Medical Executive Job Vacancies in Pune

As a TPA Executive, you will play a crucial role in facilitating the smooth and efficient management of insurance claims. You will work closely with clients, healthcare providers, and insurance companies to ensure that all transactions and communications are handled effectively.**Key Responsibilities:**- **Claim Processing:** Review and process claim documents, ensuring all necessary paperwork is complete and compliant with insurance protocols.- **Client Coordination:** Communicate with clients to gather required information and updates regarding their claims, addressing any questions or concerns they may have.- **Provider Liaison:** Work with healthcare providers to verify patient eligibility and benefits, ensuring that services rendered are aligned with the insurance coverage.- **Documentation Management:** Maintain detailed records of claims processed, communications, and resolutions to ensure transparency and compliance with company standards.- **Problem Resolution:** Address and resolve any issues or discrepancies that arise during the claims process, collaborating with relevant parties to achieve satisfactory outcomes.**Required Skills and Expectations:**Candidates should have at least 2 to 4 years of experience in a similar role, demonstrating a strong understanding of the insurance claims process. A minimum education level of 12th pass is required. Excellent communication skills are essential for effective interaction with clients and providers. Proficiency in Microsoft Office, particularly Excel, is expected for managing documentation and data. Candidates should be detail-oriented, capable of handling multiple tasks efficiently, and possess strong problem-solving abilities to navigate challenges in the claims process. A professional attitude and the ability to work in a team are also important for success in this role.

As a Billing Executive, you will be responsible for accurately processing and managing billing activities for the hospital. This includes generating IPD OPD bills , reviewing billing data, and ensuring timely payments.Required skills and expectations:- Proficiency in Microsoft Excel and Microsoft Office for data entry and reporting- Experience in cash handling and basic computer skills- Knowledge of medical billing processes is a plus- Strong attention to detail and accuracy in billing procedures- Ability to communicate effectively with patients and team members- Willingness to work full time in the office location at Pimpri Chinchwad, Pune

Job DescriptionPositions For: Client Relationship Manager (CRM)Company: VIVEKANAND HEALTHCARE ACCRED SOLUTION PRIVATE LIMITEDLocation: Pan India state wise [No of Positions]Andhra Pradesh - 3Arunachal Pradesh - 1Assam - 1Bihar 2Chhattisgarh - 2Goa - 1Gujarat - 3Haryana - 3Himachal Pradesh - 2Jharkhand - 2Karnataka - 3Kerala - 1Madhya Pradesh - 5Maharashtra - 5Manipur - 1 Meghalaya - 1Mizoram - 1Nagaland - 1Odisha - 1Punjab - 3Rajasthan - 5Sikkim - 1Tamil Nadu - 3Telangana - 1Tripura - 1Uttar Pradesh - 3Uttarakhand - 2West Bengal - 2Union Territories:Andaman and Nicobar Islands - 1Chandigarh - 1Dadra and Nagar Haveli and Daman and Diu - 1Delhi - 3Jammu and Kashmir - 2Ladakh - 1Lakshadweep - 1Puducherry - 1(Remote / Freelance Model)Industry: Healthcare Consulting & AccreditationEmployment Type: Freelance / Performance-BasedCompensation: 5% 8% Commission Per Successful Project (Based on Deal Value & Performance)________________________________________ About the CompanyVivekanand Healthcare Accred Solution Private Limited is a specialized consultancy committed to raising healthcare standards through expert support in NABH, NABL, JCI, and ISO accreditation. We empower hospitals, clinics, and diagnostic labs to implement quality systems that ensure compliance, safety, and clinical excellence. Trusted by healthcare institutions across India, we deliver measurable results with a people-first approach.________________________________________ Position OverviewWe are looking for a result-driven Client Relationship Manager (CRM) to drive business growth through strategic client acquisition and relationship building. As a key representative of our consultancy, you will engage healthcare institutions, understand their needs, and guide them toward quality improvement through our services.This role is commission-based, offering 5% to 8% per successful deal, with no fixed salary. Its ideal for self-motivated professionals with healthcare industry knowledge and a strong network.________________________________________ Key Responsibilities Identify and engage prospective clients such as hospitals, labs, diagnostic centres, and clinics Promote and explain our healthcare accreditation services (NABH, NABL, JCI, ISO) Manage the full client lifecycle: lead generation, deal closure, onboarding coordination, and relationship nurturing Coordinate with internal quality consultants and trainers to ensure smooth project execution Track client satisfaction and maintain long-term relationships for referrals and renewals Stay updated with accreditation standards, compliance trends, and industry developments Maintain accurate reporting of leads, follow-ups, closures, and commissions________________________________________ Ideal Candidate Profile Background in hospital marketing, healthcare marketing, or sales 5+ years of relevant experience in healthcare or accreditation advisory preferred Excellent communication and relationship-building skills Strong networking ability with hospitals and healthcare decision-makers Ability to work independently with minimal supervision Strong understanding of NABH, NABL, JCI, or ISO processes is a bonusEducational Background: Bachelor's Degree: A bachelor's degree in a relevant field like Business Administration, Marketing, or Communications is often a good starting point. Master's Degree (Optional): An MBA with a focus on marketing or CRM can provide a competitive advantage for senior roles. CRM-Specific Courses: Certifications or specialized courses in CRM software, like Salesforce or HubSpot, can enhance your qualifications. ________________________________________ Compensation Performance-Based Model Commission Only: Earn 5% 8% of each deals total value based on project size and performance No fixed monthly salary, offering unlimited earning potential Commissions paid upon confirmed deal and client onboarding High-value projects can yield 25,000 to 1,00,000+ per deal Additional performance incentives may be considered over time________________________________________ How to ApplyTo apply, send your CV or professional profile to: [vivekanandhealthcareaccredsolu@gmail.com] [9053515351, 8648044804]Subject Line: Application for CRM Role [Your Name]________________________________________ Join a Mission That MattersBe part of a purpose-driven organization thats reshaping Indian healthcare by bringing quality, safety, and excellence to every institution we work with. If youre ambitious, connected, and driven by performance we want you on our team.

Wanted for Assistant Professor , Associate Professor , Professor For Full time / Visiting / flexible jobs Contact No: 9866095085what's app : 9866095085e-mail : medidentjobs@gmai.com

HIRING! HIRING! HIRING!Credence Resource Management is now hiring for AR Callers/Prior Authorisation Specialist/ EVBV experienced candidatesNeed minimum 1 year of experience in the above portfoliosUS FIXED SHIFTS WITH FIXED WEEK-OFFSalary- Hike on basic in hand salary+ incentives upto 5.5k + OT(Cabs provided) Pune, MaharashtraHR Zaheer SaudagarContact Number: 8484813810

For more info drop your cv's on 8446236027 - whatsapp

Job Openings for 5 Medical Executive Jobs with minimum 1 Year Experience in Pune having Educational qualification of : Diploma with Good knowledge in Counsellor etc.

International BPO - Voice Process (US collections process)Position Title - Executive - Customer ServiceLocation Kharadi, PuneHighlights: Best In Market Salaries from 2.4 lakhs up-to 4 lakhs6 week new hire training program Unlimited Incentive Plan with transparent KRA's Enhance your Analytical/Decision Making & Negotiation skills Cross functional Growth opportunities within 6 months for experienced candidates Free Medical/Life insurance Employee Centric Policies Free Home Pick & Drop Transportation Fixed shifts 8 hour shifts [Including the 45 min break] Free transport [Home pick-up & drop]Profile Summary: As an Executive - Customer Service, you will be responsible to communicate with consumers of healthcare and telecommunication providers in the United States to collect on overdue and unpaid bills. As a collection specialist, you will be responsible for calling consumers on phone and negotiating for the overdue payment, on behalf of the client.Position requirements: Good English verbal skills required This job requires you to work US shifts scheduled between 5:30 pm & 10:30 am Sunday fixed Off & Alternate Saturday Working Candidates with experience in collections or mortgage services will have an advantageAbout the Company : Credence and its group companies are subject matter experts in the Revenue Cycle and Accounts Receivable Management for Healthcare, Telecommunications, Utilities, Media & entertainment companies. We are 2000+ employees strong who provide exceptional performance thats customer friendly & compliant; and deliver world class results to ensure brand integrity. From our large Fortune 100 clients to over a hundred US Small Business clients, we have helped each of them drive their financial results to new levels by ramping up quickly, reacting immediately, beating deadlines, and overcoming challenges under extreme pressure while delivering Transformational Results

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage

SSZ INFOTECH - Medical Academy29 Years Old Organization ProvidesOnline / Class-room Medical Coding Training Cum JobBasics / CPC Training Cum JOB forBSc /Nurses/GNM / staff Nurse/nursing Freshers/para Medicals/technicians/DentistBasic Classroom Training for Freshers.CPC Training for Non Certified Experienced / Working Coders.Confirmed Job for CPC Certified CodersCertified Coders Start Their Career with a Pay Scale of Rs. 28,000/- to 30,000 per Month. with Little Experience, One Can Earn Rs.35,000/- per Month with other Perquisites and Benefits. Certified Medical Coders with 2 to 4 Years Experience Earnsrs.50, 000/- P.m + Perquisites.CPC Certified Coders have Lucrative Jobs Offers in US, UK, UAE etc.Qualification:Any Graduate / Post GraduateNurse/GNM/Staff Nurse/Nursing FreshersBSc - Bio-chemistry, Biology, Botany, Home Science, Microbiology, Nursing, Zoology,MSc - Bio-chemistry, Biology, Botany, Home Science, Microbiology, Nursing, Zoology,B Tech Bio-chemistry/ Bio-technology, Biomedical,BDS - BPT - BHMS - BAMS & Pharm DM. Pharma B Pharma - B.com M.comOur Toppers in the CPC Conducted By AAPC USADr. Hemalatha 89% Sravanthy 84% Dr. Vineetha 84% Vinay Bellary 88%Dr. Ujjwala 88% Rameshwari 78% Dr. Sindhuja 84% Priyanka 89%Dr. Sravani 86% Ajitha Reddy 91% Miss Divya 89% Annapoorna 78%.Mounika 76% Sayeed Nazeem 81% Harika 85% Vinay 82% Nazeem 79%Akshya 74% Josi Kiran 76% Niharika 82% Avinash 72% Mamatha 88% Rishitha 72%Reshambi 72% Sonia 78% Santosh 76%Contact / walk-in-to our office.SSZ INFOTECH Medical Academy53, MADHUKUNJOpposite to METRO Parade Ground stationNear YMCA,, Next to UCO Bank.S P ROAD, SECUNDERABAD

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage

Job Roles & Responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantageCandidate Requirements Willingness to work in US shifts Minimum 1 year experience in Medical RCM Revenue Cycle Management Candidate should have good knowledge of denials

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage

Preferred Skills, Education, and Experience: Any Graduate Experience required- Minimum 1 year Good communication skills and a fair command of the English languageExperienced in AR Follow-up and Denials Management, Medical BillingGood understanding of the US Healthcare revenue cycle and its intricaciesExcellent analytical and comprehension skillsEmployment Mode: Full-time Shift Timing: Night shift (US Shift) (5.30 PM 2.30 AM IST) Work location: Chennai, BangaloreShift days: 5 days workingSalary- Best in the industry + incentives & bonusesAdditional Benefits:1. Monthly Food Coupon - Worth Rs.900 per month (10000 PA), can be used in office canteen2. Night Shift allowances - Rs.50 per day (Based on the attendance) (15000 PA)3. Good Incentive plans Can earn up to double the salary4. Free Two-way cab facilities (25Kms radius of the office location)5. Insurance courage of 1 Lakh (Self, spouse and 2 childrens)6. All statutory benefits are applied (PF, ESIC, PT Etc.)

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: 1.ERA & EOB 2.ERA codes 3.Insurance types 4.Balance billing 5.Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantageCandidate Requirements Willingness to work in US shifts Minimum 1 year experience in Medical RCM Revenue Cycle Management Candidate should have good knowledge of denials

Job Roles & Responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantageCandidate Requirements Willingness to work in US shifts Minimum 1 year experience in Medical RCM Revenue Cycle Management Candidate should have good knowledge of denials

Urgent requirement for Billing Executive for Hospital Chakan Location B.com , M.com Min 1 yrs salary 12k to 15 kcall for more 9011935513

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage

Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage

Job Roles & Responsibilities Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA codes Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantageCandidate Requirements Willingness to work in US shifts Minimum 1 year experience in Medical RCM Revenue Cycle Management Candidate should have good knowledge of denials

For More Details forward you cv on - (8446236027 - shreyash)

For more info contact (HR Shreyash - 8446236027)

For more info contact - HR Shreyash