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1.0 - 4.0 years
1 - 5 Lacs
Bengaluru
Work from Office
About Us At CIGNA Healthcare we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities, and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We are devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being. CIGNA Healthcare believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization. Working at CIGNA Healthcare will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us! Process Overview* International insurance claims processing for Member claims. * Delivers basic technical, administrative, or operative Claims tasks. Examines and processes paper claims and/or electronic claims. Completes data entry, maintains files, and provides support. Understands simple instructions and procedures. Performs Claims duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Entry point into professional roles. Responsibilities- Adjudicate international pharmacy claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high-cost claims and ensure relevant parties are aware. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first issue/call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across International business in line with service needs. Carry out other ad hoc tasks as required in meeting business needs. Work cohesively in a team environment. Adhere to policies and practices, training, and certification requirements. Requirements*: Working knowledge of the insurance industry and relevant federal and state regulations. Good English language communication skills, both verbal and written. Computer literate and proficient in MS Office. Excellent critical thinking and decision-making skills. Ability to meet/exceed targets and manage multiple priorities. Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Education* Graduate (Any) - medical, Paramedical, Pharmacy or Nursing. Experience Range* Minimum 1 year of experience in healthcare services or processing of healthcare insurance claims. Foundational Skills* - Expertise in international insurance claims processing Work Timings* 7:30 am- 16:30 pm IST Job Location* Bengaluru (Bangalore) About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Posted 2 months ago
1.0 - 3.0 years
2 - 4 Lacs
Bengaluru
Work from Office
Main Duties/Responsibilities Adjudicate international medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. Monitor and highlight high cost claims and ensure relevant parties are aware. Monitor turn around times to ensure your claims are settled within required time scales, highlighting to your Supervisor when this is not achievable. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible. Interface effectively with internal and external customers to resolve customer issues. Identify potential process improvements and make recommendations to team senior. Actively support other team members and provide resource to enable all team goals to be achieved. Work across European business in line with service needs. Carry out other adhoc tasks as required meeting business needs. Experience Required: Customer focused with ability to identify and solve problems. Ability to meet/exceed targets and manage multiple priorities. Proficient in Microsoft Office applications. Preferred if English and Arithmetic qualification gained. Experience in medical administration, claims environment or Contact Centre environment is advantageous but not essential. Skills: Must possess excellent attention to detail, with a high level of accuracy. Strong interpersonal skills with good verbal and written communication to internal and external clients. Strong customer focus with ability to identify and solve problems. Ability to work under own initiative and proactive in recommending and implementing process improvements. Ability to organise, prioritise and manage workflow to meet individual and team requirements Ability to exercise judgment. About The Cigna Group Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Posted 2 months ago
5.0 - 7.0 years
9 - 13 Lacs
Amritsar
Work from Office
Entire activity for Residue Lab operations Responsible for assignment, planning, Handling OOS Verification of Data & interpretation of Results Indents, procurement and costing Method development and validation Internal Training provider for the Team Responsible for Internal Audits Responsible for closure of customer complaints Technical support, answering Group lab queries Monitoring of Lab TAT Arrangement of chemicals, reagents, RMs, solvents and lab consumables on time Preparation of Standard Operating Procedures. Preparation of Method validation Reports Authorized to report, review and validation of results Qualifications 6-8 years experience of working in food testing laboratory. Strong knowledge of Food residue and contaminatsanalysis. Strong understanding of ISO 17025 implementation and accreditation process. Should have strong leadership skills to handle team of analysts, allotting and supervising the task to team and also monitoring and evaluating the work done Graduate B.Sc/M.Sc chemistry Should be open to work in Mobile Lab( Remote areas) Additional Information Good interpersonal and communication skills. Energetic, flexible and innovative. Able to work independently and to coordinate several activities simultaneously. Good in communication, read and write in English and local language. Acts quickly and decisively. Knowledge in Microsoft Office (such asMicrosoft Word, Excel, Power Point, & etc.),
Posted 2 months ago
3.0 - 5.0 years
2 - 3 Lacs
Gurugram
Work from Office
Handle front desk operations (calls, inquiries, visitor management) Schedule and manage patient appointments. Coordinate between departments and assist with administrative tasks. Ensure smooth communication across hospital units.
Posted 2 months ago
1.0 - 4.0 years
3 - 7 Lacs
Kota, Bhopal, Ujjain
Work from Office
Foundation for Reproductive Health Services India is looking for Medical Officer to join our dynamic team and embark on a rewarding career journey Diagnosing and treating patients' illnesses and injuries Creating and maintaining patient medical records Prescribing medication and therapies Ordering and interpreting diagnostic tests Referring patients to specialists as needed Developing and implementing treatment plans Educating patients about their health conditions and treatment options Working closely with patients and their families, as well as other healthcare professionals
Posted 2 months ago
1.0 - 5.0 years
7 - 11 Lacs
Betul, Udaipur, Bhopal
Work from Office
Foundation for Reproductive Health Services India is looking for Consultant Surgeon to join our dynamic team and embark on a rewarding career journey Perform surgical procedures and supervise clinical practices Advise patients and medical staff on treatments and recovery Lead surgery teams and mentor junior practitioners Ensure compliance with medical standards and protocols
Posted 2 months ago
2.0 - 6.0 years
6 - 9 Lacs
Bengaluru
Work from Office
Medifit consultant Pvt LTD is looking for Executive Assistant for Board of Directors to join our dynamic team and embark on a rewarding career journey. Assisting with the preparation of operating budgets, financial statements, and reports. Processing requisition and other business forms, checking account balances, and approving purchases. Advising other departments on best practices related to fiscal procedures. Managing account records, issuing invoices, and handling payments. Collaborating with internal departments to reconcile any accounting discrepancies. Analyzing financial data and assisting with audits, reviews, and tax preparations. Updating financial spreadsheets and reports with the latest available data. Reviewing existing financial policies and procedures to ensure regulatory compliance. Providing assistance with payroll administration. Keeping records and documenting financial processes.
Posted 2 months ago
2.0 - 5.0 years
3 - 3 Lacs
Jamshedpur
Work from Office
Operations Executive for General Shift Duties - Requirement: 01 professional. Purpose: To manage the hospitalization requirements of MTMC employees and students, including TMH billing and admissions. Experience - BSc HIM for Clinical Material Collection / BBA Hospital Mgmt(1-2 year) or MBA/MHA with hospital specialization
Posted 2 months ago
3.0 - 8.0 years
2 - 4 Lacs
Diamond Harbour
Work from Office
Responsibilities: * Lead center operations & staff development * Manage sales & marketing strategies * Oversee patient care & relations * Ensure medical standards & compliance * Collaborate with hospital management team
Posted 2 months ago
0.0 - 1.0 years
1 - 3 Lacs
Noida
Work from Office
Role & responsibilities Hello We KAIVEE Healthcare is doing mass hiring for the posts of :- 1. Calling Backend Profile (Customer support & Sales call) :- Generate Leads & assist patient queries and doubts via calls. 2. HR :- Need to handle basic duties like :- Induction & hiring, and retaining employees, managing employee relations, and ensuring compliance with labor laws 3. Phlebotomist ( MBBS,BDS can also apply) :- Need to take blood samples & review reports . 4. Accounts :- Manage company accounts & Payroll cycle. 5. Sales (On Field Job) :- To generate leads in Corporates & other clinics & hospitals for our pathological tests. Preferred candidate profile Medical/Dental Background, MBA in HR, Sales., BPT, B.Pharma.
Posted 2 months ago
2.0 - 5.0 years
5 - 8 Lacs
Mumbai
Work from Office
Our mission at 9E Global is to build a better world and be a transformative force, shaping the future of the built environment, We specialize in delivering forward-thinking, innovative design solutions rooted in best practice and a commitment to the highest levels of excellence, We are looking for a driven Public Health Engineer to join our team, Qualifications Minimum 4-6 years of experience in engineering consultancy firms, A qualified graudate engineer in Mechanical/ Building Services Engineering, Masters degree/Chartered Engineering will be an added advantage, Experience in Middle East projects will be highly preferred, Business Development Starting to develop network of contacts Be an ambassador for the Company, Project Role Role will normally be a Engineer on projects responsible to Associate or SE but occasionally as Project Engineer on small/less complex projects, Be familiar with agreed fees/scope of services/programme, Manage project resources/programme, Attend team/site meetings, Liase and correspond day to day with design team/contractor, Supervise office filing system set-up, Receive all project correspondence, Implement project QA policy and CDM requirements, Responsible for setting-up and maintaining job filing system to office standard, Attend team/job meetings to discuss progress/deadlines/detail design issues, Implement QA policy and CDM requirements Company Role Contribute to the development of company procedures by taking an active role in task groups, Attend team meetings and play an active role in the development of procedures within your team, Review and comment on company procedures using the feedback system, Applying policies relating to health & safety, quality and training Engineering Function Produce calculation index/specification list/information required schedule, Responsible for development and production of calculations / specification / reports , Review calculations from Graduate Engineers, Familiar with architects/service engineers/etc drawings, specification, Development of details, Production of calculations, Co-ordination with architect/service engineer information, QHSE Responsibilities Understand, implement and follow 9E QHSE policies, Implement and coordinate QHSE procedures in your workplace, Comply with local regulatory authority guidelines and laws pertaining to QHSE, Report any QHSE incidents immediately to 9E QHSE Dept and to legal authorities if required, Abide Client/Contractor QHSE requirements and acquire site induction before mobilizing at sites,
Posted 2 months ago
3.0 - 7.0 years
10 - 14 Lacs
Pune
Work from Office
A discipline specific design team leader with a demonstrable career progression with a Plumbing and Fire Protection bias in the field of Building Services Engineering, Excellent communicator, both oral and written, who can concisely and with sufficient detail direct supporting engineering staff, Excellent communication skills and the ability to liaise directly with Clients, Statutory Authorities, and other 3rd parties as required, Demonstrates ownership qualities, for the team quality, and the timely delivery of projects, Demonstrates ability to master being a discipline specific Senior Design Engineer as defined by Stantec procedures, Demonstrates sound understanding of other related building design disciplines, Experience with all type of projects including healthcare, hospitality, commercial, residential and refurbishment projects, Keeping all project related documentation in compliance with Stantec systems, processes, and procedures, Anticipates challenges and project risks and recommends necessary mitigating measures, and where necessary relates these internally to Commercial Team and, externally, to Client/Client Representatives, Knowledge on international sustainability standards similar to LEED, Working knowledge of hydraulic calculation software and MS Office is required Demonstrated Proficiency with NFPA 13,20, NFPA 99, International Plumbing Code, HTM 02-01, and BS8301, Familiarity with International Building Codes and Standards, Understanding of multidisciplinary coordination through design and the construction process Familiarity with permitting and Authority requirements, Interfaces & Communications Role resides within the Built Environment Design Division Reports to Head of Discipline for internal matters Reports to Project Director/Manager for project related matters Primary points of Contact include Design Division, Corporate Support, and Business Controls: Principal Engineer/Architect/Interior Designer/Landscape (project updates & advise) Other Engineers/Architects/Interior Designers/Landscape (project work coordination) BIM/REVIT/AutoCAD Operators (Coordinate, Communicate, and Feedback on drawing preparations) BIM/REVIT/AutoCAD Managers (Advising Technicians development) BIM Manager (for technical ability and platform learning) Qualifications Over 10 years of experience working within an International Design Firm, with a focus on Plumbing and Fire Protection Design Minimum of five (5) on Middle East region projects, Mechanical Engineering Degree from a nationally accredited engineering program, About Stantec Were active members of the communities we serve Thats why at Stantec we always design with community in mind We believe growing a great design company happens from the inside out We look for people who are drawn to use every talent they possess, plus creativity, determination and a drive to do the extraordinary, The Stantec community unites approximately 22,000 employees working in over 400 locations across six continents We collaborate across disciplines and industries to bring projects to life Our work as architects, engineers, and consultants from initial project concept and planning through design, construction and commissioning is built on a solid history of success So, when we take on a project, we see the opportunity to make a lasting connection with the people and places where we live and work Redefine your personal best
Posted 2 months ago
12.0 - 20.0 years
40 - 60 Lacs
Hyderabad
Work from Office
Ensuring the Management, Functioning and Operations of the Hospital in profitable and professional manner in alignment to the Management guidelines. Overall control and monitoring of the Hospital. Responsible for customer care, Security, Housekeeping, Logistics, Personnel & Equipment. Management of Corporate patients. To serve as a Key resource for the Organization in terms of Planning, Overseeing, Coordination and providing inputs. Liaisoning with local Bodies, Government officials. Responsible for all Statutory & regulatory compliance related matters. Responsible for Hospital related agreements like Business, Service and Facility. To interact and maintain cordial relations with all the consultant doctors / clinicians, referral doctors in increasing the business. Obtain feedback on monthly basis, submit to the management & take corrective actions in improving the satisfaction levels of the doctors. Co-ordinate with all the other department people like Finance, HR, Marketing, service and other technical people and ensure a smooth functioning of the Hospital.. Structure the strategies / policies w.r.t. Operations & maintenance, obtain approvals and implement them. To ensure the correctness of the Billing process. To identify, check and arrest the loose ends in every system and process on continuous basis. Ensure the highest productivity from the employees, train, develop and retain the team members. To initiate cost reduction processes by planning cost control measures in material, services and by multi skilling w.r.t. manpower. Ensure certifications / renewals are on time and in place. To obtain feedback from the customers and ensure the corrective steps. Prepare Job descriptions, allocate / distribute the work, monitor the work schedules among the team. Evaluate the performance of the team members / train & develop for future needs. To ensure proper handling and disposal of medical wastages and garbage. Responsible for budget and budgetary controls. constant touch with vendors, contractors, consultants, suppliers, out sourced agencies, patients, visitors, external service /maintenance agencies, regulatory bodies and government officials. Ensure optimum operational efficiency of centre by coordinating with various functional leaders to achieve target Operational issues pertaining to centre in line with organizational objectives To ensure all Statutory Compliance Ensures adherence to quality standards in the centre operations Implementation of Clinical and administrative protocols & procedures Provide prompt, courteous, efficient and personalized service to all stakeholders Ensuring that all clinical as well as non clinical processes and protocols are adhered to Monitor the key performance indicators of the centre and initiate corrective action, whenever necessary. To co-ordinate internal project work, plan timelines and adhere with the same in co-ordination with Project team.
Posted 2 months ago
0.0 - 2.0 years
2 - 3 Lacs
Hyderabad
Work from Office
A Hospital Operations Executive job description typically focuses on overseeing the day-to-day operations of a hospital, ensuring efficient workflow, and enhancing patient care . This role involves coordinating with various departments, managing resources, and implementing strategies to improve operational efficiency and patient satisfaction. Here's a more detailed breakdown of the key responsibilities and requirements: Key Responsibilities: Oversee daily hospital operations: This includes managing staff, optimizing workflows, and ensuring smooth functioning of all departments. Coordinate with departments: Facilitate communication and collaboration between clinical, administrative, and non-clinical teams to ensure seamless operations. Implement operational policies and procedures: Develop and implement policies to improve efficiency and patient care. Manage budgets and financial performance: Monitor and control operational costs, and ensure financial accountability. Ensure compliance: Adhere to healthcare regulations, standards, and policies. Supervise and support hospital staff: Provide leadership, mentorship, and support to hospital staff. Monitor patient satisfaction: Track patient satisfaction and address complaints to improve the patient experience.
Posted 2 months ago
5.0 - 10.0 years
8 - 10 Lacs
Thane
Work from Office
Position: Operations Manager Hospital Location: Thane Operations Manager to oversee & streamline day-to-day operations at a leading hospital. The ideal candidate will look & ensuring high standards of patient care, operational efficiency, compliance Required Candidate profile Bachelor's degree in Hospital Administration, Healthcare Management Min 5 yrs of experience in hospital operations or healthcare admi. Strong leadership, communication, & problem-solving skills.
Posted 2 months ago
0.0 - 4.0 years
2 - 6 Lacs
Mohali
Work from Office
Avillion Biogenics Pvt. Ltd. is looking for Clinical Executive to join our dynamic team and embark on a rewarding career journey. Take vital signs and record medical histories of patients, and update electronic medical records as needed. Assist physicians or other medical professionals in clinical procedures such as physical exams, immunizations, and specimen collection. Prepare patients for exams, procedures, and treatment, and provide instructions on post-treatment care. Answer patient inquiries and provide education on medical conditions and treatments. Assist with scheduling patient appointments and follow-up visits, and maintain medical records. Administer medications and treatments as directed by physicians or medical professionals. Communicate with patients, physicians, and other healthcare professionals to ensure the efficient operation of the medical office or clinic. Knowledge of medical terminology and procedures. Strong communication and interpersonal skills.
Posted 2 months ago
7.0 - 10.0 years
9 - 12 Lacs
Kolkata, Durgapur
Work from Office
Experience: 7+ years in healthcare planning or administration. Responsibilities: Needs assessments, functional programming, operational efficiency. Provide actuarial expertise and consulting services to healthcare organizations. Analyze healthcare data and trends to assess financial risks and opportunities. Develop actuarial models and forecasts to support pricing and underwriting decisions. Evaluate healthcare programs and insurance products for financial soundness and regulatory compliance. Collaborate with cross-functional teams to develop and implement healthcare analytics solutions. Present findings and recommendations to senior management and stakeholders. Stay updated on healthcare regulations and market trends impacting actuarial practices.
Posted 2 months ago
1.0 - 6.0 years
13 - 17 Lacs
Dombivli
Work from Office
Our polyclinic is in need of a General Physician to provide primary care services The position involves diagnosing and treating a variety of medical conditions, prescribing medications, and offering preventive care advice The ideal candidate should have an MBBS degree and be licensed to practice in India Experience in a clinical setting and the ability to manage a wide range of health issues are essential Strong interpersonal skills and a compassionate approach are also important
Posted 2 months ago
2.0 - 5.0 years
3 - 6 Lacs
Gurugram
Work from Office
Role & responsibilities Ensure Patient care by managing routine Operations: A) Admission process is seamless and patient is made aware of next steps B) Doctors round, patient movements, medication process, sample collection, any procedural requirement (radiology, ECHO etc.) are appropriately taken care of C) Look into F&B, dietary, physiotherapy or any other service requirements are met D) Patient discharge, final billing process, co-ordination with TPA desk, discharge summary etc are well managed E) Address patient/attendant queries, provide information as per protocols F) Checking completeness of all medical records G) Effectively engage multi-teams; Floor doctors, Clinical Pharmacists, Medical Transcriptionists, Nursing, ward secretaries, security, Housekeeping & GDAs H) Look into any training & development requirement of any staff on floors Ensure all activities are on Hospital Information System Ensures discipline of staff in Wards/ Floors Checks Noise levels Ensures Availability of Doctor Ensures prompt Response to nursing calls Monitors Staff behavior and attitude Checking completeness of Medical Record File Feedback to chairman/ HOD on compliance to quality standards, Medical Record audit and significant incidences. Analyzes & streamlines the process in wards for e.g. attendant passes and suggest reform. Gives Daily report of the floor to appropriate authority Feedback evaluation and suggestions for improvement Any other duties assigned by the Supervisor Preferred candidate profile Qualification required - BDS + MHA/MBA ( Hospital & Healthcare). Both qualifications are pre-requisite. Experience - 2+ Years Interested candidates can share their resume at chitra.chauhan@medanta.org
Posted 2 months ago
0.0 - 3.0 years
2 - 5 Lacs
Chennai
Work from Office
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Junior Process Executive - MRR will be responsible for retrieving medical records from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews. This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours. Primary Responsibilities Retrieve Medical Records, remotely, from healthcare providers and facilities ensuring all records are obtained in a timely and accurate manner Ensure compliance with all US federal and state regulations related to medical record retrieval Review medical records to ensure completeness and accuracy Utilize electronic health record systems to retrieve and store medical records Assists in team building and ensuring teamwork Maintain a detailed and accurate tracking system to monitor the progress of medical record retrieval requests Communicate with internal teams regarding the status of medical record retrieval requests Participate in the development and implementation of process improvements including software/hardware functionality, testing, and implementation to increase efficiency and accuracy Requires an individual to maintain the ability to work in an environment with PHI / PII data Performs Quality Assurance and Quality Control assessments on request Identifies areas of potential growth opportunity for the company and any process improvements to reduce issues May be assigned other duties, including supporting other departments Must maintain compliance with all company policies and procedures Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications Any degree must be completed 6+ months of experience in BPO (Non voice process) with good communication skill Experience with Microsoft Word, Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management) Willing to work in different shifts / Saturdays and on Indian holidays Preferred Qualification Knowledge of US Healthcare Industry Soft Skills Solid attention to detail Problem solving skills, and attention to detail Excellent Verbal and written communication skills, including ability to effectively communicate with internal and external customers Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service Ability to work independently and as part of a team Ability to prioritize tasks and manage multiple projects simultaneously and carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices High level of ethics, integrity, discretion, and confidentiality
Posted 2 months ago
2.0 - 5.0 years
4 - 7 Lacs
Gurugram
Work from Office
Optum is hiring Training Supervisor - RCM (Hospital Billing), Chennai/Hyderbad/Noida/Gurgaon Please find below details of the same Successful implementation and management of the training department Training fresher, existing and experienced colleagues for all scope of work in backend business of RCM Delivering training programs to employees using a variety of methods, including classroom instruction, e-learning and on-the-job training Review training needs and performance monthly basis and perform focus group, conduct feedback and monitor progress of the batches till they become productive as 100% Bottom quartile management Plan and implement an effective training curriculum, content and automation Collaborate with management to identify training needs (TNI/TNA) for all employees Regular connects with ops, quality and training to enhance the training and identify the area of improvement Maintaining up-to-date knowledge of best practices in training and development and making recommendations for changes to training programs as required Be able to raise/track new hire process credentials Be able to work on the accounts for the aligned process to have hands-on experience for better for experiential training Learn new / existing business as end to end and prepare / modifier the training curriculum Be able to align himself/herself with organization/ team / client culture and mission, vision and value Be well equipped in handling in-person and virtual training Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: 10+ years of experience in the US healthcare industry with experience in Hospital Billing 8+ years of experience in healthcare revenue cycle management services, with understanding on upstream and downstream Worked as AR representative and effectively implemented the experiential learning in the new hire batches Familiarity with insurance guidelines (Medicare, Medicaid, commercial payers) and their plans In-depth knowledge of denial management and appeal writing for both administrative and clinical denials Expertise in handling inpatient claims and understanding payment methodologies- DRG classifications, bundled payment models) Comprehensive knowledge of UB04 claim form component, including proper inpatient coding, revenue codes, procedure codes, and regulatory requirement In-depth knowledge of Acute and Ambulatory specialties with understanding of associated diagnosis, procedure and denials Proficiency in understanding coding denials and code sets (ICD-10, CPT04, HCPCS) and understanding of medical record Demonstrated ability to analyze AR claim as end to end and identify the root cause and faster resolution Demonstrated ability to handle multiple geos- US/PR/PHL/IND Proven solid analytical and problem-solving skills Proven excellent communication and leadership abilities
Posted 2 months ago
8.0 - 10.0 years
8 - 12 Lacs
Chennai
Work from Office
Job Summary: The Cancer Institute (WIA), a renowned State Cancer center, is hiring a Junior Medical Director to support strategic planning, clinical oversight, and operational management. This role works closely with senior leadership to enhance quality of care, streamline clinical services, and drive institutional excellence. Key Responsibilities: Oversee day-to-day clinical operations across departments Coordinate with clinical heads for quality patient care & resource optimization Assist with NABH compliance, audits, and quality improvement initiatives Liaise between medical staff and administration for issue resolution Support research, clinical data analysis, and internal reporting Contribute to training programs, CME, and interdisciplinary learning Handle patient grievances and promote patient-centered care Candidate Profile: Qualification: MD / MS / DNB in any clinical specialty (mandatory); Hospital Administration / Public Health qualification (preferred) Experience: 8-10 years total; minimum 4 years in healthcare administration Skills: Strong clinical insight, leadership, quality systems knowledge, hospital operations, and communication abilities Industry: Healthcare / Hospital / Medical Functional Area: Hospital Administration / Medical Services / Clinical Operations Apply via email: recruit@cancerinstitutewia.org Subject Line: Application Junior Medical Director
Posted 2 months ago
3.0 - 5.0 years
4 - 5 Lacs
Udaipur
Work from Office
Role & responsibilities MIS and Reporting: Maintain and update the Clinical Management Information System (MIS). Generate and circulate daily, weekly, and monthly operational reports to internal stakeholders. Ensure data accuracy and timely reporting. Coordination with Doctors: Liaise and coordinate with doctors and clinical partners across India for scheduling, documentation, and operational requirements. Act as a point of contact for communication between internal teams and external medical professionals. Payment & Invoice Processing: Handle the end-to-end process for clinical invoice validation and payment processing. Maintain payment trackers and coordinate with the finance team for timely disbursements. KOL Coordination: Support the planning and execution of KOL-related initiatives including meetings, events, and collaborations. Maintain an updated database of KOLs and ensure effective engagement. Licensing & Compliance: Oversee the renewal and documentation of all clinical licenses. Ensure 100% compliance with PCPNDT regulations and maintain proper records. Stakeholder Communication: Prepare and share daily operational updates with leadership and cross-functional teams. Address queries and provide operational insights as needed. Qualifications: Bachelors degree in Healthcare Administration, Life Sciences, Business Administration, or a related field (Masters degree is a plus). 2–5 years of experience in clinical operations or healthcare administration. Familiarity with clinical compliance frameworks, especially PCPNDT. Strong knowledge of Excel and MIS tools; proficiency in data handling and reporting. Excellent communication, coordination, and interpersonal skills. Ability to multitask and manage stakeholders across geographies. Key Competencies: High attention to detail and data accuracy Stakeholder management Time and process management Problem-solving and adaptability Compliance and documentation proficiency
Posted 2 months ago
10.0 - 15.0 years
3 - 5 Lacs
Salem
Work from Office
Roles and Responsibilities Manage day-to-day operations of the Operation Theater (OT) department. Oversee all aspects of OT management, including staff supervision, patient care, and equipment maintenance. Ensure compliance with hospital policies, protocols, and standards for surgical procedures. Coordinate with other departments to ensure smooth functioning of the hospital's operational activities. Maintain accurate records of patient data, inventory management, and quality control measures.
Posted 2 months ago
15.0 - 24.0 years
25 - 30 Lacs
Durgapur
Work from Office
Candidate must have experience in Medical College Masters in Hospital Mgmt/MBBS/BHMS with Hospital admin exp Managing Hospital Ops, Billing, Marketing, Maintenance, Purchase, Security etc
Posted 2 months ago
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