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Medical Insurance Jobs

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TPA Executive (2-5 Years)

AICS Consultancy Service Pvt. Ltd

  • 2 - 5 yrs
  • 3.3 Lac/Yr
  • Rudrapur
TPA Executive TPA Coordinator Medical Insurance TPA & Insurance Coordination
DESCRIPTIONPosition : TPA Eexcutive Location : Rudrapur , UttarakhandExperience : 1 - 5 yearsKey Responsibilities :Handle end-to-end IPD billing and ensure accurate bill generation.Prepare provisional and final patient bills.Coordinate with doctors, nursing staff, and other departments for billing-related information.Manage TPA, insurance, cashless, and reimbursement billing processes.Verify patient records, treatment details, and billing documents.Ensure timely billing at the time of patient discharge.Resolve billing discrepancies and patient billing queries.Maintain billing records and documentation accurately.Generate daily billing reports and MIS reports.Follow hospital billing policies and compliance guidelines.Work on Hospital Information System (HIS) and billing software.Ensure confidentiality of patient and financial information.Coordinate with finance and accounts departments for smooth billing operations.
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Claim Processor Fresher

Rightfit Resources OPC Pvt. Ltd.

  • Fresher
  • 1.5 Lac/Yr
  • Berhampur
Insurance Claims Medical Terminology Claims Processing
As a Claim Processor in Berhampur, India, you will handle and manage insurance claims to ensure they are processed accurately and efficiently. This role is ideal for fresh graduates looking to start their careers in the insurance industry.Key Responsibilities:1. **Claims Evaluation**: Review claims submitted by clients to verify their accuracy and completeness. Ensure all required documentation is included for processing.2. **Data Entry**: Input claim details into the system with precision. Maintain the integrity of data to support accurate processing and reporting.3. **Communication**: Liaise with clients and internal teams to resolve any questions or discrepancies related to claims. Provide clear and concise updates on claim statuses.4. **Documentation Management**: Organize and file all claim-related documents systematically. Ensure all records are maintained properly for easy access.5. **Compliance Checks**: Ensure that all claims comply with company policies and regulatory requirements. Keep up-to-date with industry standards relevant to claims processing.Required Skills and Expectations:Candidates should possess strong attention to detail and the ability to work independently in a fast-paced environment. Excellent communication skills, both verbal and written, are essential for effectively interacting with clients and team members. Proficiency in using computers and handling data is expected. A proactive attitude and willingness to learn will help you thrive in this role.
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Looking For Medical Coder in Germany

Flight2sucess Immigration Llp

  • 1 - 7 yrs
  • 50.0 Lac/Yr
  • Germany
Medical LAB Technician Medical Officer Medical Advisor Medical Executive Medical Representative Medical Director Medical Sales Representative Medical Social Worker Medical Superintendent Medical Technologist Accuracy Anatomy Knowledge Coding Guidelines Healthcare Regulations Insurance Claims Problem Solving Medical Billing Time Management Attention to Detail Ethical Standards CPT Coding Medical Records Communication Skills
As a Medical Coder, you will play a crucial role in the healthcare system by translating healthcare services into universally accepted codes. This position requires attention to detail and a strong understanding of medical terminology. **Key Responsibilities:**- **Review Patient Records:** Examine patients' medical records to determine the services provided and any procedures performed. This is critical for accurate coding.- **Assign Codes:** Use specific coding systems like ICD-10, CPT, and HCPCS to assign codes to diagnoses, procedures, and services provided to patients. This ensures proper billing and record-keeping.- **Ensure Compliance:** Stay up-to-date with coding regulations and guidelines to maintain compliance with healthcare laws. This helps protect the organization from legal issues.- **Collaborate with Healthcare Staff:** Work alongside doctors and administrative staff to clarify any discrepancies in patient records. Clear communication ensures accurate coding.- **Resolve Billing Issues:** Address any coding-related questions or issues that arise with billing departments to ensure timely and correct payments from insurance companies.**Required Skills and Expectations:**- **Knowledge of Medical Terminology:** A strong understanding of medical terminology and anatomy is essential to accurately code patient records.- **Attention to Detail:** Meticulous attention to detail is critical for correctly coding and avoiding errors.- **Analytical Skills:** Ability to analyze complex patient records and make informed decisions regarding coding.- **Communication Skills:** Strong written and verbal communication skills are necessary for working with other healthcare professionals.- **Certification:** A professional coding certification is often preferred, along with a degree in healthcare or related fields. Candidates with 1 to 7 years of experience will be prioritized.
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  • 1 - 2 yrs
  • 3.5 Lac/Yr
  • Ahmedabad
Call Processing Insurance Calling Call Coordinator Medical Billing
: - 5 days (Mon-Fri) Great Place to Work : Call US insurers, check claim status & eligibility, follow up on unpaid claims, update records accurately. (Non-negotiable): Freshers (with excellent English & international voice exposure) 1-2 years of experience in US Voice / Medical Records Min 12th / Graduate : 6:30 PM - 3:30 AM 5:30 PM - 3:30 AM 9 PM - 6 AM , (on-site) 23K - 30K (based on interview) + 2.2K attendance bonus
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  • 0 - 6 yrs
  • 50.0 Lac/Yr
  • Singapore
Medical Billing Process Executive Billing Systems Insurance Records MS Excel Process Compliance Invoice Processing Data Accuracy
Urgent hiring for Medical Billing- Singapore.Job Details:A Medical Billing Executive manages the financial aspects of patient care, ensuring accurate, timely submission of claims to insurance companies and processing patient payments.
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TPA Executive (2-4 Years)

KAMTHE PILES HOSPITAL

  • 2 - 4 yrs
  • 2.8 Lac/Yr
  • Katraj Kondhwa Road Pune
Insurance Knowledge Medical Terminology Documentation Skills Problem Solving
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.
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  • 1 - 7 yrs
  • 8.0 Lac/Yr
  • Mumbai
Denial Management Medical Coding Insurance Verification AR Calling Medical Billing English Professional Communication
HIRING - AR Caller (Work From Home PAN India)Industry: US Healthcare Revenue Cycle Management (RCM)Role: Accounts Receivable (AR Caller)Salary Up to 47,000 in-hand (PF available) Up to 60,000 in-hand (PF not available)Work Mode: Work From Home (PAN India)Job Responsibilities Handling AR follow-ups with insurance companies for claim status Calling payers to resolve denials and pending claims Working on claim rejections and payment follow-ups Ensuring timely resolution of outstanding accounts Maintaining accurate documentation of call outcomes Key Skills Required Experience in US Healthcare AR Calling Strong knowledge of denials, claim lifecycle, and payer communication Good communication and negotiation skills Ability to handle targets and productivity metrics Additional Information Maximum 30% hike on previous salary Candidates opting for salary above 40,000 in-hand must have their own system For salary below 40,000, company may provide system support Apply via WhatsApp only Ali - 9011157178 Nexus Prime Talent https://nexusprimetalent.carrd.co
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  • 0 - 2 yrs
  • 3.0 Lac/Yr
  • Bangalore
Insurance Knowledge Medical Terminology Accuracy
ob Title: Claims Process ExecutiveDepartment: Insurance OperationsExperience: 03 YearsLocation: [Mention Location]Job Summary:We are looking for a detail-oriented and efficient Claims Process Executive to handle insurance claims processing, verification, and coordination. The candidate will be responsible for reviewing claims, ensuring accuracy, and supporting customers throughout the claims lifecycle.Key Responsibilities:Process and review insurance claims as per company guidelines.Verify claim documents for accuracy and completeness.Coordinate with customers, hospitals, agents, and internal teams for claim clarification.Ensure timely settlement of claims within TAT.Maintain accurate records of claims in the system.Follow up on pending documents and approvals.Resolve claim-related queries and escalations.Ensure compliance with company policies and IRDA regulations.Required Skills:Basic knowledge of insurance and claims processing.Good communication skills (verbal & written).Strong attention to detail.Ability to work under deadlines.Basic computer knowledge (MS Office, email handling).Qualification:Any Graduate (Commerce/Management preferred).Insurance certification (if any) is an added advantage.
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  • 0 - 6 yrs
  • 8.0 Lac/Yr
  • Surat
Direct Marketing Corporate Sales Lead Generation Sales Administration Medical Devices Medical Equipment B2B Sales Sales Ability Cold Calling Sales Business Development Sales Convincing Power Negotiation Skills Direct Sales Sales Consulting Field Sales Inside Sales Insurance Sales Marketing Consultant Channel Sales Marketing Communication Retail Sales
We are seeking a dynamic Sales Executive to join our team in Surat, India. The ideal candidate should be a graduate with 0-6 years of experience in sales. As a Sales Executive, your key responsibilities will include identifying potential customers, pitching products or services, closing sales deals, and maintaining good client relationships. Strong communication and negotiation skills are essential for this role. The successful candidate should be driven, goal-oriented, and have a proven track record in meeting sales targets. If you have a passion for sales and a knack for building relationships, we want to hear from you. Join us and take your sales career to new heights.
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Looking For TPA Executive

Atharav Enterprises

  • 1 - 2 yrs
  • 3.0 Lac/Yr
  • New Panvel Navi Mumbai
Insurance Knowledge Medical Terminology Documentation Skills Claims Processing Communication Skills
Hiring: TPA Billing Executive Hospital Location: Panvel, Navi Mumbai Salary: 15,000 22,000 (based on experience) Gender: Male / Female Experience: Minimum 1 year Industry: Hospital / HealthcareJob Responsibilities:Handling TPA & Insurance billingSubmission of cashless & reimbursement claimsCoordination with insurance companies & TPAsMaintaining patient billing and claim recordsFollow-up on approvals and paymentsRequirements:Minimum 1 year experience in hospital TPA billingKnowledge of insurance portals & claim processingGood communication and documentation skills Interested candidates can call: 9011935513
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TPA Coordinator

Supernova Healthcare Pvt Ltd

  • 2 - 5 yrs
  • Kalyan Thane
Insurance Patient Care Good Communication Skills Medical Billing
We have vacant of 1 TPA Coordinator Job in Kalyan, Thane, Experience Required : 2 Years Educational Qualification : B.A, B.B.A, B.Com, B.Sc Skill Insurance, Patient Care, Good Communication Skills, Medical Billing etc. Act as a liaison between hospital, patients, and TPAs/insurance companies. Handle pre-authorization, approvals, and claim submissions for cashless treatment. Maintain proper documentation of insurance claims, bills, and approvals. Verify patient insurance details and eligibility before admission. Coordinate with billing, accounts, and treating doctors for claim-related requirements. Ensure timely submission of bills and settlement of insurance claims. Track pending claims and follow up with TPAs/insurance providers. Maintain MIS reports on insurance patients and claim status. Assist patients/families in understanding insurance coverage and exclusions.
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TPA Manager

Sai Baba Eye Hospital

  • 2 - 5 yrs
  • 3.8 Lac/Yr
  • Raipur
TPA Coordinator Medical Advisor Insurance Coordinator Followups Claims Specialist
Responsibilities:1. Oversee and manage relationships with Third-Party Administrators in the hospital sector.2. Ensure efficient processing of medical claims, adhering to industry standards and regulations.3. Collaborate with cross-functional teams to streamline TPA-related processes for optimal efficiency.4. Implement and enforce best practices in TPA management to enhance operational excellence.5. Provide strategic guidance on TPA negotiations and contract management.6. Stay abreast of industry trends and regulations impacting TPA operations.7. Foster strong partnerships with TPA providers to optimize service delivery and customer satisfaction.Requirements: Proven experience in TPA management within the hospital industry. In-depth knowledge of healthcare regulations and compliance standards. Strong negotiation and contract management skills. Excellent communication and interpersonal abilities. Demonstrated ability to optimize operational processes for TPA efficiency. Relevant educational background in healthcare management or a related field.Note: Only candidates with a background in the hospital industry should apply.
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Time Management Team Leader Quality Training Instructor Flexcube Work From Home
Join our team for mobile data entry work that lets you work from anywhere, anytime. Enjoy the flexibility to manage your tasks on-the-go, ensuring accurate data entry within designated timelines. Embrace a role that empowers you to balance work and life seamlessly while contributing to our success.
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Insurance Sales Outbound Sales Telecaller Telesales Executive Inside Sales Executive Medical Sales Representative Medical Sales Walk in
Job Title: Inside Sales ExecutiveJob Description:Position Overview:We are seeking a motivated Inside Sales Representative to join our dynamic sales team. The Inside Sales Representative will be responsible for generating leads, qualifying prospects, and closing sales over the phone and via email. The ideal candidate should have excellent communication skills, a strong sales acumen, and a passion for exceeding sales targets.Key Responsibilities:Prospect and qualify leads through cold calling, email campaigns, and other sales strategies.Conduct product demonstrations and presentations to potential customers.Build and maintain strong relationships with existing and potential customers.Manage the entire sales process from lead generation to closing deals.Negotiate pricing and contractual agreements with customers.Collaborate with the sales team to achieve sales targets and objectives.Keep accurate records of sales activities and customer interactions in the CRM system.Stay updated on industry trends, market conditions, and competitor activities.Provide feedback to the marketing team on lead quality and effectiveness of sales campaigns.Participate in regular sales meetings and training sessions to enhance sales skills and product knowledge.
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Health Insurance Manager

ConnectIN Jobs Global

Health Insurance Health Insurance Counselor Insurance Sales Executive Health Insurance Manager Medical Representative Sales Executive Field Sales Executive Field Sales Manager Field Sales Medical Executive BFSI NBFC Walk in
Analyze and process contracts and other documents, develop compliance and audit procedures, and prepare reports and other materials. Monitor critical policy changes and confirm any necessary adjustments are implemented to ensure compliance.Selling Health Insurance Products to the leads given by the company.Ability to work under Pressure.- Should of very good convincing and selling skills.- Should of good English communication skills.- Should be very confident and presentable. Energy levels should be high.Experience Required : 6 to 1 yr experience in any Insurance sales.- Field sales experience in Health Insurance products will be added advantage.
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Urgent Requirement For TPA Executive

Shivangi Group of Management

  • 1 - 7 yrs
  • 6.0 Lac/Yr
  • Gurgaon
TPA Executive Medical Officer Health Insurance Counselor Documentation Assistant Walk in
We have vacant of 2 TPA Executive Jobs in Gurgaon,TPA Executive,Medical Officer,Health Insurance Counselor,Documentation Assistant, Experience Required : 1 Year Educational Qualification : Diploma, Professional Degree, B.Pharma, MBBS, M.Pharma, Other Doctorate Degree, Ph.D/Doctorate, DM/Doctorate of Medicine Skill TPA Executive,Medical Officer,Health Insurance Counselor,Documentation Assistant etc.Job location - Near MG Road Metro station, Gurgaon
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Field Sales FMCG Sales B2B Sales B2C Sales Showroom Sales Educational Sales Medical Representative Marketing Manager Insurance Sales Life Insurance Agency Channel
Position :: Sales Manager Experience :: More than 2 year in field sales A. KEY RESPONSIBILITIES:-- To recruit a team of Insurance Advisors as per the corporate strategy-- To ensure and maintain levels of productivity as prescribed-- To focus on and develop various business segments as per the sales strategy-- To train IAs with the help of training team-- To uphold the brand image and ensure compliance with all internal as well as external regulationsB. MEASURE OF SUCCESS-- Achievement of sales targets and others parameters such as retention-- Activation of Advisors monthlyC. QUALIFICATION / EXPERIENCE-- Any Graduate/ Post Graduate-- More than 2 Years of Experience in Sales-- Local candidate with good local networkD. SKILLS REQUIRED-- Good Communication Skills-- Good team building skills-- Good knowledge of underwriting and operation processes-- Training and motivation capacity
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Medical Billing Executive

Munificent Tech Services

  • 1 - 2 yrs
  • 2.5 Lac/Yr
  • Nashik
Medical Billing Insurance Claim Attention to Detail RCM Work From Home
Responsibilities: Verify patient information and insurance details. Accurately assign medical codes to diagnoses and procedures. Prepare and submit insurance claims, tracking their status. Calculate patient fees, deductibles, and copayments. Resolve billing inquiries and issues professionally. Analyze billing data for trends and generate reports. Ensure compliance with medical billing regulations and HIPAA. Collaborate with healthcare providers to resolve billing problems. Identify and implement process improvements.
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  • 1 - 5 yrs
  • 5.5 Lac/Yr
  • Delhi NCR
Insurance Advisor Insurance Agent Insurance Sales Manager Insurance Operations Manager General Insurance Life Insurance Advisor Medical Insurance Walk in
Job description for TL:1. Hiring Team Leader for our Insurance (Motor, Health and Life) vertical.2. Guiding the sales team in pitching the client and achieving sales targets.3. Getting the report from the team members in a timely manner.4. Managing sales team of 10-15 agents.5. Minimum of 1 plus year of experience in team handling.6. Good knowledge of MS Office Package.7. Proven work experience as a team leader or supervisor8. Excellent communication and leadership skills9. Organizational and time-management skills10. Decision-making skillsPreferred Candidate Profile:1. Must have the experience in Insurance Sales2. Should have Mini. 01 year of Exp.3. Deeply Knowledge in Insurance Sector4. To Manage Outbound Lead GenerationSalary & Other Benefits: 1. Salary upto 45k + Unlimited Incentives2. 5 Days working3. Fixed Shift: 10:00AM to 6:00PMRole: Insurance - SalesEmployment Type: Full Time, PermanentEducation: Graduate or Under Graduate
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Medical Representative Insurance Manager Claim Processing Executive TPA Coordinator
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
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Medical Coding Executive Fresher

Flight2sucess Immigration Llp

  • 0 - 6 yrs
  • 50.0 Lac/Yr
  • Canada
Medical LAB Technician Medical Officer Medical Advisor Medical Executive Medical Representative Medical Director Medical Sales Representative Medical Social Worker Medical Superintendent Medical Technologist Accuracy Anatomy Knowledge Coding Guidelines Healthcare Regulations Insurance Claims Problem Solving Medical Billing Time Management Attention to Detail Ethical Standards CPT Coding Medical Records Communication Skills
Benefits : Medical Insurances , Travel allowances , Flight Tickets , Meals , etcJob DescriptionVisa duration- 12 months to 3 yearsFree medical and education facilities for familyFamily visaGovt sponsored visaSpouse can legally workSelection on first cum first basis
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TPA Coordinator - Full Time

KAMTHE PILES HOSPITAL

  • 2 - 4 yrs
  • Katraj Kondhwa Road Pune
Billing Procedures Insurance Knowledge Medical Terminology Prioritization
Talking preauth Ipd billing Reiumbusment claim procedure Communication with claim company about queries
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  • 2 - 3 yrs
  • 2.8 Lac/Yr
  • Katraj Kondhwa Road Pune
Billing Procedures Insurance Knowledge Claims Processing Medical Terminology Prioritization PREAUTH
HANDLE CASHLESS AND REIMBURSEMENT CLAIM PROCESSINGCOORDINATE WITH INSURANCE COMPANIES TPA FOR APPROVAL AND QUERRIESVERIFY PATIENTINSURANCE ELIGIBILITY AND DOCUMENTSSUBMIT AND TRACK PREAUTHORISATION REQUEST PREPARED DAILY MONTHLY REPORT OF CLAIM
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