323 Mediclaim Jobs - Page 7

Roles and Responsibilities Handle claims from receipt to settlement, ensuring timely and accurate processing. Verify claim documents, including medical records, bills, and reports. Coordinate with hospitals, doctors, and other stakeholders for necessary documentation. Conduct thorough investigations into complex cases to resolve disputes efficiently. Ensure compliance with regulatory requirements and company policies.

Resolve customer queries over calls, chat Address and resolve customer complaint or issues related to healthcare services Inform customers about health plans, insurance coverage, and healthcare service connect Hr Harshita - 84450 22026 Required Candidate profile Excellent communication skills in English Only B.Pharma/ M.Pharma/ D.Pharma passed Freshers or Experienced can apply Strong understanding of medical terminology Immediate Joiners Rotational shifts Perks and benefits Incentives Health Insurance

Overview About us : At Ecorgy Solutions, we re transforming the way patient care is provided in the US Home Healthcare industry. To support our US home healthcare operations, we are on a talent hunt for passionate Dynamic Clinical Quality Managers to drive exceptional patient care and elevate our service delivery to the new levels. Role Overview : As our Clinical Quality Manager, you will play a pivotal role in enhancing clinical processes and maintaining regulatory compliance. You will spearhead quality improvement initiatives and ensure adherence to established clinical standards. The role demands a meticulous approach and a commitment to clinical excellence. Qualifications : BDS, BAMS, BS...

Responsibilities & Key Deliverables Ensuring the legal and statutory compliances are met as per the legal calendar.Maintain Harmonious relation between Union and Management.Legal Cases, Disciplinary Action and Contract Labor Management, TMW.Maintaining all GPA and Mediclaim data as per the requirements and schedule.OHSAS Documentation and sustainability adherence.Liaison with Government Agencies like ESI, PF, Labor Department, Labor court, Industrial Court, High Court, police, health and safety, local administration, welfare board, apprenticeship advisor, ITI.Ensuring all ESIC and PF activities.Organizing and conducting welfare activities.Canteen and Transport Management.WST and third party ...

Ensuring the legal and statutory compliances are met as per the legal calendar.Maintain Harmonious relation between Union and Management.Legal Cases, Disciplinary Action and Contract Labor Management, TMW.Maintaining all GPA and Mediclaim data as per the requirements and schedule.OHSAS Documentation and sustainability adherence.Liaison with Government Agencies like ESI, PF, Labor Department, Labor court, Industrial Court, High Court, police, health and safety, local administration, welfare board, apprenticeship advisor, ITI.Ensuring all ESIC and PF activities.Organizing and conducting welfare activities.Canteen and Transport Management.WST and third party staff management in its entirety Pre...

Manage end-to-end claims process for corporate insurance policies (GMC, GPA, WC, Fire, etc). Coordinate with clients, insurers, and TPAs to ensure timely documentation and settlement . Track claim status and provide regular updates to clients. Analyze claim patterns and support clients with insights and loss mitigation strategies. Ensure service level agreements (SLAs) are met and maintain claim MIS reports. Assist clients during audits or investigations, where required. Requirements: Minimum 2 years of experience in corporate insurance claims handling. Strong understanding of Group Mediclaim , GPA , and WC policies. Excellent communication and client coordination skills. Organized, detail-o...

Responsibilities: Ensure timely claim settlements within policy limits. Manage health claims from intake to payment. Process mediclaim & TPA claims with accuracy. Collaborate with insurers on claim resolution. Health insurance Annual bonus

POSITION: MEDICAL OFFICER/CONSULTANT PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Function Medical Officer/Consultant Claims PA/RI Approver Reporting to Location Assistant Manager Claims Mumbai Educational Qualification Shift BHMS, , BAMS, MBBS(Indian registration Required) Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical ...

0 to 10 years of relevant experience in medical transcription Job Description : Role Overview: Join our dynamic and growing team at Ecorgy Solutions as a Medical Transcriptionist, where your expertise will help convert critical clinical content into structured and accurate electronic health records (EHRs). This role is instrumental in supporting our Clinical Quality Review Team, ensuring every document aligns with internal quality standards and US healthcare compliance protocols. You ll work closely with clinical documentation sourced from Registered Nurses (RNs), Physical Therapists (PTs), Occupational Therapists (OTs), and other allied health professionals, ensuring clarity, accuracy, and ...

- Produce and upload medical reports onto the client portal accurately and efficiently. - Collaborate with the operations team to validate cases and information on a monthly basis, ensuring the submission of accurate invoices to clients.

[{"Salary":"18k - 22k","Posting_Title":"Front Office Executive" , "Is_Locked":false , "City":"Kolkata" , "Industry":"Real Estate","Job_Description":" Job Purpose: We are looking for a smart, welcoming lady Front Desk Executive to handle all reception and clerical duties at our main entrances front desk. The person will be the companys "face" to all visitors and is responsible for our first impression. The ideal candidate has a friendly, crafted demeanour while also being sharp and disciplined about administrative work. It is important that the person can handle complaints and provide reliable information. KRS(s): \u200b Handle phone calls. Route calls to specific people. Answered inquiries a...

Prepare final bill when cash/TPA/corporate/fund cards come for discharge. In the case of TPA credit patients, if the bill exceeds the approval final bill with discharge summary is send it to the insurance dept for the final approval. If there is any collection to be done from patient it is done (E.g. co-payment, room restriction, non applicable charges etc). Every day morning all the previous day discharged cards are to be cross checked whether they have paid the bill and show discharge in the HIS. In case of cash patient if they have not paid who has given permission should give a letter which should be attached with the card & it is filed in the billing dept. In case of credit bills after ...

Role & responsibilities Claims adjudication, claims approval, TAT, accuracy, productivity, claims cost, fraud and leakage control, client/provider feedback, team training and retention Preferred candidate profile Processing claims, quality check and adherence to TAT, fraud triggers, fraud risk assessment, computer skills. Candidate should be open to work in 24X7X365 environment Microsoft office proficiency Knowledge of Indian Health Care and prior experience in Health Insurance Claim Processing, Good Clinical Acumen Minimum 1-3 Years Preferred Industry Health Insurance/TPA/Hospital / Clinical Practice/heath care/ wellness etc.. Minimum- Medical Graduate (BDS/BAMS/ BHMS/BPT/ BUMS) Preferred L...

Identify, approach, & onboard hospitals & clinics for cashless treatment & financing solutions Promote Medical Loans (0% EMI) and Advance Against Mediclaim to hospital partner Coordinate with internal teams for smooth activation & issue resolution Required Candidate profile Hospital onboarding, TPA coordination, healthcare sales, or medical loans HealthTech, NBFC, insurance, or hospital B2B sales Self-starter, target-oriented, and willing to travel locally

POSITION: MEDICAL OFFICER PA/RI APPROVER PURPOSE OF ROLE: To scrutinize and process the claims within the agreed TAT by having an understanding of the policy terms & conditions while applying their domain medical knowledge. Designation Medical Officer Claims PA/RI Approver Reporting to Location Assistant Manager Claims Noida Educational Qualification BHMS, , BAMS Shift Rotational Shift (for female employee shift ends at 8:30 PM) 6 rotational week offs Provided per month Week offs Related courses attended None Management Level Junior Management Level Industry Type Hospital/TPA/Healthcare/Insurance Roles and Check the medical admissibility of a claim by confirming the diagnosis and treatment d...

Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously unde...

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Greeting from Medi assist TPA Pvt ltd. Hiring Medical officer for Insurance Claim processing Profile Location- Mumbai -Andheri East. Role - Medical officer Exp : 0-8 years Job description : * 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 Interested candidate can drop there resume in my Mail ID : varsha.kumari@mediassist.in We are looking for fresher or exp candidates BAMS, BHMS, B.sc Nursing, BPT mail id - varsha.kumari@mediassist.in Thanks & Regards Email: varsha.kumari@mediassist.in

Walk-in Drive || Clinical Doctors || Cotiviti Pune || IPDRG || Fresher & Experienced || Walk-in Date : 12th Jul 25 Walk-in Time : 10 AM to 2 PM Job Location : Pune Venue : COTIVITI INDIA PRIVATE LIMITED - Plot C Binarius Building 190 / 192 Plot C, Deepak Complex, National Games Road Off Golf Course, Shastrinagar, Yerawada, Pune, Maharashtra 411006 Eligibility : Fresher Eligibility Criteria : Medical Degree (MBBS or BAMS or BHMS or BPT) with Clinical experience or US Healthcare experience Strong analytical, critical thinking and problem solving skills Should have general knowledge on Medical Procedures, Conditions, illness & Treatment Practices Excellent verbal and written communication skill...

Job Description Coordinate with patients, insurance companies, and internal departments for smooth processing of cashless claims. Facilitate timely pre-authorization approvals and ensure all required documents are submitted. Maintain records of all TPA communications and claim documents. Handle queries from patients and their attendants regarding insurance claims. Follow up with TPAs/insurance companies for pending approvals and payments. Reconcile TPA receivables and ensure timely payment posting and recovery. Assist the billing team in preparing final bills for insured patients. Ensure compliance with hospital policies and insurance guidelines. Regularly update TPA software and internal MI...

Location City Pune Department Finance and Accounts Experience 0 - 2 Years Salary - INR Designation Associate Total Position 1 Employee Type Permanent 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 SERVI...

Customer Relationship Management Head JOB DESCRIPTION CRM HEAD The CRM Head, will be responsible to manage and execute customer. This role requires an in-depth understanding of KYC documentation. Department: Customer Relationship Management Location: Mumbai - Lower Parel. Roles & Responsibilities Communicate our strategy & value propositions to current and prospective alliance partners Manage relations with customers to ensure smooth financial and product documentation Complete the required documentation to assist credit team of program partners Assist developer partner sales with our program and provide active support to clients Team Handling Basic knowledge about KYC Proven ability to over...

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 admissibili...

Sales ManagerJOB DESCRIPTION SALES MANAGER The Position The Sales Manager, will be responsible to manage and execute sales This role requires an in-depth understanding of Affordable Home loan sector together. The incumbent will work closely with the management and business unit owners of the company. Department: Sales Location: Bangalore Employment Type: Full time Roles & Responsibilities:- An individual will be responsible to source Home Loan, LAP and Margin Money Funding cases from open market, developer channels and connectors/DSA Look at affordable with a ticket size of 40 lakhs Key Skills / Requirements:- Graduate with 1-3 years + relevant experience Basic knowledge about KYC Strong com...

Credit ManagerThe Position We are looking for a skilled Credit Manager to join our team. The candidate must have a passion for credit and be able to work collaboratively with other stakeholders. Department: Credit Location: Bangalore Employment Type: Full time Roles & Responsibilities Assessment of borrowers profiles, repayment capacity and income stability. Visiting business premise, property and residence of customer at the time of PD Understanding of actual business income & expenses (other than reported income) of customer Ability to understand customer business and requirement from their perspective Understanding credit worthiness of customer along with intention to repay the loan by an...