Claims Manager Job Vacancies in Delhi NCR

We are looking for an experienced E-commerce Manager to lead our online sales strategy and enhance customer experience. The ideal candidate will have at least 5 years of experience in e-commerce and possess strong analytical skills.Key Responsibilities:1. **Manage Online Sales Platforms**: Oversee daily operations of the e-commerce website, ensuring product listings are accurate and up-to-date.2. **Develop Marketing Strategies**: Create and implement marketing plans to increase online visibility and drive traffic to the website, including SEO, email campaigns, and social media promotions.3. **Analyze Performance Metrics**: Monitor sales performance using analytics tools to identify trends and opportunities for improvement. Use data to make informed decisions.4. **Maintain Customer Relationships**: Address customer inquiries and feedback to ensure a positive shopping experience. Implement strategies to improve customer satisfaction and retention.5. **Collaborate with Teams**: Work closely with product, sales, and marketing teams to align e-commerce initiatives with overall business goals and optimize inventory management.Required Skills and Expectations:The candidate should have a Bachelor degree.

Job Description Understanding of Revenue Cycle Management (RCM) of US Healthcare Providers.Calling insurance companies in USA on behalf of doctors/physicians and follow up on outstanding accounts receivables.In-depth knowledge on Denials and immediate action to resolve them.Follow up on the claims for payments from insurance.Should be good in pre-call analysis.Ability to resolve billing Issues that have resulted in delay in payments.Understand work as per the client requirements and project specifications.Education & QualificationMinimum of 1-2 years experience in Denial Management.Graduate in any stream from recognized universityAbout us - Taurus PartnersTaurus Partners is a medical billing and coding outsourcing company that excels in providing integrated Revenue Cycle Management (RCM) services in the healthcare landscape.Combining our experience of over 4 years and specialized skills, we excel in delivering optimum results. Taurus Partners works at the intersection of cutting-edge technology and unparalleled services to help our clients to improve their performance with our efficient services.We offer scalable and cost-effective revenue management cycle services to medical billing and coding companies to optimize their productivity and revenue. Our complete spectrum of services includes medical coding, medical billing, auditing, demographic entry, AR Management, denial management and more.We have a representative center based in Agoura Hills, CA supported by our offshore delivery centers in India.

Medical Adjudication of Health ClaimsProcessing of settlement claim based on the singed rate list and policy T&CIdentifying the FraudsProblem solving and seeking resolution to prevent escalationsEnsuring efficient and timely progress of all cases in the divisionAdhering to SLAs and processing the claims with in the TAT as per policy terms and conditionsSupporting CRM, Provider, sales and grievance teamsQualification either MBBS, BAMS, BHMS is required for this roleThis is work from office roleFreshers may also apply

Responsibilities:Develop and implement business development plans and strategies to attract and retain businesses in the region.Responsible for sustaining and growing the revenues with lead generation responsibilities.Laying down the roadmap for new account acquisition for the city and ensuring its execution.Strategizing and executing in coordination with other teams to develop new and better methods to drive client engagement.Candidates should have relevant experience in Business development and have a positive approach towards targets.Should be enthusiastic and smart to create a good impression in front of clients.Skills Required:Graduate/Post Graduate with 2-5 Years year work experience.Candidate must have experience in dealing with customers over phone and in personStart-up and Insurance exposure is preferred.Strong time management skills and the ability to prioritize to meet daily, weekly, and long-term requirements and goals.Structured problem solving and customer first attitude.Desire to network and align with the vision and mission of the organization

Whole Sole Account Management on different market places like GeM, Amazon, Flipkar, Ajio etc.Whole Sole Account Management includes everything related account operation /management like1. Uploading the Product2. Doing day to day activities including monitoring the product performance3. Daily / Weekly / fortnightly / Monthly sales report4. Spotting the performing product and ensure it's performance5. Finding the trending products

To work for the UK Lead Generation & Hot Transfers Campaign. To provide effective Outbound Services such as making telephone calls to the customers in the UKfor Various products. To confirm customers details, share the product information and generate leads, Sales, Hot Transferkeeping in all the Quality Parameters in mind. To Conduct live or 3-way Call transfers (When/If required) To achieve the given target by the supervisor on daily basis/weekly or on Monthly basis. To discuss every complicated matter with the supervisors, team leaders, people in charge, and otherprofessionals effectively to settle the important on call issues. To proactively support their team by suggesting new ideas and questioning thinking whereappropriate. To foster good relationships with all internal and cross-functional teams. Attend the training and briefings as and when required to effectively perform the assigned tasks andgoals. Act as an ambassador for the business and promote the company and its products. Important: This is a dynamic work environment; numerous occasions will arise where support isrequired outside of the job description. To work for the UK Lead Generation & Hot Transfers Campaign. To provide effective Outbound Services such as making telephone calls to the customers in the UKfor Various products. To confirm customers details, share the product information and generate leads, Sales, Hot Transferkeeping in all the Quality Parameters in mind. To Conduct live or 3-way Call transfers (When/If required) To achieve the given target by the supervisor on daily basis/weekly or on Monthly basis. To discuss every complicated matter with the supervisors, team leaders, people in charge, and otherprofessionals effectively to settle the important on call issues. To proactively support their team by suggesting new ideas and questioning thinking whereappropriate. To foster good relationships with all internal and cross-functional teams.

Urgent hiring of AR Executive for US Healthcare Company Medropoliton Healthcare is a US Healthcare Company based in Gurgaon, Haryana . Job Title: - AR Executive for Revenue Cycle Management (RCM)Job Summary:- 4 years of work experience in AR in US healthcare industry Candidate should have good experience in AR/ calling Insurance companies (in US) / RCM/ Claim denial management /accounts receivable/denials management eligibility verification/prior authorization.Job Description:- AR Calling / calling Insurance companies (in US) companies to check the status of claim and take appropriate action to guarantee resolution Escalate difficult collection situations to Manager in a timely manner. Review provider claims that have not been paid by insurance companies. Call insurance To handle end to end follow up process to ensure accurate and timely follow up wherever required To handle denials Handle Prior Authorization Managing Insurance claims/denialsDesired Candidate: Any graduate with Excellent English communication skills (written & verbal) Ability to work independently as well as in a team environment. Strong analytical and problem-solving skills. Comfortable working in night shift.Perks and Benefits: 5 Days Working with Cab and Meal Facility.

Non - Tech Support - Voice / Blended Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post-call analysis for the claim follow-up Assess and resolve inquiries, requests, and complaints through calling to ensure those customer inquiries are resolved at the first point of contact Provide accurate product service information to the customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received, etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments JOB REQUIREMENTS To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years experience in accounts receivable follow-up/denial management for US healthcare customers Fluent verbal communication abilities/call center expertise Knowledge of Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. Access Healthcare will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus

Wanted Process Associates/Asst. Manager/Manager for a USA/UK based health insurance process. Company in it's nascent stages. High growth for the deserving employees. People with exemplary proven track record in USA/UK health insurance sector can apply in strict confidence. Freshers can also apply. Female candidates are encouraged to apply. Send detailed CV with recent photograph, Post applied for in the subject line, 2 references, current location, current salary & benefits, salary expected, notice period to join.

Job Title: eCommerce Executive (Sales & Operations) Experience in FMCG will be preferred, with At least 3 years in Foods / Breakfast Category.Job description1 Key Account Management :Planning and finalizing business strategy for the assigned Key E-commerce accounts for business growth and increased category share TOT negotiation, discussion and closure with the specific E-Com Accounts on yearly basis in coordination with the E-Commerce Head.Facilitating commercial reconciliation of all assigned E-Com accounts Accounts along with commercial manager/executive.2 Key Account Relationship and Target Review :Prepare Joint Business Plan with Key E-Com Accounts to set the Account wise objective for the current financial year and develop the tools to achieve the same.Review of performance with assigned chains on Quarterly basis to analyses current performance basis plan and incorporate changes if required in yearly plans3 Sales Promotion Planning :Planning internal marketing calendars of Promotions, Activation and New Product introduction and aligning the same with internal Trade marketing team and ensuring implementation with the chains.Internal Alignment with the Trade marketing team to ensure our brand objective always gets achieved in E-Com accounts.4 Sales & Distribution Planning and Review :Sales planning to ensure optimum stocks are available at all depots basis client requirement of promotions and visibility planned with the clients, to fulfill optimum fill rates with the accounts.The position is accountable for:Managing national, regional E-commerce and other alternate channels.Planning and delivering sales numbers for the above set of stakeholders through a dedicated set of team members at pan-India level.Visibility & Investment PlanningPlanning and evaluating the visibility & investment assets required on the assigned E-com accounts platforms. Driving alignment with Trade marketing & execution with the accounts.Actively partner with trade marketing to drive the revenue loop through add-to-cart on digital marketing campaigns.