431 Mediclaim Jobs

Review and evaluate cashless and reimbursement medical claims submitted by hospitals and insured members. Approve or recommend modifications/rejections based on clinical justification Please call or WhatsApp on 9451802744, 9415408154

Patient management: Assist with patient admissions and discharges related to the Swasthya Sathi scheme and help patients with the necessary forms.

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development ...

Location City Pune Department Finance and Accounts Experience 0 - 2 Years Designation Associate Total Position 1 Employee Type Apprentice Job Description Associate- Accounting Primary Responsibilities: Accounting concepts Processing Required to have a good knowledge of transaction processing Understanding of concepts of accounts payable/ accounts receivable and the complete cycle of P2P/ O2C. Strong analytical skills and comfortable working on Excel. Core Competencies: Service Orientation Should be aware of both - the internal as well as external customers and their needs; and is committed to meeting the customers evolving, long-term needs the focus is on SERVICE Result Orientation Should be...

Claims Processing Dr Job Qualifications and Requirements: Required : BDS, BHMS, BAMS, MD, Pharm D Graduates. Job Description: 1. Along with the medical expertise, need to master the various products ( Policies) and to apply the terms and conditions during claim processing. 2. Claims processors process any claim payments when applicable and must ensure they comply with federal, state, and company regulations and policies. 3. To coordinate with various persons (Claimant, Treating Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for hassle-free claim processing 4. Medical claims processor will have to look into claims where payment was denied. Commonly due to issues o...

Role & responsibilities Timely Releasing Offer Letter and Appointment letter. Validation of new joiner documents and code allocation, coordinating for assets, email id etc. Uploading employee details in HRMS database Releasing Naps contract for fresher through NAPS portal Sharing data and following up with compliance for ESIC and UAN creation Handling Mediclaim and coordinating with broker Sharing group medical/ accidental addition/ deletion details to Insurance and ensuring endorsements and calculations. Coordinating and disbursing employee staff loan Initiating Criminal and Employment verification check for employees Coordinating with Training and field team for Month end payroll input Pre...

Responsibilities: Collaborate with insurer on group policies Review medical records & TPA claims Approve/deny employee benefits applications Calculate premiums based on GMC & GPA Manage corporate insurance programs Excellent Excel & Communication

To identify, source and secure both long term and short-term pest control & prevention business opportunities. To develop new business opportunities within current and new customer bases in accordance with the sales strategy. To look after client retention by ensuring customers ongoing expectations is met. To manage day to day sales activities, including proposal, service agreement, and prospecting and market development. To support the service team by providing customer feedback. To develop good client relationships. To provide reports as per the requirement. To assist with debt collection Do you have what it takes? If you want to be considered for this role you will need: Graduate or MBA F...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Noida Sector 3 Role - Medical officer Exp : 0-3 years WORK FROM OFFICE ONLY. Job description : Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims ...

1. End to end accountable for Payroll, employee records in HRMS 2. Support organize employee engagement activities and internal events. 3. Prepare HR Letters, Contracts and documentation as required. 4. HR audits & Compliance with labor laws. Required Candidate profile 1. Good understanding of HR best practices and employment laws. 2. Proficient in MS Office. 3. Ability to multitask and maintain confidentiality.

Greetings from Synergy Resource Solutions, a leading HR Management Consultancy. Our client uses digital technologies to improve the planning, design, and management of projects. They encourage collaborative design and document management, which reduces errors and construction time while also increasing productivity, and lowering construction costs. Tools such as Artificial Intelligence (AI), Building Information Modelling (BIM), Augmented Reality (AR), Virtual Reality (VR), and Scan to BIM are used to ensure that projects are delivered effectively and efficiently. They are hiring for below mentioned position. Designation: HR Recruiter Experience: 3 6 years Job Location: Ahmedabad Role respon...

careers@manavatacancercentre.com ---------------------------------------------------------------------------------------------------- WALK IN INTERVIEW: 12 NOON - 6 PM WHATSAPP HR BOT: +91 93094 59794 ---------------------------------------------------------------------------------------------------- I.] THE SUCCESSFUL CANDIDATE SHOULD KNOW THE PROCESS OF: II.] CLAIM PRE AUTHORISATION / QUERY REPLY / FINAL AUTHORISATION III.] DOCUMENTATION OF FILES / DISPATCH OF FILES / FOLLOW UP WITH INSURANCE COMPANIES. IV.] TRACKING OF CLAIMS / MS EXCEL / MS OFFICE ---------------------------------------------------------------------------------------------------- 1. WE ARE THE LARGEST CHAIN OF CANCER HOS...

Role & responsibilities Manage end-to-end payroll processing for on-roll and contractual employees. Ensure accurate and timely computation of salaries, deductions, arrears, bonuses, and incentives. Handle all statutory compliances related to PF, ESI, Professional Tax, Gratuity, LWF, etc. Manage TDS calculations, deductions, Form 16 preparation , and income tax compliance. Maintain compliance with the Factory Act and Contract Labour regulations . Coordinate with internal and external auditors for payroll and compliance audits. Manage employee Mediclaim insurance addition/deletion, claim processing, and renewals. Ensure timely preparation and submission of MIS reports and reconciliations. Mana...

Dear Candidate, We are looking for experienced TPA Manager for our unit Rama Hospital at Noida sector 61, UP location . Eligibility: Must have proven experience in TPA related work end to end processing till the payment recovery and settlement. Should have good experience in TPA empanelment of various companies. Only candidates from same profile will be considered. Should have strong exposure in depth and experience of managing whole TPA department of any big hospital. What We Offer . Opportunity to work with one of the leading healthcare groups in the region with attractive salary package. How to Apply: Email your CV to: arshadhasan.hr@ramahospital.com WhatsApp your details to: 7275254108 R...

SUMMARY OF ROLE Building and maintaining relationships with Health care professionals New and Existing to ID new and existing to ID Medical, predominantly through the collation of and processing of relevant documentation for locum work, both at the start of an assignment and on a continuous basis. To process and obtain documentation in line with requirements from NHS (UK National Health Service) framework requirements To Support Allocated Managers/Exec Consultant with Day-to-day task to ensure a smooth collaboration between the two while Manager/Exec consultant is focusing on booking shifts or managing team RESPONSIBILITIES To manage collating documentation in line with NHS (UK National Heal...

Job Duties & Responsibilities To interact with hospital insurance patients. Create WhatsApp groups to provide/share information. Collecting necessary documents from Patient /Hospital. Coordinate with internal medical and Ops team for initial approval. Cross checking the files before sharing with the approval team. Educating patients about deduction. To create awareness about reimbursement claims. (Pre & Post Hospitalization) Collecting claim support documents from the patients / hospitals & coordinate with back-end team to ensure smooth transfer of data to the TPA/Insurance company. Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to th...

Roles & Responsibilities: Ensure invoice is done without any delay Also, need to ensure that the Invoice is submitted to the respective payers on time Payment follow up religiously and ensure that the DSO is maintained as per the credit terms signed during empanelment Handling queries Working closely with the IT team in case of any process for automation Also should be strong in data analyzing only then he can have control of the aging of the payers Ensure timely reports to the Corporate office Need to work on Target and achieve the same month on month. Reporting loss of revenue leakage Responsible for maintaining MIS in excel matrix Skills and Qualifications Any Graduate Minimum of 2-3 year...

Oversee all general and group medical insurance policies, timely renewals, and prompt premium payments. Work closely with HR, Finance, and insurance providers for employee coverage updates, premium settlements, and receipt of policy documents. Required Candidate profile Graduate with experience in handling General Insurance policies in large corporates are preferred. Must have very good relation with service provider for competitive quotations. Age : 34-46 yrs .

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

JrExecutiveTPA Billing is overall responsible for providing expert coordination service between insurance company&patient to help them availcashlessservice at the hospitalThe job also involves preparing bill as per insurance TPAs Schedule of Charges

Accuracy in Inpatient Billing. Effectively monitoring of day-to-day activities. Resolve customer complaints or answer customers' questions regarding policies and procedures. Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. Implement corporate or departmental policies, procedures, and service standards in conjunction with management. Discuss job performance problems with employees to identify causes and issues and to work on resolving prob...

Fortis Hospital Mohali is hiring Head TPA, Interested candidates can contact at 7015298971 for more details or share resume at baljinder.singh@fortishealthcare.com

Roles and Responsibilities: Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or d...

Interested Candidates may connect with Ms.Tanya Singh-9259503718 (11am-5pm) About the Role: We are seeking a highly motivated and experienced individual with a medical background to join our dynamic team as a Medical Claims Call Center Representative. In this role, you will be the frontline of our customer service, handling inbound calls related to medical claims and rejections. Your primary focus will be to provide exceptional customer service while resolving inquiries and concerns effectively, ensuring a positive experience for every Niva Bupa member. Key Responsibilities: Answer incoming customer calls promptly and professionally. Assist customers with navigating medical claims, including...

Roles & Responsibilities Oversee end-to-end billing operations for OPD, IPD, Emergency, Day Care, Diagnostics, and Surgical cases. Ensure accurate and timely billing as per tariff, package, and doctor orders. Monitor daily billing activities including advances, deposits, interim bills, and discharge finalization. Implement revenue leakage control by ensuring all services, consumables, and investigations are posted. Manage TPA / Insurance / Corporate billing including pre-auth, approvals, final bill submissions, and claim settlements. Coordinate with clinical and support departments (Nursing, Pharmacy, MRD, Front Office, Finance). Maintain compliance with hospital billing policies, audit requ...