonal skills Proficient in MS Office Interview Date and Time: 19th and 22nd Aug 2025 from 2.30pm to 5pm. Interview Venue: PrimEra Medical Technologies, ...

Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.

Urgent requirement for BHMS,BAMS,BDS -Pune(Kothrud) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Need to Visit the Hospitals Should have own Bike Required Candidate profile: BHMS,BAMS,BDS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registrati...

To assist Physician Customers in documenting Patient Charts by listening in (virtually) to live Physician-Patient encounters and documenting real time patients’ health complaints, symptoms, procedures, diagnosis, treatment plan, and lab reports.

Role & responsibilities 1. A medical officer tele underwriter for health insurance analyzes medical risks and performs tele-underwriting to evaluate applications for coverage 2. Analyse medical risks: Evaluate medical history, pre-existing conditions, and other medical information to assess the risk of insuring an applicant 3. Perform tele-underwriting: Conduct telemedical interviews and gather clinical information 4. Determine premiums: Calculate premiums based on the applicant's risk assessment 5. Make recommendations: Provide recommendations on risks beyond authority 6. Collaborate with others: Consult with agents and insurance processors about final decisions Preferred candidate profile ...

Education and Experience: Graduate / Post Graduate Medicos : BDS, MDS, BAMS, BUMS, BHMS, BPT, MD 0-5 years of experience in clinical or non-clinical field Strong Time Management skills Excellent communication skills Ability to multi-task, work under pressure and meet deadlines required. Skilled in Microsoft Suite (Excel and Word). Role & responsibilities Preferred candidate profile

Experience: 0-12 months Qualification: BDS, BHMS, BAMS Key Responsibilities: -Good communication skill. -Knowledge in computers like MS office. -Good medical knowledge. -Independently process Post hospitalization claims; process complex claims with minimal assistance -Needs to validate the information on all medical claims received. Claims must be thoroughly reviewed and ensure that there is no missing or incomplete information -Suggest operational policies, workflows and process improvement initiatives -Proactive approach by informing Providers regarding missing or repetitive errors by various hospital departments and improvisation of the same. -Applying medical and surgical aspects to scru...

- 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

- 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

- 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

- 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

- 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

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....

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

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...

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 ...

Role & responsibilities Prime responsibility is to treat patients and ensure patient satisfaction. Responsible to monitor and evaluate patient progress. Responsible to instruct patients about the use and effects of particular remedies and respond to any queries they may have. Responsible to advise on lifestyle issues, such as diet, exercise and mental health. Complete case taking as per constitutional Homeopathy and must maintain the patient case record in the system. Responsible for Collecting, recording, and maintaining sensitive patient information such as examination results, medical history, and reports. Responsible to enhance brand and image of the company. Preferred candidate profile ...

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...

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

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.