Claims Management: Oversee the submission and processing of insurance claims and facilitate timely reimbursement. Monitor and follow up on delayed or denied claims to resolve issues promptly. Regulatory Compliance: Ensure compliance with all relevant insurance laws, regulations, and policies. Stay updated on changes in insurance regulations and adjust hospital processes accordingly. Policy Administration: Manage the hospital's insurance policies, including renewals and negotiations with insurance providers. Ensure that all policies are current and provide adequate coverage for hospital operations. Patient Interaction: Assist patients with insurance-related inquiries and provide clear explanations of their coverage and benefits. Resolve patient billing issues and coordinate with the billing department to ensure accurate patient accounts. Data Management: Maintain accurate and detailed records of all insurance transactions and claims. Utilize healthcare management software to track and report on insurance activities. Skills and experience Basic knowledge of MS Excel, Word, Email and Internet Politeness and empathy in dealing clients Regulatory Knowledge TechnologicalProficiency Customer Relations Job Types: Full-time, Permanent Pay: From ₹15,000.00 per month Benefits: Cell phone reimbursement Paid sick time Provident Fund Schedule: Day shift Rotational shift Supplemental Pay: Performance bonus Application Question(s): How many years of experience you have in medical insurance claim process? Do you have experience in Medisep and Pvt insurance claim process? Experience: total work: 1 year (Preferred) Work Location: In person
We Are Hiring: Sr.Networking Executives ! We are looking for experienced and dynamic professionals to join our team as *Sr. Networking Executives.* Experience Required : 1 yr and Above Only male candidates can apply If you or someone you know fits this role, Contact us 7902811999. Key Responsibilities : Handling end-to-end process of hospital empanelment with insurance companies and TPAs . Managing all documentation related to empanelment & renewals. Exploring opportunities for new empanelments and partnerships. Negotiating terms with insurance/TPA companies to ensure favorable outcomes. Requirements: Proven experience in hospital & insurance /TPA empanelment processes Strong networking and communication skills Knowledge of TPA and Insurance companies Ability to handle documentation and liaison independently Location: C2, 2nd Floor, Parayil Arcade, Near Kettuvallom Restaurant and Yaghma Kabab, Kaloor - Kadavanthara Rd, Kathrikadavu, Kochi, Kerala 682017 Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹25,000.00 per month Benefits: Cell phone reimbursement Internet reimbursement Leave encashment Paid sick time Paid time off Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Yearly bonus Application Question(s): How many years of experience you have in in hospital & insurance /TPA empanelment processes? Are you ready to relocate in Ernakulam location? Work Location: In person
We Are Hiring: Sr.Networking Executives ! We are looking for experienced and dynamic professionals to join our team as *Sr. Networking Executives.* Experience Required : 1 yr and Above Only male candidates can apply If you or someone you know fits this role, Contact us 7902811999. Key Responsibilities : Handling end-to-end process of hospital empanelment with insurance companies and TPAs . Managing all documentation related to empanelment & renewals. Exploring opportunities for new empanelments and partnerships. Negotiating terms with insurance/TPA companies to ensure favorable outcomes. Requirements: Proven experience in hospital & insurance /TPA empanelment processes Strong networking and communication skills Knowledge of TPA and Insurance companies Ability to handle documentation and liaison independently Location: C2, 2nd Floor, Parayil Arcade, Near Kettuvallom Restaurant and Yaghma Kabab, Kaloor - Kadavanthara Rd, Kathrikadavu, Kochi, Kerala 682017 Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹25,000.00 per month Benefits: Cell phone reimbursement Internet reimbursement Leave encashment Paid sick time Paid time off Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Yearly bonus Application Question(s): How many years of experience you have in in hospital & insurance /TPA empanelment processes? Are you ready to relocate in Ernakulam location? Work Location: In person
Claims Management: Oversee the submission and processing of insurance claims and facilitate timely reimbursement. Monitor and follow up on delayed or denied claims to resolve issues promptly. Regulatory Compliance: Ensure compliance with all relevant insurance laws, regulations, and policies. Stay updated on changes in insurance regulations and adjust hospital processes accordingly. Policy Administration: Manage the hospital's insurance policies, including renewals and negotiations with insurance providers. Ensure that all policies are current and provide adequate coverage for hospital operations. Patient Interaction: Assist patients with insurance-related inquiries and provide clear explanations of their coverage and benefits. Resolve patient billing issues and coordinate with the billing department to ensure accurate patient accounts. Data Management: Maintain accurate and detailed records of all insurance transactions and claims. Utilize healthcare management software to track and report on insurance activities. Skills and experience Basic knowledge of MS Excel, Word, Email and Internet Politeness and empathy in dealing clients Regulatory Knowledge TechnologicalProficiency Customer Relations Job Types: Full-time, Permanent Pay: From ₹15,000.00 per month Benefits: Cell phone reimbursement Paid sick time Provident Fund Application Question(s): How many years of experience you have in medical insurance claim process? Do you have experience in Medisep and Pvt insurance claim process? Experience: total work: 1 year (Preferred) Work Location: In person
Claims Management: Oversee the submission and processing of insurance claims and facilitate timely reimbursement. Monitor and follow up on delayed or denied claims to resolve issues promptly. Regulatory Compliance: Ensure compliance with all relevant insurance laws, regulations, and policies. Stay updated on changes in insurance regulations and adjust hospital processes accordingly. Policy Administration: Manage the hospital's insurance policies, including renewals and negotiations with insurance providers. Ensure that all policies are current and provide adequate coverage for hospital operations. Patient Interaction: Assist patients with insurance-related inquiries and provide clear explanations of their coverage and benefits. Resolve patient billing issues and coordinate with the billing department to ensure accurate patient accounts. Data Management: Maintain accurate and detailed records of all insurance transactions and claims. Utilize healthcare management software to track and report on insurance activities. Skills and experience Basic knowledge of MS Excel, Word, Email and Internet Politeness and empathy in dealing clients Regulatory Knowledge TechnologicalProficiency Customer Relations Job Types: Full-time, Permanent Pay: From ₹20,000.00 per month Benefits: Cell phone reimbursement Paid sick time Provident Fund Application Question(s): How many years of experience you have in medical insurance claim process? Do you have experience in Medisep and Pvt insurance claim process? Experience: total work: 1 year (Preferred) Work Location: In person
Experience: 2 – 5 Years In medical insurance claim process (Hospital setting) Mandatory Requirements: Expertise in Medisep and Private Insurance claim processing , including cashless and reimbursement procedures ECHS claim processing knowledge will be an added advantage Key Skills & Responsibilities: Ability to handle a team effectively Patient counseling for claims and settlement processes Proficiency in settlement and discharge claim procedures Eligibility: Male & Female candidates may apply Preference for candidates from Muvattupuzha, Kolenchery, Kothamangalam, Thodupuzha Job Types: Full-time, Permanent Pay: From ₹25,000.00 per month Benefits: Cell phone reimbursement Paid sick time Provident Fund Application Question(s): How many years of experience you have in medical insurance claim process? Do you have experience in Medisep and Pvt insurance claim process? Experience: total work: 2 years (Preferred) Work Location: In person
As a Claims Management professional, your primary responsibility will be to oversee the submission and processing of insurance claims, ensuring timely reimbursement for the hospital. You will be expected to closely monitor and follow up on any delayed or denied claims, promptly resolving any issues that may arise. In the realm of Regulatory Compliance, you will play a crucial role in ensuring that the hospital adheres to all relevant insurance laws, regulations, and policies. It will be essential to stay updated on changes in insurance regulations and adjust hospital processes accordingly to maintain compliance at all times. Your duties will also encompass Policy Administration, where you will be tasked with managing the hospital's insurance policies. This will involve handling renewals, negotiations with insurance providers, and ensuring that all policies are current and provide adequate coverage for hospital operations. When it comes to Patient Interaction, you will be required to assist patients with insurance-related inquiries, providing clear explanations of their coverage and benefits. Additionally, resolving patient billing issues and coordinating with the billing department to ensure accurate patient accounts will be part of your responsibilities. Data Management will be a key aspect of your role, as you will be responsible for maintaining accurate and detailed records of all insurance transactions and claims. Utilizing healthcare management software to track and report on insurance activities will also be essential in this capacity. In addition to possessing basic knowledge of MS Excel, Word, Email, and Internet usage, you should exhibit politeness and empathy in dealing with clients. Regulatory Knowledge, Technological Proficiency, and strong Customer Relations skills will also be valuable assets in this role. This position is Full-time and Permanent, offering benefits such as cell phone reimbursement, paid sick time, and Provident Fund. The schedule may involve both Day shifts and Rotational shifts, with the potential for a performance bonus based on your contributions. Ideally, candidates for this role will have at least 1 year of total work experience, with in-person work location requirements.,