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2 - 5 years

0 Lacs

Greater Noida

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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).

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0 - 5 years

25 - 35 Lacs

Chennai

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Order tests including biopsy, blood, and imaging to confirm a diagnosis Provide patients with detailed info regarding cancer, their prognosis, and possible interventions or treatment options Required skills and qualifications MD DM or equivalent

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0 - 5 years

25 - 30 Lacs

Chennai

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Medical College - Prof,Asso,Asst,SR in Pondy, Sikkim, Chennai. Hospital in Andaman, OMR Chennai, Oman 3yr exp with prometric & Data flow. Scans in T nagar, Madipakam, Kilpauk, Vadapalani , Medavakam, Kelambakam Chennai, Hosur Whatsapp 8714010076

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0 - 5 years

25 - 30 Lacs

Gangtok

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Medical College - Prof,Asso,Asst,SR in Pondy, Sikkim, Chennai. Hospital in Andaman, OMR Chennai, Oman 3yr exp with prometric & Data flow. Scans in T nagar, Madipakam, Kilpauk, Vadapalani , Medavakam, Kelambakam Chennai, Hosur Whatsapp 8714010076

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0 - 5 years

18 - 30 Lacs

Tirupur/Tiruppur

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Wanted Gynecology for Hospital in Tirupur, Tirupattur(nr vellore), Nr Nagarkoil. Prof,Asso,Asst,SR in Pondy, Sikkim, Chennai. Whatsapp 8714010076

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0 - 5 years

18 - 30 Lacs

Chennai

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Wanted Gynecology for Hospital in Tirupur, Tirupattur(nr vellore), Nr Nagarkoil. Prof,Asso,Asst,SR in Pondy, Sikkim, Chennai. Whatsapp 8714010076

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0 - 5 years

18 - 30 Lacs

Trichy

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Wanted Gynecology for Corporate Hospital in Chennai (0 to 1yr), Coimbatore (5yrs). IVF Chain of center Tirunelveli, Madurai, Trichy, Vellore, Tirupattur(nr vellore). Prof,Asso,Asst,SR in Pondy, Sikkim, Chennai, Trichy. Whatsapp 8714010076

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0 - 5 years

35 - 50 Lacs

Pudukkottai

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Cardiologist, Surgical gastro Vacancy corporate hospital in Banglore, Tanjore. Non intervention Cardiologist for Krishnagiri. To examinine symptoms and check for signs of disease. Performing procedures and prescribing medications. Whatsapp 9444057765

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0 - 5 years

35 - 50 Lacs

Krishnagiri

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Cardiologist, Surgical gastro Vacancy corporate hospital in Banglore, Tanjore. Non intervention Cardiologist for Krishnagiri. To examinine symptoms and check for signs of disease. Performing procedures and prescribing medications. Whatsapp 9444057765

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0 - 5 years

35 - 50 Lacs

Bengaluru

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Cardiologist, Surgical gastro Vacancy corporate hospital in Banglore, Tanjore. Non intervention Cardiologist for Krishnagiri. To examinine symptoms and check for signs of disease. Performing procedures and prescribing medications. Whatsapp 9444057765

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0 - 5 years

12 - 15 Lacs

Chennai

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Pediatrician Vacancy for hospital and Medical Colleges in Chennai, Trichy, To examine symptoms and check for signs of disease. Performing procedures and prescribing medications. Whatsapp 9444057765

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1 - 3 years

1 - 2 Lacs

Mumbai

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Conduct hearing assessments using pure-tone audiometry, speech audiometry, and tympanometry,Evaluate hearing levels and assist in diagnosing hearing disorders,Assist in hearing aid selection, fitting,Maintain and calibrate audiometric equipment.

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13 - 20 years

16 - 30 Lacs

Bengaluru

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The Senior Manager - Architect will lead the planning, design, and execution of hospital expansion projects, ensuring architectural excellence, MEPF (Mechanical, Electrical, Plumbing & Fire) coordination, and regulatory compliance. This role will focus on standardization, process improvement, and optimizing Key Responsibility Statement Standardization & Design Efficiency o Development and implementation of standardized layouts for hospital spaces (OTs, ICUs, OPDs, etc.). o Completion of space programs for different hospital capacities (200-1000 beds). o Adherence to JCI, NABH, NABL and internal healthcare design standards. MEPF Coordination & Interdisciplinary Integration o Seamless integration of MEPF with architectural designs. o Efficiency of the consultancy/interdisciplinary matrix execution. o Adoption of energy-efficient & sustainable building practices. Regulatory Compliance & Approvals o Timely submission and acquisition of statutory approvals (municipal, environmental, fire safety, etc.). o Compliance with local building laws and healthcare infrastructure regulations. o Effective liaison with government authorities for smooth approval processes. Process Improvement & Execution Efficiency o Reduction in turnaround time for tender and execution drawings. o Implementation of workflow standardization for enhanced project efficiency. o Alignment of architectural outputs with operational needs and evolving medical technologies. Knowledge, Skills and Experience 12 - 15 years in hospital design, healthcare infrastructure, or large-scale architectural projects. Bachelor's/Masters in Architecture, Civil Engineering, or Healthcare Infrastructure Planning. Proficiency in AutoCAD, SketchUp, Photoshop, MS Office. Understanding of building codes, healthcare planning guidelines, and material specifications. Behavioural: Ability to take direction, execute tasks independently, and work within a team. Willingness to travel for site visits and project execution.

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1 - 2 years

1 - 3 Lacs

Kochi, Kannur

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Position Clinical Specialist Location Kochi, Kannur - Kerala Gender Male Qualification Bsc., Dialysis Technician. Contact Person: Niranjana (HR) - 8951747266 The Job Roles requires the incumbent to do the following activities: The candidate should be able to travel to both hospitals and patients' homes. The candidate should preferably have a two-wheeler for easier transportation. Initial education of patients on the renal replacement therapy Flushing at Catheter Insertion Train patients/care giver on the process of peritoneal dialysis and education on how to avoid infection Visit patients for follow up and undertake a complete re call of the patients compliance to earlier instruction Observe the exchange procedure being undertaken by care taker / patient Guide the patient / care taker through the entire process of peritoneal dialysis exchange including room set up, hand washing, exit site care, dressing and actual exchange Prepare a detailed note on observations including biochemistry reports and share with care taker/ patient and clinical TL Plan for patient file discussion with Doctors Conduct patient programme like fluid management, correct exchange procedure, hand hygienic and room set etc.

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0 - 1 years

1 - 3 Lacs

Nagpur, Kolhapur, Solapur

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Handling Peitant

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1 - 3 years

3 - 4 Lacs

Bengaluru

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Job Description Designation : Executive Role: QC Pharmacist Department: Warehouse Operations Location: Bangalore/South About Tata 1mg Tata 1mg is a trusted health partner for end consumers and large institutions. Our Mission is to make healthcare understandable, accessible, and affordable for all Indians. Over the past three years, we've worked to build a healthcare platform that guides customers to the right and affordable care. Today, Tata 1mg is present in 1000+ cities And were just getting started. Leading the chart as one of the top consumer health platforms through ePharmacy, eDiagnostics, e-consult and offline stores, Tata 1mg has delivered over 15M ePharmacy orders, 2M eDiagnostics orders & 1M+ organic users/day in 2022 and we are just getting started. Our strongest asset is our 6400+ people enabling us to deliver on our mission consistently. Know more about us: https://www.1mg.com/aboutUs Brief about the Team The warehouse operations team is within the supply chain vertical of Tata 1mg. The team works closely with the org-wide leadership team, business, product, growth, and category teams to drive operational excellence and strategic initiatives. The team works on special projects and innovations that aim to deliver high impact. The projects span across business verticals including e-pharma, e-diagnostics, and retail. What will you do Customer Support Read & validate prescriptions (Rx) + OTC orders Contact customers for clarification or information required to process the order Inventory Management Keep check of Inventory in the warehouse. Drive vendors to ensure adequate inventory levels are maintained. Compliance Ensure strong quality checks while packing/ dispensing medicines Ensure 100% compliance per the process guidelines What we are looking for 1+ year of relevant experience (pharmacist). Diploma or Bachelor (D. Pharma or B. Pharma). License for that state. Should be comfortable working in shifts and on weekends. Why Join Us? Tata 1mg provides one of the most exciting and high-growth environments to work. You get the added benefit of working in a prestigious legacy brand like Tata and a highly dynamic and versatile startup like 1mg. Being an integral part of the Warehouse Operations will provide you to closely work with the Operations and Logistics team which is spread PAN India. Disclaimer Tata 1mg is proud to be an Equal Opportunity Employer. All employment decisions at Tata 1mg shall be made without discrimination, harassment or less favorable treatment of any employee or job applicant, either directly or indirectly, on the grounds of age, color, physical ability, ethnic origin, nationality, religion, gender, family status, marital status, prenatal status, gender reassignment, or sexual orientation. All employment decisions are based on business needs, job requirements, competence, and merit

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1 - 3 years

1 - 2 Lacs

Mumbai

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A Staff Nurse provides direct patient care, administers medications, monitors vital signs, and assists in medical procedures. They maintain patient records, educate patients, ensure a sterile environment.

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1 - 3 years

1 - 2 Lacs

Mumbai

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Oversee the implementation of the MJPJAY scheme. Coordinate with hospitals and healthcare providers to ensure services are delivered. Manage beneficiary enrollment and verification processes. Handle claims processing and reimbursement.

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1 - 5 years

1 - 2 Lacs

Mumbai

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Dispense medications and counsel patients on drug usage Ensure compliance with pharmaceutical regulations and guidelines Monitor and manage pharmacy inventory and stock levels Collaborate with healthcare professionals for patient care

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2 - 4 years

1 - 2 Lacs

Mumbai

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A Resident Medical Officer provides medical care to patients, assists in diagnosis and treatment, and performs routine procedures,monitor patient progress, collaborate with senior doctors, maintain and respond to emergencies within the hospital.

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1 - 3 years

1 - 2 Lacs

Mumbai

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Welcoming patients and visitors Answering phone calls and inquiries Scheduling appointments and keeping them on time Assisting patients with completing necessary forms and documentation

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2 - 5 years

1 - 2 Lacs

Mumbai

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Should have hardcore hospital operations experience Should be aware about MJPJAY scheme Should know staff management Should be able to manage IPD, OPD and OT department Night shift only

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2 - 3 years

2 - 3 Lacs

Mumbai

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Oversee the implementation of the MJPJAY scheme. Coordinate with hospitals and healthcare providers to ensure services are delivered. Manage beneficiary enrollment and verification processes. Handle claims processing and reimbursement.

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2 - 3 years

1 - 1 Lacs

Mumbai

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Identify sudden or subtle changes in a patient’s medical condition, medications by routes of intravenous injection, intramuscular injection, sublingual, transdermal, subcutaneous, and by mouth (PO),deliver intensive care during health emergencies.

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1 - 4 years

1 - 2 Lacs

Mumbai

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involves duties like sample analysis, equipment operation, testing, data recording, report generation, and maintaining lab safety and cleanliness.

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