434 Mediclaim Jobs - Page 17

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...

Hiring for the position of Sr. Executive CRM (Corporate Relationship Management) Job Description 1. Responsible for developing the corporate customer base for MDIndia Health Insurance Services. 2. Map the territory and maintain a strong pipeline of potential customers. 3. Establish Contacts with key persons at the corporate and understand the current levels of Health Insurance services and needs. 4. Develop strong relationship with Insurance Companies/Brokers. 5. Promptly attending Emails, Phone calls, Whats App messages of Clients. 6. Maintain proper MIS & Internal reports and present it to the management. 7. Ability to work independently, achieve targets and be absolutely result oriented. ...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

Job Title: Hospital Receptionist (Day/Night Shift) Location : Nadiad, Gujarat Gender Preference: Male Key Responsibilities: Welcome and assist patients and visitors with a courteous and professional approach. Register patients, collect necessary documents, and issue OPD/IPD slips. Manage incoming and outgoing calls at the reception desk efficiently. Coordinate with doctors, nursing staff, billing, and other hospital departments. Handle TPA (Third Party Administrator) documentation for patient admissions and discharges. Ensure accurate and timely data entry in hospital management software. Maintain daily reports and ensure smooth shift handovers. Provide general information and guidance to pa...

Role & Responsibilities Handle inquiries from clients and worksite employees (WSEs) via phone, chat, email, or case management systems. Research and resolve mid- to high-complexity benefits issues ; escalate when necessary. Process PeopleSoft (or similar HRIS) benefits events accurately and within deadlines. Manage COBRA administration , FSA/HSA claims processing , and 401(k) plan support . Oversee Leave of Absence (LOA) management from start to completion. Coordinate with internal teams and third-party vendors to ensure seamless benefits administration. Audit and verify peer work to maintain accuracy and compliance. Conduct outbound calls for follow-ups, benefits renewal support, or case re...

JOB DESCRIPTION IP Billing Job Responsibilities To direct, coordinate & supervise billing department. Develop/ Revise department specific policies, protocols & processes in consultation with Finance Controller for smooth & efficient working of the departments. Ensure implementation & adherence of above mentioned policies, protocols & processes. Ensure availability and optimum utilization of resources (equipments, manpower & other materials) Ensure HIS is being timely updated for patients billing status (pre-auth /payment status). Responsible for checking & ensuring accuracy & completeness of all bills before patients are discharged. Ensure medical data is secure, accessible and accurate for ...

We are seeking a qualified and experienced Manager-Claims to join our dynamic team. The ideal candidate will be responsible for reviewing, analyzing, and auditing health insurance claims from a medical perspective to ensure accuracy, compliance, and appropriateness of billed services and also ensure that providers adhere to contract.This role requires a keen understanding of medical conditions, health insurance policies, and the ability to collaborate with both medical professionals and insurance teams. Key Responsibilities: Claims Review and Audit: Conduct comprehensive audits of health insurance claims to ensure they meet company guidelines, industry standards, and regulatory requirements....

2+ Years working experience in health insurance/health insurance TPA at Hospital handling/audit Candidate must have excellent knowledge of health insurance / Health TPA domain. Candidate must have excellent bill/medical negotiation skills & customer handling skills. Good communication skills in Hindi/English and regional language of the state/region. Ready to relocate himself/herself at location within India as may be required according to the job requirement Candidate must own vehicle to travel in various hospital assigned to him Candidate must be computer literate and shall possess skills including but not limited to Microsoft Office Suite and navigating through internet Portals Candidate ...

Role & responsibilities Responsibilities: 1. Oversee and manage relationships with Third-Party Administrators in the hospital sector. 2. Ensure efficient processing of medical claims, adhering to industry standards and regulations. 3. Collaborate with cross-functional teams to streamline TPA-related processes for optimal efficiency. 4. Implement and enforce best practices in TPA management to enhance operational excellence. 5. Provide strategic guidance on TPA negotiations and contract management. 6. Stay abreast of industry trends and regulations impacting TPA operations. 7. Foster strong partnerships with TPA providers to optimize service delivery and customer satisfaction. Requirements: •...

Executive /Sr.Executive ||Client Sales and Servicing As part of the Client Servicing team, you will be the champion helping IndiaMART achieve its vision of empowering businesses across India. In this role, you have the opportunity to develop and nurture strong relationships with our clients, assisting them on their path to success by understanding their business needs and recommending tailored solutions to facilitate their growth. In this role as an individual contributor, you will take charge of achieving monthly client retention and renewal targets, providing you with an excellent opportunity to demonstrate your skills and make a meaningful impact in the company's success. Key Accountabili...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: Check the medical admissibil...

To oversee, manage end-to-end insurance claims process for both govt (Ayushman Bharat, Arogya Karnataka, etc.) and private schemes, ensuring timely claim processing, documentation accuracy and efficient coordination between dept and authorities Required Candidate profile Familiarity with government portals (TMS, SAST, etc.) and claim processing tools 6+ years Experience in hospital insurance operations, with handling Ayushman Bharat and/or Arogya Karnataka schemes

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