Job profile Manage high disease risk customers/patients over the phone/emails/EMR and, if required, in person Should understand the medical diseases and finer details of their management protocol along with the finer details of the program construct Follow/Develop a detailed plan of tracking as per the protocol keeping in mind the complications that could arise Coordinate with external customers/patients basis the risk trigger ensuring maximum level of sensitivity and confidentiality while managing cases Managing all cases on a case to case basis ensuring that majority customers/patients are adhering to the program construct Manage changes and escalations effectively on a case to case basis Measure program performance with relevant reports and at define frequency Report and escalate to management as and when needed Successfully manage the relationship with all stakeholders, internal as well as external Perform risk management to minimize risks at a customer level as well as at a portfolio level Establish and maintain relationships with third parties/vendors Review the processes on a timely basis Work towards digitization at each stage Identify opportunity for improvement basis partners feedback Leakage management and Governance around payment, customer benefit utilization Manage Internal & external process Audits Adherence to all Regulatory requirements and quick adaption to regulations Knowledge of DRM processes: Stay abreast with new processes / suggest improvements Understanding of DRM systems (process flow & System fields) TAT & expectations management for specialized business handling. Co-ordinate with other departments, team members and management to ensure smooth information flow to ensure that operations are carried out, recurring issues are resolved. Create & maintain standards/protocols for DRM team Maintain a consistent service delivery to ensure client retention and satisfaction Identify risk
BDS Doctor Dental SurgeonTPA CoordinatorTPA ExecutiveDental DoctorWalk in
Job Description:To confirm the claim is received in correct MAID, Hospital, etc,To capture the bifurcation of Admissible and Non-admissible paymentsTimings : 8 hrs /6 days
Healthcare Doctor Ayurveda DoctorClinical Documentation SpecialistEnglish
location: Airoli Navi Mumbai and Habsiguda Uppal HyderabadHIRING From All Over Indiarole: clinical documentation specialistqualification: bhms/ bams / bums / bds / bptexperience: 0 to 5+ year s (clinical / non clinical)ctc - bams/ bhms/ bds/ bpt :- 4 lac to 6 lac pa (depending on interview)shift timings: 8am - 5pm5 days working: tuesday - saturdayweek off: sunday & mondayjob profile:1. listen and comprehend recorded patient physician interactions, develop an impression about the clinicalcondition and document clinical history, examination findings & plan of action2. create highly structured (literally medical text-book style) clinical notes, summarize findings and insights-with sections such as history of present illness, review of systems, physical examination, assessment details, treatment plan etc.3. populate the summarized data in the electronic health record.(ehr)4. maintain clinical note quality using documentation norms and physician preferencesbenefits: (only for candidates living outside mumbai)1. only 15 days accomodation in mumbai.2. one way travel fare to mumbai.note:* remote interview.* 3 months training will be provided along with the salary.interview procedures:1. online test (attend only through laptop or desktop)2. whatsapp video call interview with sr. doctor.WORK FROM OFFICElet me know in case you have any query or anything you don't understand
Surgeon Assistant General SurgeonGeneral PhysicianLaparoscopic SurgeryDoctor
Need a male candidate. Sincere, well behaved, keen to learn. Freshers may apply. Qualified, BAMS, BHMS, BUMS, MS, B. Sc. Physician Assistant. Assisting General surgery, laparoscopic surgery, taking patient rounds, writing orders, bedside procedures. Attending emergencies.