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5 Job openings at MKPIT
Medical Coordinator - Claim Processing

Pune, Maharashtra

0 years

None Not disclosed

On-site

Full Time

Job Description: The Medical Coordinator – Claim Processing is responsible for verifying and processing insurance claims, ensuring the accurate capture of medical information, and facilitating communication between insurance companies, healthcare professionals, and patients. Key Responsibilities: 1. Claim Processing and Management: Review and process medical insurance claims for accuracy and completeness. Ensure compliance with insurance policies and healthcare regulations. Work with healthcare providers to gather necessary medical records and documentation to support claims. Verify the accuracy of patient and provider information before submitting claims. 2. Data Entry and Documentation: Enter claim details into the claim processing system. Maintain accurate records of all claims submitted, approved, and denied. Update patient accounts with relevant claim status and information. 3. Communication: Communicate with insurance companies to resolve claim issues, including denials and underpayments. Contact healthcare providers and patients for missing or incomplete information. Provide updates to patients and providers on claim status. 4. Review and Appeal: Review denied claims, identify reasons for rejection, and initiate appeals if necessary. Follow up on pending claims to ensure timely processing and resolution. Collaborate with medical coding and billing teams for accuracy in claim submissions. 5. Compliance: Ensure compliance with healthcare regulations (e.g., HIPAA) and insurance guidelines. Stay updated on changes in insurance policies, regulations, and claim processing procedures. Assist in audits to ensure all claims meet legal and policy standards. 6. Reporting: Generate reports on claim status, trends, and issues for management. Recommend improvements to claim processing efficiency and resolve recurring issues. 7. Skills and Qualifications: Education: A bachelor’s degree in healthcare administration, medical billing, or related fields is preferred. Experience (If any): Previous experience in medical billing, coding, or claim processing is highly preferred. Knowledge of Medical Terminology: Familiarity with medical terminology, billing codes, and insurance procedures. Attention to Detail: Ability to identify discrepancies and ensure accurate claim processing. Communication Skills: Strong verbal and written communication skills to interact with patients, healthcare providers, and insurance companies. Software Proficiency (For Experienced candidates): Familiarity with claim processing software (e.g., Epic, Cerner, or other medical billing software). About the Role: This position plays a vital role in ensuring the smooth processing of medical claims, affecting timely reimbursement for healthcare providers, and ensuring that patients’ financial and insurance needs are met accurately. Note - Initially candidate will be hired as intern. Post completion of probation period confirmation regarding full time employment will be given. Job Type: Full-time Schedule: Day shift Night shift Location: Pune, Maharashtra (Preferred) Work Location: In person

Medical Coordinator - Claim Processing

Pune

0 years

INR Not disclosed

On-site

Full Time

Job Description: The Medical Coordinator – Claim Processing is responsible for verifying and processing insurance claims, ensuring the accurate capture of medical information, and facilitating communication between insurance companies, healthcare professionals, and patients. Key Responsibilities: 1. Claim Processing and Management: Review and process medical insurance claims for accuracy and completeness. Ensure compliance with insurance policies and healthcare regulations. Work with healthcare providers to gather necessary medical records and documentation to support claims. Verify the accuracy of patient and provider information before submitting claims. 2. Data Entry and Documentation: Enter claim details into the claim processing system. Maintain accurate records of all claims submitted, approved, and denied. Update patient accounts with relevant claim status and information. 3. Communication: Communicate with insurance companies to resolve claim issues, including denials and underpayments. Contact healthcare providers and patients for missing or incomplete information. Provide updates to patients and providers on claim status. 4. Review and Appeal: Review denied claims, identify reasons for rejection, and initiate appeals if necessary. Follow up on pending claims to ensure timely processing and resolution. Collaborate with medical coding and billing teams for accuracy in claim submissions. 5. Compliance: Ensure compliance with healthcare regulations (e.g., HIPAA) and insurance guidelines. Stay updated on changes in insurance policies, regulations, and claim processing procedures. Assist in audits to ensure all claims meet legal and policy standards. 6. Reporting: Generate reports on claim status, trends, and issues for management. Recommend improvements to claim processing efficiency and resolve recurring issues. 7. Skills and Qualifications: Education: A bachelor’s degree in healthcare administration, medical billing, or related fields is preferred. Experience (If any): Previous experience in medical billing, coding, or claim processing is highly preferred. Knowledge of Medical Terminology: Familiarity with medical terminology, billing codes, and insurance procedures. Attention to Detail: Ability to identify discrepancies and ensure accurate claim processing. Communication Skills: Strong verbal and written communication skills to interact with patients, healthcare providers, and insurance companies. Software Proficiency (For Experienced candidates): Familiarity with claim processing software (e.g., Epic, Cerner, or other medical billing software). About the Role: This position plays a vital role in ensuring the smooth processing of medical claims, affecting timely reimbursement for healthcare providers, and ensuring that patients’ financial and insurance needs are met accurately. Note - Initially candidate will be hired as intern. Post completion of probation period confirmation regarding full time employment will be given. Job Type: Full-time Schedule: Day shift Night shift Location: Pune, Maharashtra (Preferred) Work Location: In person

Medical Coordinator - Claim Processing

pune, maharashtra

1 - 5 years

INR Not disclosed

On-site

Full Time

The Medical Coordinator - Claim Processing role involves verifying and processing insurance claims, ensuring accuracy in medical information capture, and facilitating communication among insurance companies, healthcare professionals, and patients. Responsibilities include reviewing and processing medical insurance claims, ensuring compliance with insurance policies and healthcare regulations, working with healthcare providers to gather necessary medical records, and verifying patient and provider information accuracy before claim submission. Additionally, the role involves data entry into claim processing systems, maintaining accurate records of claims, updating patient accounts, and communicating with providers and patients for missing information. The Medical Coordinator will also review denied claims, initiate appeals if needed, follow up on pending claims, collaborate with coding and billing teams for claim accuracy, ensure compliance with healthcare regulations and insurance guidelines, stay updated on policy changes, assist in audits, generate reports on claim status and trends, and recommend process improvements. Ideal candidates will have a bachelor's degree in healthcare administration or related fields, previous experience in medical billing or claim processing, knowledge of medical terminology, attention to detail, strong communication skills, and proficiency in claim processing software for experienced candidates. This position is crucial for the efficient processing of medical claims, timely reimbursement for healthcare providers, and accurate fulfillment of patients" financial and insurance requirements. Initially, the candidate will be hired as an intern with potential for full-time employment post the probation period. Job Type: Full-time Schedule: - Day shift - Night shift Location: Pune, Maharashtra (Preferred) Work Location: In person,

Recruiter – Client Acquisition

Nagpur, Maharashtra

1 years

None Not disclosed

On-site

Full Time

Key Responsibilities : Visit potential client offices to introduce recruitment services and build business relationships Understand client hiring needs and collect detailed job requirements Generate leads through cold calling, references, and networking Schedule and attend client meetings to present company capabilities Collaborate with internal recruitment team to fulfill client mandates Ensure timely feedback and maintain client satisfaction Achieve monthly/quarterly client acquisition and revenue targets Maintain records of client communication and progress reports Key Requirements : Proven experience in B2B sales, client handling, or recruitment business development Strong communication and interpersonal skills Willingness to travel to client locations regularly Good understanding of recruitment processes and client servicing Ability to work independently and meet targets Proficiency in MS Office / CRM tools is a plus Bachelor’s degree in any discipline Job Type: Full-time Schedule: Day shift Experience: Recruitment: 1 year (Preferred) B2B sales: 1 year (Preferred) Language: English (Preferred) Work Location: In person

Recruiter - Client Acquisition

nagpur, maharashtra

1 - 5 years

INR Not disclosed

On-site

Full Time

As a Business Development Executive in our recruitment services team, your primary responsibility will be to visit potential client offices and establish strong business relationships. You will be tasked with understanding our client's hiring needs in detail and collecting comprehensive job requirements. Generating leads through cold calling, references, and networking will be crucial in expanding our client base. Collaborating with our internal recruitment team is essential to ensure that client mandates are fulfilled efficiently. Your role will involve scheduling and attending client meetings to showcase our company's capabilities and services. Timely feedback and maintaining high levels of client satisfaction will be key metrics to measure success. To excel in this role, you should have proven experience in B2B sales, client handling, or recruitment business development. Your strong communication and interpersonal skills will be vital in building successful client relationships. A willingness to travel to client locations regularly is expected, along with a good understanding of recruitment processes and client servicing. Meeting monthly/quarterly client acquisition and revenue targets will be a part of your responsibilities. Maintaining accurate records of client communication and progress reports is crucial to ensure effective business development strategies. Proficiency in MS Office/CRM tools is a plus, and a Bachelor's degree in any discipline is required for this role. This is a full-time position with a day shift schedule. The ideal candidate should have at least 1 year of experience in recruitment and B2B sales. Proficiency in English is preferred, and the work location is in person. Join our team and play a vital role in driving our business growth through successful client acquisition and relationship management.,

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