Executive - Corporate Sales Manipal Hospital Whitefield

4.0 - 6.0 years

4 - 6 Lacs

Pune, Maharashtra, India

On-site

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Key Deliverables: Achieve business targets from TPA and corporate clients Maintain and renew empanelment with TPAs and corporates Organize and execute health camps and corporate outreach programs Ensure timely insurance query resolution and payment follow-ups Role Responsibilities: Develop new corporate and insurance partnerships Strengthen rapport with existing TPA and insurer networks Track and fulfill service quality commitments Handle all communications related to insurance approvals and guarantees

Posted 11 hours ago

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Sr. Executive(Head)-Admission & Billing Manipal Hospital Whitefield

8.0 - 12.0 years

7 - 11 Lacs

Ghaziabad, Uttar Pradesh, India

On-site

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Key Deliverables: Ensure accurate inpatient billing aligned with insurance and TPA protocols Oversee daily IPD operations and coordinate with clinical and admin teams Manage billing discrepancies, approvals, and pre/post discharge processing Lead and train staff for service quality and compliance with SOPs and ISO standards Role Responsibilities: Monitor billing accuracy, package mapping, and CGHS/PSU documentation Handle queries, feedback, and patient financial counselling Coordinate interdepartmental workflows for timely discharge processes Track and improve IPD service delivery using HIS and MIS systems

Posted 11 hours ago

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Claims Manager Metier Hr Infotech

0.0 - 2.0 years

1 - 4 Lacs

Jaipur

Work from Office

Crucial role in managing the entire claims process — right from documentation and coordination to ensuring smooth and timely settlements.

Posted 2 weeks ago

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Assistant Manager - Claims Rx Consultants

5 - 10 years

8 - 15 Lacs

Mumbai

Work from Office

Experienced and licensed medical professional (MBBS/MD) with a strong background in medical claims assessment and clinical evaluation within the health insurance or TPA industry. Skilled in reviewing pre-authorization requests, hospitalization claims, and medical documentation to ensure medical necessity, policy compliance, and regulatory standards (IRDAI). Proficient in ICD-10 coding, claims adjudication, and fraud detection, with a focus on accuracy, ethical judgment, and collaborative decision-making. Adept at coordinating with hospitals, TPAs, and internal teams to streamline claim processing and maintain service quality.

Posted 1 month ago

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