323 Mediclaim Jobs - Page 12

Hiring Clinical Investigator for Mohali location ! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Hiring Clinical Doctors for Medical coding role in Mohali !! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Location City Gurugram Department Accounting and Finance Controllership Experience 0 - 2 Years Salary - 1 INR Designation Associate Total Position 1 Employee Type Fixed Term Job Description JOB DESCRIPTION: DESIRED SKILL: o PrimaryResponsibilities Accounts payable Routine accounting, bill passing, and payment processing Reconciliation - Bank, vendor, etc Experience / conceptual knowledge in GST, TDS Accounting of imports o SecondaryResponsibilities Proficient in MS Office - Especially Excel Good communication skills Working knowledge of Tally Other Benefits: MedicalInsurance (self-coverage): IncludesGroup Mediclaim policy and Group Personal Accident Policy. Long TermInvestment & EngagementPl...

Location City Pune Department Finance and Accounts Experience 0 - 2 Years Salary - INR Designation Associate Total Position 1 Employee Type Third Party Job Description Associate- Accounting JOB DESCRIPTION: 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...

Candidates with >5 years experience in TPA/Insurance Desk, apply for the position of Senior Manager.

Assistant Manager – HR General Role • Streamlining HR activities. • Maintaining Employee Life Cycle from Induction to Exit. • Structured employee connection like conducting Skip Meetings, town halls, brown bags, open forums. • Strategizing on new Required Candidate profile hrbp back High technical competency (Compensation Management, Employee Relations Management) • Leadership, Strateg • Proactive and sound level of business knowledge. Send CV:9967524837/sonam@peshr.com

Roles and Responsibilities Manage HR operations, including onboarding, induction, exit formalities, medical insurance, and generalist activities. Coordinate with various stakeholders to ensure smooth joining formalities for new employees. Assist in managing employee data and maintaining accurate records. Perform generalistic tasks such as recruitment coordination, benefits administration, and compliance monitoring. Provide support to the team by handling day-to-day HR operations efficiently. Desired Candidate Profile Strong understanding of HR operations, policies, and procedures. 1-2 years of experience in an HR role or related field. Excellent communication skills with ability to work effe...

Urgent requirement for BHMS,BDS,BAMS -Hyderabad Fresher/Expereince candidate should have atleast 1 year of TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BHMS,BDS,BAMS graduate Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Fresher...

Walk-In Interview registration will end by 11:00AM Job responsibilities : Processing of Health Claims. Claim Registration and Claim Adjudication. Identifying the Frauds. Adhering to SLAs and processing the claims with in the TAT as per policy terms and conditions. Supporting CRM, Provider, sales and grievance teams Office Address: Tata AIG General Insurance Company Limited, C/o Imperial Towers, Floor-5, Landmark - Next to Metro (Ameerpet) Station, Ameerpet, Hyderabad

Venue Walk-In Interview on 30-May-2025, Registration will End by 11:00AM Responsibilities: Applying medical knowledge in evaluating the medical claim files to ascertain the medical admissibility. Must understand the policy wordings including Terms & conditions to adjudicate the Admissibility/Rejection. Processing of claims as per regulatory guidelines. Adhering to the TATs in processing. Quality review of processed files. Grievance redressal, handling escalations and Identifying the fraudulent claims. Required understanding and evaluation criteria: Qualified MBBS, BAMS, BHMS having all certificates in hand Preferably from Insurance and TPA experience Clinical Acumen/knowledge in terms of hos...

To contact the insured for Underwriting referred proposals to procure the complete medical history using Audio and/or Video tools. To Follow up with customer for past medical records and/or relevant health documents Maintain end to end TAT / SLAs. Required Candidate profile Location – Bangalore Candidate must know to speak Hindi & Malayalam. CTC – Upto 3.5 LPA.

CPC Certified Medical Coders (Trivandrum) - Ecorgy Solutions CPC Certified Medical Coders (Trivandrum) CPC Certified Medical Coders (Trivandrum) 9:30 PM to 630 AM Job location: Elippode, Trivandrum Experience : 0 5 years of experience. Qualification: Any bachelors degree. Certified Professional Coder (CPC) certification is mandatory. Job Description : As the Medical Coder , you will play a crucial role in ensuring the accuracy and integrity of our home healthcare data. Your primary responsibility will be to review medical records and assign appropriate codes for diagnoses and procedures. You will work closely with healthcare providers to guarantee compliance with all coding guidelines and re...

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...

Check the medical admissibility of claim by confirming diagnosis and treatment details Verify the required documents for processing claims and raise an information request in case of an insufficiency Approve or deny claims as per T&C within TAT If candidates are interested please drop your update resume/CV on my WhatsApp no - 8951865563 Thanks & Regards Sarika Email - sarika.pallap@mediassist.in

JOB DESCRIPTION Position Title Manager RB&EI Job Code Job Description Author Head Group HR Ops Sector SSC Business / Function SSC Department / Sub Department HR OPS Designation Manager Retiral Benefits & Employee Insurance Job Responsibility Level LF Location Hyderabad Date JOB PURPOSE (Briefly describe the general purpose of the position or its significance from the organisation's point of view and how it contributes to the overall mission/objective of the organization). To lead Employees retiral benefits and employee insurance vertical under SSC HR OPS function ORGANISATIONAL CHART {Please complete the organization chart below using only the generic (e.g. VP) and descriptive (e.g. VP Finan...

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.

Role & responsibilities Serve as a point of contact for Insurance related inquiries Create a consistent, positive work atmosphere through the communication Close interaction with respective department at hospital To interact with hospital insurance patients. Interact with Hospital Management, Doctors, Medical and non-medical staff at the hospital To create awareness about insurance claims (reimbursement and cashless claims, pre & post hospitalization claims etc.) Collecting claim support documents from the patients / hospitals & coordinate with backend team to ensure smooth transfer of data to the TPA/Insurance Company. Send the pre auth request and follow up on cashless approval form insura...

We Have Urgent Requirement of TPA Manager

Team Resources (No of Vacancy & On-roll / off-roll): On Roll Product: SCF Relevant Experience: 4-6 years Location: Multiple Locations Desired Education: MBA mandatory (full time) Brief on the organisation About Profectus: Profectus Capital Private Limited is a Non-Banking Financial Company (NBFC) regulated by Reserve Bank of India (RBI). Profectus Capital offers financing solutions for SMEs operating in manufacturing and service clusters located at more than 22 locations since 2017. CRISIL has upgraded ratings of Profectus Capital Pvt. Ltd to A- (Stable) on July 30, 2021 Website: www.profectuscapital.com Follow us on LinkedIn: https: / / www.linkedin.com / company / profectuscapital / ?origi...

About Tech Mahindra Foundation (TMF): TMF is the corporate social responsibility arm of Tech Mahindra Limited, a Mahindra Group Company. Since 2006, the Foundation has been working tirelessly in the areas of education, employability, and disability with a keen focus on corporate volunteering. To know more about our SMART Academies, please visit: https://www.smart-academy.in/careers/ To know more about the organization, please visit: www.techmahindrafoundation.org At TMF, we believe our team members are the heartbeat of our organization. We foster a vibrant and inclusive workplace where every individual is cherished, respected, and empowered to thrive. We're on the lookout for an exceptional ...

Urgent requirement for BHMS/BAMS/BDS/MBBS-Pune (Vadgaonsheri) Freshers/candidate with clinical or TPA experience Interested candidates can call on 7391042258 (Sneha- HR department) or share their updated resumes to recruitment@mdindia.com Roles and responsibilities: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: BAMS / BHMS / BDS/ MBBS graduate. Good Medical & basic computer knowledge Should have completed internship (Provisional /Permanent Registratio...

TPA Liaison: Serve as the primary point of contact between the hospital and TPAs, ensuring smooth claims processing and reimbursement. Collaborate with TPAs to verify patient eligibility, approve pre-authorizations, and facilitate smooth discharge procedures. Ensure timely submission of claims, follow up on outstanding claims, and resolve any discrepancies or issues related to TPA reimbursements. Corporate Client Coordination: Act as a liaison for corporate clients, addressing their queries and ensuring employees medical needs are met efficiently. Coordinate with corporate clients to manage employee health programs, including corporate insurance policies, wellness programs, and preventive he...

Post: Billing Sr. Executive/ Executive, OPD/IPD Billing, Patient Care Executive, Front Office Executive Hospital Name: Batra Heart & Multispeciality Hospital, Sector-31, Faridabad Qualification: Graduation Experience: Minimum 2 Years of Experience (Hospital / Healthcare Experience is Must) Gender : Male/Female Interview Time: 11am to 4pm Candidates can attend walking interview at the hospital location at Batra Heart and Multispeciality Hospital, spring Filed Colony, Sector 31, Faridabad. Or send their CV at hr@batrahealthcare.com (with Current Salary & expected salary) Job Description: Preparing final billing during patient discharge Responsible for patient admission & IPD Billing, Patient I...

Urgent requirement for MBBS,BHMS,BDS,BAMS -Rajasthan(Jaipur) Freshers/candidate with clinical or TPA experience. Interested candidates can call on 9371762436 or share their updated resumes to career@mdindia.com Job Description: Scrutiny of medical documents and adjudication. Assess the eligibility of medical claims and determine financial outcomes. Identification of trigger factors of insurance related frauds and inform the concerned department. Determine accuracy of medical documents. Required Candidate profile: MBBS ,BHMS,BDS,BAMS graduate. Male candidate prefer. Good Medical & basic computer knowledge Should have completed internship (Permanent Registration number is mandatory) Freshers c...

Job Summary To register new patients under TPA, attend queries, pre-authorization of request, claims, bill recovery. Job Responsibilities Handling all debtor receivables, Solving all queries, which are related to bill. Checking all IP files before dispatch. Checking the reasons of cancellation of bill, free bill, discount bill, refund bill. Preauthorization request will be sent to the respective scheme office for the approval of the concerned treatment (surgical / medical) Making the changes of packages rates/tests rates as per the Company Agreement. Maintaining the Debtors aging report for OP & IP All the inpatient bills will be sent for the claims to the respective scheme office. Communica...