Health Investigator Field Investigator Claim Investigator Medical Claim Investigator
Managing CGHS, ECHS, CAPF and ESIC and All Government Portals: Medical file Audit Claim Processing Uploading Query Management Required Candidate profile Mandatory practical experience of government empanelment such as CGHS ECHS ESIC CAPF etc. and medical file audit and processing for Railways, CGHS, ECHS and other govt empanelment's.
Responsibilities: Manage hospital panels, resolve issues & communicate effectively. Oversee healthcare revenue cycles from admission to discharge. Ensure accurate reconciliations and compliance with policies. Flexi working Cafeteria Annual bonus Sales incentives Performance bonus Referral bonus Provident fund
Responsibilities: * Prepare financial reports using Tally software * Manage GST compliance and returns filing * Conduct income tax audits and prepare returns * Ensure timely VAT return submission Provident fund Annual bonus
Key Roles : Ensure accurate documentation and timely claim settlement Follow up with TPA and Govt. bodies for approvals/payments Strong knowledge of Govt. healthcare panels (ECHS, CGHS, ESIC, etc.) Experience in hospital billing & claim processing Annual bonus Provident fund Health insurance
Managing CGHS, ECHS, CAPF and Ayushman Bharat Government Portals: Claim Processing Audit Uploading Query Management Reconciliation and Recovery Management. Annual bonus Provident fund Health insurance
Responsibilities: Coordinate with teams & hospitals on reconciliations Prepare monthly MIS reports Reconcile payments Manage reconciliation process from start to finish Must know about Government panels like ,Government railways and Ayushman Bharat Health insurance Annual bonus
JD Coordinate with teams & hospitals on reconciliations Prepare monthly MIS reports Reconcile payments Manage reconciliation process from start to finish Must know about Government panels like ,Government railways and Ayushman Bharat Provident fund Annual bonus
Responsibilities: * Manage backend operations with focus on health insurance claims processing, TPA billing, MIS reporting, data entry, and basic hospital administration. Provident fund Annual bonus
Responsibilities: * Conduct field investigations on health claims. * Gather evidence and interview witnesses. * Prepare detailed reports with findings. * Maintain confidentiality at all times. Annual bonus
Responsibilities: * Conduct field investigations with accuracy and efficiency * Verify facts on-site through thorough investigation techniques * Collaborate closely with claims team during claim investigations Annual bonus
Responsibilities: * Conduct field investigations and verifications * Maintain confidentiality at all times * Collaborate with legal team as needed * Verify documents accurately * Meet deadlines consistently Annual bonus
Responsibilities: * Conduct field investigations * Verify documents on-site * Maintain confidentiality at all times * Collaborate with legal team when necessary * Report findings accurately Annual bonus
Responsibilities: * Conduct field investigations * Verify documents on site & review records * Maintain confidentiality at all times * Collaborate with legal team when necessary * Report findings accurately Annual bonus
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