13 Cashless Jobs

Job Location: Kokilaben Dhirubai Ambani Hospital, Andheri (west) Job Description: We are seeking a dedicated and empathetic individual to join our team as a Patient Relations Specialist. In this role, you will be the primary point of contact for patients, assisting them in understanding the terms and conditions of their health insurance policies. Additionally, you will be responsible for facilitating the reimbursement process by accurately filing reimbursement forms on behalf of the patients. Responsibilities: Interact with patients to provide clear explanations of their health insurance policy terms and conditions. Assist patients in understanding coverage details, including copayments, ded...

Role & responsibilities Claims Processing & Coordination Facilitate the Green Channel process to ensure zero waiting time for patient admissions and discharges. Support the end-to-end processing of cashless and reimbursement claims efficiently. Liaise with the Head Office to resolve claim-related issues promptly. Address and resolve patient grievances related to claims processing, escalating unresolved issues when necessary Collaborate with hospital staff to ensure seamless admission and discharge procedures for insured patients. Adhere to strict protocols to prevent fraudulent activities in claims processing. Enhance customer satisfaction by reducing waiting time for admissions, claims, and...

Role Overview: The Manager will be responsible for supervising and coordinating the day-to-day operations of the Cashless Department, ensuring timely pre-authorization processing, adherence to SOPs/SLAs, compliance with IRDAI guidelines, and smooth communication with insurers, hospitals, and internal teams. Key Responsibilities: Manage daily cashless authorization workflow and ensure TAT compliance. Review and approve high-value or complex pre-authorization cases. Ensure adherence to insurer guidelines, SOPs, and IRDAI regulations. Handle escalations from hospitals, insurers, and brokers. Monitor team performance, allocate workloads, and conduct training. Coordinate with Provider Network, Cl...

Dear Candidates, Greetings from HealthIndia Insurance TPA Service Pvt. Ltd. Company Profile - We are provide highest level of quality health care by creating a platform which is entirely dedicated to service excellence, patient care and health education to the members . For more details kindly go through company website: https://www.healthindiatpa.com Currently we have an opening in Corporate Claims Processing Department for Medical Officer Role. Location: HEALTHINDIA INSURANCE TPA SERVICES PVT LTD. PLOT NO 312 ,2ND FLOOR, PHASE 2, UDYOG VIHAR-OPPOSITE TO ICICI BANK UDYOG VIHAR, GURUGRAM, HARYANA -122016 Roles & Responsibilities: Review and assess medical documents and clinical details for c...

Roles & Responsibilities: Manage the end-to-end billing process for all Inpatient (IP) admissions, ensuring accuracy and timeliness. Generate provisional and final bills for patients admitted under cash, insurance, or corporate accounts . Coordinate with clinical and nursing teams to capture all chargeable services, procedures, investigations, pharmacy, and consumables. Liaise with insurance desk for pre-authorization, interim approval, and final settlement of cashless insurance cases. Ensure proper documentation and submission of claims in hospital portals (e.g., Trackcare, ClaimBook). Handle corporate billing requirements, reimbursements, and compliance with contractual agreements. Verify ...

Process health insurance claims. Should have knowledge of cashless and reimbursement. Location - Chembur. Should have knowledge of excel. Graduation mandatory. Call or send your resumes on 8097516521. TPA experience Mandatory

Responsibilities: * Manage health insurance claims from start to finish. * Ensure timely TAT compliance through process improvement. * Prepare medical summaries for cashless procedures.

Key Responsibilities: Handle end-to-end reimbursement and cashless claims for corporate clients' employees and dependents. Scrutinize claim documents for completeness, medical validity, and compliance with policy terms. Coordinate with empaneled hospitals, insured members, and insurance companies for claim clarification, queries, and approvals. Maintain TAT and SLA commitments for smooth and timely processing. Ensure compliance with IRDAI guidelines and internal company SOPs. Update and manage claims data in the internal system accurately. Prepare and share MIS reports with internal stakeholders and corporate clients. Manage escalated and high-value claims with detailed attention and resolut...

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on varsha.kumari@mediassist.in Thanks & Regards Varsjha Kumari Email - varsha.kumari@mediassist.in

Job description URGENT OPENING FOR MEDICAL OFFICER Workings Hours: 9 Hrs Work Mode : Office Key Responsibilities: Review and assess medical claims submitted by corporate clients against policy terms and medical guidelines. Analyze clinical documents such as medical reports, diagnostic tests, prescriptions, discharge summaries, and other relevant medical records. Verify the authenticity, appropriateness, and completeness of medical documentation related to claims. Provide medical expertise to determine the validity and admissibility of claims. Collaborate with claims processing and underwriting teams to resolve discrepancies or clarifications related to medical information. Identify potential...

Claims Executive- EB website Link: www.dishainsurance.com Job Summary: We are seeking a qualified Claims executive to help our clients in claims and any other query solution through their own skills. Our ideal Claims executive has to have in-depth knowledge of and experience with the Claim process, Policy terms and conditions, relationship building and MIS management. We are seeking a quick learner with strong communication skills, and someone with a track record of success who can inspire the same in others Roles & Responsibilities: One stop solution for all client queries and requirements Represent our company, with a comprehensive understanding of our services in the area of claim process...

Requirement of Hospital Experienced Ayushman Head or Incharge for our Rama Medical College Hospital at Kanpur, UP. Candidate who has worked in hospital sector in Ayushman Desk and independently handled and led the Ayushman Department end to end with revenue follow up only may apply. Experience range should be 5 to 10 Years Candidate may apply by E.Mail - arshadhasan.hr@ramahospital.com Whatsapp - 7275254108

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....