242 Health Jobs - Page 9

Role & responsibilities To give Claims & Cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims Third Party Administration (Health) services (TPA) Claims and Preauthorization Processing HealthCare Assistance Services High Ratio Claims Management in coordination with Networking and Empanelment Department Monitoring the overall operations of Claims and Preauthorization. Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT. Ensure adherence to processes and controls. Creating the process for claim processing (Cashless and Reimbursement). Co-ordination between Network Hospitals/Preauthorization/Claims. Ensuring a high-quality patient care at customized/optimized cost. Creating the process for claim processing (Cashless and Reimbursement). Preferred candidate profile • Good Excellent oral and written communication, negotiation, and decision-making skills. • Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities . Must be willing to work in non - clinic TPA EXPERIENCE mandatory. Clinical Exp.

Manage and train the business development team Generate leads and cold call a prospective customer Build strong relationships with client Identify and map business strengths & customer needs Exp:1 to 5 years in Field Sales and Marketing In any Sector Required Candidate profile Graduation Complete Ability to achieve the sales target Basic Understanding of BFSI/Products Contact For More Detail ::6354086229

100% lead will be provided Educate the Customer about the product To close the leads provided by Company work on leads with walking customers Required Candidate profile Qualification: Graduate Age: 21 to 38 years Experience: Min.2 Years of experience as Filed Sales / Marketing Salary: - 2.50 L/A - 3.80 L/A + incentive

Role & responsibilities General Training and Personal Training Preferred candidate profile Certified Fitness Trainer Candidate should be located in Ramamurthy Nagar or Sahakarnagar. Contact - Rakesh - 8050214169

• Educational and Certification Requirements: Degree in Environmental Science, Engineering, or Sustainability, with relevant certifications (ISO, ESG frameworks). • Industry Expertise: EHS roles within the pharmaceutical sector, with knowledge of ZLD operations and hazardous waste management. • ESG Reporting: Experience with GRI, BRSR, SASB, and CDP reporting, and sustainability disclosure for stakeholders. • Sustainability Implementation: Proficiency in carbon and water management, green chemistry, resource optimization, and waste reduction. • Leadership and Communication: Ability to lead cross-functional initiatives and engage with stakeholders and local communities.

- Communicating with patients to determine their needs and identify a path toward treatment and progress. - delivering reports on patient progress, setbacks, and overall status. Required Candidate profile - Excellent communication skills. - Excellent customer service skills.

Job Description: Head Billing, TPA & Government Panel Department Location : Vedansh Surya Hospital, Greater Noida Department : Billing, TPA & Government Panel Claims (ECHS, CGHS, CAPF, PSU, ESI, TPA, Ayushman Bharat) Reports To : Hospital Director / DMS Role Overview: The Head Billing, TPA & Government Panel Department at Vedansh Surya Hospital will oversee the entire hospital billing process, ensuring seamless claim submission, payment follow-ups, and revenue cycle optimization for cash, corporate, insurance, TPA, and government health schemes , including Ayushman Bharat (PMJAY), ECHS, CGHS, CAPF, PSU, and ESI . This role requires strong coordination with insurance companies, government authorities, and TPAs to maximize claim settlements and minimize rejections or delays. Key Responsibilities: 1. Billing & Revenue Cycle Management Supervise the entire billing process across cash, credit, insurance, government panel, and Ayushman Bharat patients. Ensure accurate and transparent patient billing , including charge capturing, invoice generation, and payment collection. Implement Standard Operating Procedures (SOPs) to prevent revenue leakage and billing discrepancies. Coordinate with clinical, finance, and IT departments to streamline charge capture and documentation. 2. TPA & Insurance Claims Management Act as the primary liaison between the hospital and TPAs, insurance providers, and corporate clients. Ensure timely claim submission, approvals, and follow-ups for TPA and insurance cases. Address claim denials, disputes, and resubmit rejected claims with necessary justifications. Negotiate empanelment agreements with TPAs and insurance providers for better reimbursement terms. Track pending insurance claims , initiate follow-ups, and ensure timely settlements. 3. Government Panel Claims (ECHS, CGHS, CAPF, PSU, ESI, etc.) Oversee billing and documentation for patients under government panel schemes. Ensure timely claim submission and follow-up for ECHS, CGHS, CAPF, PSU, and ESI panels. Develop and maintain strong coordination with government authorities and panel representatives . Monitor pending and settled claims , ensuring a smooth reimbursement process. Ensure compliance with panel guidelines and empanelment agreements . 4. Ayushman Bharat (PMJAY) Billing & Claims Management Oversee the Ayushman Bharat (PMJAY) billing process , ensuring compliance with scheme guidelines. Ensure timely pre-authorization, approvals, and claim submissions for Ayushman Bharat beneficiaries. Coordinate with State Health Authorities (SHA) and PMJAY nodal officers to resolve claim-related issues. Track pending claims, rejections, and payments from the Ayushman Bharat portal. Ensure Ayushman Bharat SOP compliance to prevent claim rejections and revenue losses. 5. Payment Recovery & Follow-Ups Regularly follow up on outstanding payments from TPAs, insurance companies, and government panels. Identify and escalate long-pending claims for quick resolution. Ensure all necessary documentation is submitted on time to avoid payment delays. Maintain strong coordination with Ayushman Bharat, ECHS, CGHS, and other government authorities for faster reimbursement. 6. Financial Compliance & MIS Reporting Ensure compliance with NABH, IRDAI, and government health scheme regulations . Generate MIS reports for management on revenue, outstanding claims, settlement timelines, and rejections. Conduct periodic reconciliation of pending payments with the finance department. Monitor KPIs related to claim processing, billing efficiency, and payment turnaround time . 7. Team Leadership & Training Manage a team of billing executives, TPA coordinators, and government panel claim processors . Conduct training programs to keep the team updated on billing procedures, insurance policies, and government schemes. Assign workflows, monitor staff performance, and resolve operational bottlenecks . 8. Patient Experience & Grievance Handling Ensure smooth patient interactions regarding billing, insurance, and government scheme-related queries. Resolve patient grievances and disputes related to claim rejections, billing transparency, and payments. Enhance billing transparency to improve patient satisfaction and trust. Key Skills & Competencies: Hospital Billing Expertise – Strong knowledge of hospital billing systems, revenue cycle management, and government health schemes. TPA & Insurance Knowledge – Expertise in handling TPA, insurance, and corporate claims. Government Panel & Ayushman Bharat Expertise – Experience in handling ECHS, CGHS, CAPF, PSU, ESI, and Ayushman Bharat billing. Financial Acumen – Understanding of hospital finance, claim reconciliation, and cost control. Negotiation & Follow-up Skills – Ability to coordinate with government authorities, TPAs, and insurance providers. Leadership & Team Management – Experience in managing and training billing, TPA, and claims processing teams. Patient-Centric Approach – Strong communication and problem-solving skills to handle patient and insurance queries. Qualifications & Experience: Education : MBA / MHA (Master’s in Hospital Administration) / PG Diploma in Healthcare Management / Finance. Bachelor’s degree in Commerce, Finance, or a related field. Experience : 5-7 years of experience in hospital billing, TPA, and government health schemes. Minimum 2 years in a leadership role managing hospital billing, TPA, and government panel operations. Technical Skills : Proficiency in Hospital Management Software (HMS), TPA Portals, Government Panel Portals, and Ayushman Bharat Portal . Hands-on experience with MIS reporting, Excel, and financial reconciliation tools . KPIs (Key Performance Indicators): Claim settlement turnaround time (Insurance, Government Panels, and Ayushman Bharat). Reduction in claim denials and rejections . Timely approvals and disbursement of Ayushman Bharat claims . Revenue collection from TPAs & Government Panels . Efficiency in pre-authorization and approvals . Patient satisfaction scores related to billing transparency . Timely follow-ups and reduction in outstanding dues . Salary Compensation : As per industry standards (Negotiable based on experience).

SUMMARY Job role: Staff Nurse Job Responsibilities: Providing comprehensive patient care, including personal care and medical attention. Adhering to the medical instructions and orders prescribed by doctors. Maintaining accurate and organized patient case records. Administering medications as per doctor's prescriptions. Ensuring patient comfort and safety by repositioning them regularly. Requirements BSC Nursing/GNM degree Minimum 6 months of experience as a staff nurse Age between 20 to 38 years Open to candidates from anywhere in India Benefits German language training till B2 level Documentation assistance and migration process support Visa application support at no cost. Complimentary plane ticket for your relocation Perks of working in Germany: Free education for your children. Complete health insurance coverage. Family reunification visa for dependents. Additional compensation for overtime work. Eligibility for a European Blue Card after two years of working in Germany. Permanent visa eligibility after five years of service. Citizenship eligibility after seven years of residence. Please note that the standard work schedule comprises 5 days a week, with 8 hours per day. You will be compensated for any extra hours worked, and the weekly duty hours total 40, with competitive salaries. We look forward to welcoming dedicated nursing professionals to embark on this exciting journey with us!

Job title Insurance Senior Executive. Reports to Insurance – Manager. Job purpose Sharing the customer’s data with insurance vendors on regular basis for insuring the customer of all products Preparing the insurance data as per vendors format Coordinating with insurance vendors on faster issuance/ Tagging Coordinating with Branch’s to get the claim documents Sharing the claim documents with vendors & getting claims on time Preparing MIS of issuance & claims register on monthly basis Duties and responsibilities Responsible for team KRAs & ensuring the department objectives are met. Recommending appropriate action for violations of the norms of the company by any employee in the respective region with regards to process. Process related approvals has to be validated & approved based on guidelines. Evaluates the findings and briefs the reporting manager. Ensure MTD reports submitted to reporting manager. Qualifications A minimum of a bachelor’s degree in any specialisation. Minimum knowledge of insurance & MIF. Good knowledge of Word, Excel & PowerPoint. Good communication skills in English, Kannada, Hindi & Tamil for business purposes. Strong Crisis & Contingency management skills. Good analytical skills. Good interpersonal skills. Working conditions Increment & Promotions based on the performance. Vetting of all reports and analysis before final reporting.

Admin Officer/ Executive Experience: 0-2 years Salary(CTC) - 2.75 LPA to 3.75 LPA Preferred Qualification: Graduate in any discipline, MBA in Environment Management will be preferred. Key Responsibilities: Prepare and manage the admin budget effectively. Coordinate with site teams for administrative requirements. Follow up with site staff regarding admin-related activities. Maintain and track office supplies, logistics, and vendor management . Ensure compliance with company administrative policies and procedures . Manage and update admin data in ERP as well as Excel. Handle data entry, validation, and reporting for admin-related activities. Prepare reports, data visualizations, and effectively present insights for management review. Preparation of MIS reports. Documentation Maintaining of proper filing system/trackers and filing system auditing of each department HSE Documentation for IMS system. Preparation of Training schedules related to HSE & Admin-monthly. Required Skills: Expertise in Advanced Excel (Pivot tables, VLOOKUP, Data Analysis, etc.). Hands-on experience with ERP systems for admin data management. Strong communication and coordination skills. Ability to prepare reports and visually represent data for better decision-making. Ability to multitask and manage administrative tasks efficiently.

Conduct fire risk assessments to identify potential hazards and recommend solutions. Ensure the installation and maintenance of fire safety equipment, Organize regular fire drills and evaluate the response to ensure readiness, Conduct fire safety training for employees, including the proper use of fire extinguishers, emergency exits, and evacuation procedures, Raise awareness about fire safety protocols and ensure all employees understand their responsibilities in case of a fire emergency.Regularly inspect fire safety equipment to ensure it is functional and compliant with safety standards.Monitor fire exits and emergency lighting, ensuring they are clearly marked and accessible.Maintain records of fire safety equipment, inspection logs, and fire drills.Keep documentation and records related to fire safety inspections, drills, training, and maintenance.Report any non-compliance issues to senior management and recommend corrective actions.Investigate fire incidents and accidents to determine causes and take corrective actions.Prepare incident reports for management and regulatory bodies as needed.

We are hiring for Subject matter expert for BSFI. Experience : 5 to 10 yrs Salary: upto 10 lpa Shift: Fixed US shifts Location: Hebbal Notice: 0 to 15 days We are in particular looking for someone who has experience in Banking, Healthcare, Insurance domain. Any individual who has experience dealing with clients and stakeholders can apply as well. Roles and responsibilities: Working with company leadership to define project objectives, processes, policies, procedures and rules Explaining policy implementation to fellow team members Getting management approval or approving alterations in rules, procedures and policies Informing consumers regarding project goals and expected deliverables Resolving project-related problems within their area of expertise Fact-checking other professionals on the project to ensure data and information accuracy Providing feedback to project team throughout creation, testing and roll out of deliverables Working with company leadership to create testing scenarios and validate test results Performing user-acceptance testing at the end of the project Validating deliverables produced by a project or company Creating project-related documentation and training manuals Teaching or training project employees and consumers Communicating with company stakeholders regarding project progress Serving as an expert witness in legal cases For further queries call or share your cv on WhatsApp to SINDHU 9986024649 ANANYA 8884496986 JOY 7996004799 VEDANTH 8884496981 Thanks and regards, SINDHU

Recruit adviser Generate business through the advisers Lead the team of advisers Motivate them to achieve targets Provide training and guidance to them. Required Candidate profile Any Graduate Mini. 1 to 6 Years of Exp. in Sales & Marketing + Banking Strong Communications Skills Local candidates are prefer Kindly Contact Us : Hiral P | HR Team Phone/WhatsApp: +91 7861078425

Manage and train the business development team Generate leads and cold call a prospective customer Build strong relationships with client Identify and map business strengths & customer needs Exp:1 to 5 years in Field Sales and Marketing In any Sector Required Candidate profile Graduation Complete Ability to achieve the sales target Basic Understanding of BFSI/Products Contact For More Detail ::6354086229

Strong knowledge of STP, WTP, ZLD, FSTP, ETP, and CETP processes Excellent problem-solving and decision-making skills Ability to work effectively in a team environment

Overseeing the daily operations, ensuring customer satisfaction, team coordination, and adherence to health, safety, and security protocols. This position requires a proactive individual with strong decision-making abilities, leadership skills, and a focus on delivering exceptional guest service. Key Responsibilities Customer Service: Address and resolve guest concerns, ensuring satisfaction by meeting their needs and delivering a personalized experience. Support staff in providing outstanding customer service and handling guest inquiries effectively. Leadership: Oversee operations during your shift, ensuring tasks are efficiently delegated and completed. Resolve operational problems swiftly and provide guidance and support to staff, boosting morale and maintaining a productive working environment. Communication: Maintain clear and consistent communication with team members regarding shift changes, operational updates, and guest requests. Attend regular meetings and briefings with senior management to discuss issues, updates, and improvements. Health and Safety: Assist the operations manager in ensuring compliance with health, safety, and legal regulations. Support safety training and ensure staff are aware of safety protocols and procedures. Security: Ensure the safety and security of the hotel, including monitoring key control systems and inventory management. Ensure that all security protocols are followed during your shift, maintaining a safe environment for guests and staff. Emergency Response: Take charge in emergency situations, ensuring appropriate action is taken swiftly, including coordinating with emergency services if necessary. Maintain knowledge of emergency procedures, including fire, medical, and evacuation plans. Training: Assist in the training and induction of new staff members, ensuring they understand their responsibilities and hotel policies. Provide ongoing coaching and support to staff to help them excel in their roles. Maintenance: Identify any maintenance needs or hazards in guest rooms, public spaces, and back-of-house areas. Report maintenance issues to the relevant department and ensure timely resolution to maintain a safe and well-functioning environment

- IME/PME reports to HR - Patient consultation (9am-6pm) - Quality treatment - High-risk case follow-ups - Bio-medical waste disposa - Clinic registration renewal - Attend emergency cases - Camp/mine patients

SUMMARY Job Opening: HSE Supervisor Location: Rajasthan Barmer Education: Bachelor's degree in Science (with Physics & Chemistry) or a diploma in Engineering (or higher technical qualification). Experience: At least two years of practical experience in a construction work environment. Possess requisite skills to handle construction safety and fire-related day-to-day issues. Job Summary: The HSE Supervisor will be responsible for supporting the implementation of safety protocols and procedures at the workplace. This role involves monitoring site activities, promoting a culture of safety, and ensuring compliance with health, safety, and environmental (HSE) regulations. Responsibilities also include recording and reporting unsafe acts and conditions, participating in TBT, pre-inspecting work locations, reviewing work permits, and coordinating HSE-related programs such as motivational sessions, mass TBT, and trainings. Additional Requirements: Male candidates preferred --- Requirements Requirements: Bachelor's degree in Science (with Physics & Chemistry) or a diploma in Engineering (or higher technical qualification). Minimum of two years of practical experience in a construction work environment. Requisite skills to handle construction safety and fire-related day-to-day issues.

Deal with the walk-in customers in branch Lead will be provided Need to seat in bank handle walking customer Close the leads provided by Company Follow up with the customers Required Candidate profile Graduation - must Age range 21-38 minimum 1 year sales experience mendatory Fresher's Can't Apply.

3-5 years of exp in supplier management, procurement, or sourcing within the food, nutraceutical, or pharma industry. Demonstrated exp in vendor and contract management .5+ years of exp in health supplements, functional foods, or nutraceuticals.

Salary : Upto 15 LPA + Huge Incentives + Travel Allowance Sales, strategy and market expansion - skin care and derma, doctor sales, building strong relationships with dermatologists and healthcare professionals. Required Candidate profile . Proven experience as a Medical Representative or similar role in the healthcare industry. Perks and benefits . Incentives + Travel Allowance + Insurance

Salary : Upto 15 LPA + Huge Incentives + Travel Allowance Sales, strategy and market expansion - skin care and derma, doctor sales, building strong relationships with dermatologists and healthcare professionals. Required Candidate profile . Proven experience as a Medical Representative or similar role in the healthcare industry. Perks and benefits . Incentives + Travel Allowance + Insurance

Salary : Upto 15 LPA + Huge Incentives + Travel Allowance Sales, strategy and market expansion - skin care and derma, doctor sales, building strong relationships with dermatologists and healthcare professionals. Required Candidate profile . Proven experience as a Medical Representative or similar role in the healthcare industry. Perks and benefits . Incentives + Travel Allowance + Insurance

Salary : Upto 15 LPA + Huge Incentives + Travel Allowance Sales, strategy and market expansion - skin care and derma, doctor sales, building strong relationships with dermatologists and healthcare professionals. Required Candidate profile . Proven experience as a Medical Representative or similar role in the healthcare industry. Perks and benefits . Incentives + Travel Allowance + Insurance

Salary : Upto 15 LPA + Huge Incentives + Travel Allowance Sales, strategy and market expansion - skin care and derma, doctor sales, building strong relationships with dermatologists and healthcare professionals. Required Candidate profile . Proven experience as a Medical Representative or similar role in the healthcare industry. Perks and benefits . Incentives + Travel Allowance + Insurance