Medical Officer HealthIndia Insurance TPA Services

1.0 - 3.0 years

1 - 4 Lacs

gurugram

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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...

Posted 6 days ago

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IP Billing Executive Manipal Hospitals

2.0 - 7.0 years

6 - 7 Lacs

bengaluru

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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 ...

Posted 1 week ago

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Hiring Claims Executive - TPA Experienced Ericson Insurance

2.0 - 7.0 years

1 - 3 Lacs

Mumbai, Navi Mumbai, Mumbai (All Areas)

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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

Posted 2 months ago

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Medical Officer Empower Fintech

0.0 - 2.0 years

3 - 6 Lacs

Ahmedabad

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

Posted 2 months ago

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Associate Group leader - Claims Operations MD India Health Insurance TPA Pvt Ltd

1.0 - 6.0 years

0 - 3 Lacs

Pune

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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...

Posted 2 months ago

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Medical officer Hiring(Non-Clinical Job) -TPA Experience required Medi Assist

2.0 - 5.0 years

3 - 5 Lacs

Noida

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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

Posted 3 months ago

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Medical Officer HealthIndia Insurance TPA Services

1.0 - 2.0 years

3 - 4 Lacs

Hyderabad, Bangalore Rural, Chennai

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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...

Posted 3 months ago

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Claims Executive Disha Investment Insurance Brokers Private Limted

3.0 - 6.0 years

4 - 6 Lacs

Bengaluru

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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...

Posted 3 months ago

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Ayushman Head Rama Medical College Hospital & Research Centre

6.0 - 11.0 years

2 - 4 Lacs

kanpur

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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

Posted Date not available

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Manager - Health Insurance Claims Medi Assist

5.0 - 10.0 years

5 - 10 Lacs

noida

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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

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