5.0 - 9.0 years

0 Lacs

haryana

On-site

As a Clinical Manager at Care.fi, a Health fintech startup in Gurgaon, you will be responsible for leading the clinical backbone of revenue cycle operations. Your role will involve guiding a team of medical experts to ensure precision in claim validation, reduce denials, and enable accurate documentation. You will blend clinical insight with operational excellence and innovation, especially in the development of cutting-edge tools using AI and machine learning. **Key Responsibilities:** - Lead and scale a team of medical professionals involved in claim audits and clinical validations. - Define clinical protocols, ensure adherence to quality and compliance standards, and drive continuous impr...

Posted 3 weeks ago

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Manager - Health Claims Care.fi

5.0 - 9.0 years

0 Lacs

haryana

On-site

As a Clinical Manager at Care.fi, a Health fintech startup in Gurgaon, you will play a crucial role in driving the clinical backbone of the revenue cycle operations. Your responsibilities will include: - Leading and scaling a team of medical professionals involved in claim audits and clinical validations. - Defining clinical protocols, ensuring adherence to quality and compliance standards, and driving continuous improvement. - Acting as the clinical authority for complex case reviews and appeals. - Guiding hospital teams to resolve documentation gaps and strengthen case submissions. - Identifying patterns in denials, leading root-cause audits, and implementing corrective action strategies. ...

Posted 3 months ago

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