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1.0 years

1 - 1 Lacs

India

On-site

Job Summary: The Billing and Insurance Specialist is responsible for managing patient billing, insurance claims, and payment collection. This role ensures accurate processing of medical claims, timely reimbursement from insurance providers, and effective resolution of billing discrepancies. Key Responsibilities: Review and verify patient insurance coverage and benefits prior to services. Submit accurate claims to insurance companies (electronic and paper formats). Follow up on unpaid claims, denials, and appeals to ensure maximum reimbursement. Post payments, adjustments, and denials in the billing system. Respond to insurance and patient inquiries regarding billing and coverage. Maintain up-to-date knowledge of insurance policies, procedures, and billing regulations (e.g., Medicare, Medicaid, commercial payers). Coordinate with clinical and administrative staff to resolve billing discrepancies. Prepare patient statements and assist with payment plans or collections as needed. Ensure compliance with HIPAA and other regulatory standards. Qualifications: High school diploma or equivalent (associate degree or certification in Medical Billing/Coding is a plus). 1–3 years of experience in medical billing, insurance claims, or revenue cycle preferred. Familiarity with ICD-10, CPT, and HCPCS codes. Knowledge of EHR and billing software (e.g., Epic, Athena, Medisoft, etc.). Strong attention to detail and problem-solving skills. Excellent communication and organizational abilities. Preferred Certifications: Certified Professional Biller (CPB) Certified Coding Specialist (CCS) Certified Medical Reimbursement Specialist (CMRS) Contact Vinothalakshmi.E 9025999713 Job Type: Full-time Pay: ₹10,000.00 - ₹15,000.00 per month Benefits: Provident Fund Work Location: In person Speak with the employer +91 9025999713

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1.0 years

1 - 1 Lacs

Bhilai

On-site

We are looking for a detail-oriented and responsible Data Entry Executive to manage purchase bill entry and expiry tracking for our medical store. The ideal candidate should have basic knowledge of medicines, strong data accuracy, and the ability to manage expiry alerts to ensure smooth inventory control. Key Responsibilities: Enter daily purchase bills into the system accurately. Update stock and manage inventory records. Track and monitor expiry dates of medicines regularly. Prepare monthly expiry reports. Coordinate with suppliers for return/replacement of expired or near-expiry products. Maintain organized digital and physical records of purchases. Skills Required: Basic knowledge of medical products & pharma terms. Good typing speed and attention to detail. Knowledge of MS Excel, Word or pharmacy billing software (e.g., Marg, Medisoft, etc.) is a plus. Ability to work independently and with a team. Job Types: Full-time, Permanent Pay: ₹9,000.00 - ₹11,000.00 per month Schedule: Day shift Fixed shift Morning shift Experience: Data entry: 1 year (Required) Work Location: In person Application Deadline: 11/07/2025

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0 years

0 Lacs

Hyderabad, Telangana, India

On-site

Company Description Shivam Medisoft Services Pvt Ltd is a leading provider of Hospital Management System (HMS) and Electronic Medical Records (EMR) software. Their user-friendly ERP solution streamlines a hospital's clinical, financial, administrative, and operational management processes effectively. Role Description This is a full-time on-site Customer Relationship Management Specialist role located in Hyderabad. The specialist will be responsible for managing customer relationships, sales, and projects related to the Hospital Management System (HMS) and Electronic Medical Records (EMR) software on-site. Qualifications Analytical Skills and Project Management abilities Strong Communication and Customer Relationship Management (CRM) skills Sales experience in the healthcare industry Excellent organizational and problem-solving skills Experience with Hospital Management System (HMS) and Electronic Medical Records (EMR) software is a plus Bachelor's degree in Business Administration, Healthcare Management, or related field

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0.0 - 2.0 years

1 - 2 Lacs

India

On-site

Job Title: Medical Receptionist Location: Pratap Nagar, Jaipur Job Type: Full-time Experience Required: 0-2 Years Industry: Hospital Reporting To: Hospital Administrator or Doctor Job Summary: We are looking for a friendly, organized, and professional Medical Receptionist to manage our front desk and ensure smooth operations of the reception area. As the first point of contact for patients, the ideal candidate should possess excellent communication skills, empathy, and a strong sense of responsibility. Key Responsibilities: Greet patients and visitors with a warm and professional attitude. Schedule and confirm appointments, manage calendars for doctors and practitioners. Answer incoming phone calls and respond to inquiries or redirect as needed. Register new patients and update existing patient information. Maintain and manage patient records, both electronic and paper-based. Coordinate with medical staff and departments for smooth patient flow. Collect payments, handle billing queries, and process insurance documents. Maintain cleanliness and organization of the reception area. Handle confidential information with discretion and follow privacy regulations. Requirements: High school diploma or equivalent; additional certification in healthcare administration is a plus. Proven experience as a receptionist, preferably in a medical or healthcare setting. Proficient in MS Office and clinic/hospital management software (e.g., MediSoft, Practo, etc.). Excellent verbal and written communication skills. Ability to multitask and stay calm under pressure. Strong organizational and time management abilities. Compassionate and patient-focused attitude. Preferred Qualifications: Knowledge of medical terminology. Experience handling insurance and billing processes. Familiarity with Electronic Health Records (EHR) systems. Salary: Based on experience Job Type: Full-time Pay: ₹10,000.00 - ₹20,000.00 per month Benefits: Provident Fund Schedule: Day shift Supplemental Pay: Performance bonus Education: Bachelor's (Preferred) Location: Pratap Nagar, Jaipur, Rajasthan (Preferred) Shift availability: Day Shift (Required) Work Location: In person

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1.0 - 2.0 years

0 - 0 Lacs

Gurgaon

On-site

Position: Junior Executive - Accounts Reconciliation Department : Finance & Accounts Location: Delhi / Mumbai / Chennai Reports To : Finance Lead Employment Type: Full-time Job Purpose To perform accurate and timely reconciliation of hospital revenue, patient billing, third-party payments, and vendor accounts, ensuring all financial transactions are recorded properly and comply with internal controls and healthcare regulations. Key Responsibilities: · Perform daily reconciliation of: · Patient billing vs. payment collections · Cash, cheque, and online payment records · Hospital ERP system vs. bank statement entries · Reconcile accounts with third-party administrators (TPAs), insurance companies, and government healthcare schemes (e.g., Ayushman Bharat). · Verify and reconcile vendor payments against purchase orders and invoices. · Identify and investigate discrepancies, and follow up with respective departments (billing, insurance, etc.) for resolution. · Maintain detailed and accurate records of reconciliations for audit and compliance purposes. · Coordinate with hospital front desk, billing, insurance, and procurement teams to ensure end-to-end alignment of financial data. · Assist with monthly closing activities and generation of reconciliation reports. · Support statutory and internal audits with required reconciliation statements and documentation. Required Qualifications & Skills · Bachelor's degree in Commerce / Finance / Accounting (B.Com/M.Com). · 1–2 years of reconciliation or accounting experience, preferably in a hospital or healthcare setting. · Working knowledge of hospital ERP systems preferred (e.g., Medisoft, eHospital, HIS). · Proficiency in Excel and accounting software (e.g., Tally, SAP). · Familiarity with healthcare billing, TPA processes, and insurance claims is a plus. Key Skills · Strong attention to detail and accuracy · Analytical and problem-solving mindset · Ability to handle large volumes of transactional data · Effective communication with cross-functional teams Organized and capable of meeting deadlines Job Types: Full-time, Permanent Pay: ₹20,000.00 - ₹25,000.00 per month Benefits: Paid time off Provident Fund Schedule: Day shift Rotational shift Language: English (Required) Work Location: In person

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5.0 - 10.0 years

0 - 0 Lacs

India

On-site

Job Title: Senior Billing Executive – Cash, Credit & Insurance Location: KPHB, Hyderabad Experience Required: 5 to 10 years Salary Range: ₹40,000 – ₹60,000 per month (based on experience and skill level) Job Description: We are looking for an experienced Senior Billing Executive to handle billing operations across cash, credit, and insurance segments in a healthcare setting. The ideal candidate should have a strong understanding of hospital billing workflows , insurance claims, TPA coordination, and cash/credit settlement processes. Key Responsibilities: Manage end-to-end billing for cash, credit, and insurance (TPA) patients. Generate accurate bills as per treatments, investigations, procedures, and applicable packages. Coordinate with consultants, front office, and medical records for billing clarity. Verify insurance documents, check approvals, and maintain pre-authorization records. Follow up with TPA/Insurance companies for claim approvals and settlements. Maintain proper documentation for audits and ensure compliance with billing norms. Handle cash collection , reconcile daily reports, and ensure zero billing errors. Maintain MIS reports related to revenue, outstanding bills, and pending insurance claims. Guide and supervise junior billing staff if required. Desired Candidate Profile: Minimum 5 years of relevant hospital billing experience. Sound knowledge of TPA coordination, credit billing, and insurance claim cycles . Should be familiar with hospital billing software (e.g., HIS, Medisoft, Insta, or similar). Excellent communication, coordination, and problem-solving skills. Ability to work under pressure and handle high patient volumes. Education: Any Graduate Certification in hospital billing/healthcare administration will be an added advantage. Job Types: Full-time, Permanent Pay: ₹50,000.00 - ₹60,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Weekend availability Supplemental Pay: Performance bonus Work Location: In person

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3.0 - 31.0 years

0 - 0 Lacs

New Delhi

Remote

We are seeking a detail-oriented and organized Pharma Billing Executive OR INVENTORY MANGEMENT OR PHARMA WHOLESALE to manage billing processes in a pharmaceutical setting. The ideal candidate will handle the preparation of invoices, submission of claims, reconciliation of payments, and ensure compliance with industry regulations. This role plays a key part in maintaining accurate financial records and ensuring timely revenue collection. Key Responsibilities:Generate and process invoices for pharmaceutical products/services. Submit medical/pharmacy claims to insurance companies or third-party payers. Review prescriptions, bills, and insurance claims to ensure accuracy and completeness. Handle billing for both retail and wholesale pharmacy operations (if applicable). Verify insurance details, eligibility, and benefits before billing. Maintain up-to-date records of billing transactions in ERP or billing software. Reconcile payments, resolve discrepancies, and follow up on pending claims. Communicate with insurance providers, clients, and internal departments to clarify billing issues. Ensure compliance with healthcare regulations, such as HIPAA and GST (as applicable). Prepare regular reports on billing status, outstanding payments, and revenue collections. Required Skills & Qualifications:Bachelor’s degree in Commerce, Pharmacy, or a related field (B.Com/B.Pharm preferred). Proven experience in pharmaceutical or healthcare billing (1–3 years preferred). Knowledge of pharmacy operations, medical terminology, and insurance processes. Proficiency in billing/accounting software (e.g., Tally, Marg, SAP, Medisoft). Strong analytical and numerical skills. Attention to detail and excellent organizational abilities. Effective communication and interpersonal skills. Familiarity with regulatory standards (e.g., HIPAA, NABL, GST). Preferred Qualifications:Certification in Medical Billing and Coding is a plus. Experience in both retail and hospital pharmacy billing. Familiarity with TPA processes and reimbursement cycles. Work Environment:Office-based setting within a pharmacy, hospital, or pharmaceutical company. May require coordination with logistics, sales, and accounting departments. Standard business hours; some extended hours may be needed during audits or monthly closings.

Posted 2 months ago

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