![Dr Claims](https://media.trabajo.org/img/noimg.jpg)
Medical Claims
4 days ago
Verify patient insurance coverage
- Generate bill estimate based on hospital guidelines and determine patient copay / deposit
- Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital
- Obtain required case information and signoff from hospital and share information with insurer / TPA
- Draft query responses based on guidance of medical lead
- Coordinate with hospital to ensure courier of physical file in timely manner
- Maintains dashboards and monthly reports for hospitals
- Reconcile claim settlements with hospital records
- Communicate professionally with clients and insurers / TPAs and offer good customer service
**Job Types**: Full-time, Permanent
**Salary**: ₹15,000.00 - ₹18,000.00 per month
Schedule:
- Day shift
Supplemental pay types:
- Yearly bonus
**Experience**:
- TPA / hospital billing: 1 year (preferred)
Work Location: In person
-
Claim Adjudication
2 months ago
Navi Mumbai, Maharashtra, India INTEGRUM OUTSOURCE SOLUTIONS PVT LTD Full timeShould possess U.S Health insurance claim processing experience - Knowledge of medical billing and coding terminologies - Ready to work in Night Shift as well as Day shift - Understanding of plan documents and general benefits - Familiarity with terms such as deductible, out of pocket, coinsurance, and copay - Strong attention to detail and accuracy -...
-
Claim Adjudication
2 weeks ago
Navi Mumbai, Maharashtra, India INTEGRUM OUTSOURCE SOLUTIONS PVT LTD Full timeShould possess U.S Health insurance claim processing experience - Knowledge of medical billing and coding terminologies - Ready to work in Night Shift as well as Day shift - Understanding of plan documents and general benefits - Familiarity with terms such as deductible, out of pocket, coinsurance, and copay - Strong attention to detail and accuracy -...
-
Claims Negotiator
5 days ago
Mumbai, Maharashtra, India Watchyourhealth.com India Private Limited Full time**Healthcare Manager** **Responsibilities**: - Handling ICICI Lombard customers on ground within policy terms in sync with hospitals and to drive savings by bill audits and negotiation with the hospitals for the locations - Mumbai, Ahmedabad, Kolkata, Delhi, Faridabad, Gurgaon, Noida and Ghaziabad. - Handling 7-10 hospital in vicinity by as and when...
-
Claims Negotiator
5 days ago
Mumbai, Maharashtra, India Watchyourhealth.com India Private Limited Full timeHealthcare Manager **Responsibilities**: Handling ICICI Lombard customers on ground within policy terms in sync with hospitals and to drive savings by bill audits and negotiation with the hospitals for the locations - Mumbai, Ahmedabad, Kolkata, Delhi, Faridabad, Gurgaon, Noida and Ghaziabad. Handling 7-10 hospital in vicinity by as and when required...
-
Claims Trainer
2 weeks ago
Andheri, Mumbai, Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time**Responsibilities**: 2. Will be responsible to train the existing as well as new joiners. 3. Will be handling special projects which may be driven by corporate office at central or regional level. 4. Will be responsible for all the training pertaining to claims, claims processing, claim policies, etc. 5. Evaluate the effectiveness of training programs...
-
Investigation Claims
2 weeks ago
Mumbai, India TopGear Consultants Full time**Urgent Opening** **Role**:Investigation Claims **Experience**:3 to 8 Years **Location**:Mumbai (Goregaon) **Industry**: Insurance **Qualification**: BAMS, BHMS, BUMS, BDS, BPT **Role & Responsibility**: (Details of the roles & responsibility) **Investigation Management (Health/CI/PA Claims)** 1. Required to assign, follow up, get the investigation...
-
Claims Executive
3 weeks ago
Mumbai, Maharashtra, India Ketto Full time**About the company** Ketto is Asia's largest tech enabled crowdfunding platform with a vision - Healthcare for all. We are a profit making organization with a valuation of more than 100 Million USD. With over 1,100 crores raised from more than 60 lakh donors we have positively impacted the lives of 2 lakh+ campaigners. Ketto has embarked on a high-growth...
-
Claims Examiner
3 weeks ago
Navi Mumbai, India DECTREE INFOTECH PVT LTD Full time**NAME **Open Position **DEPTARTMENT**:Administration **TITLE **Claims Examiner **STATUS**:Full-time **REPORTS TO**:Manager of TPA Operations **CLASSIFICATION **Non-Exempt **JOB SUMMARY/ORGANIZATIONAL IMPACT**:Serves self-insured clients by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality...
-
Medical Officer
1 week ago
Mumbai, Maharashtra, India Healthindia Insurance TPA Services Pvt. Ltd. Full time**Company Name **:Healthindia Insurance TPA **Job Location **:Mumbai **Job & Responsibilities**: - Medical Scrutiny. - Provide Medical opinion for Health Insurance Claims. - Processing of Cashless Requests & Health Insurance Claim Documents. - Proficient with medical terms & system. **Required Qualification **:BAMS, BHMS **Min experience 1 Year to 2...
-
Medical Officer
2 weeks ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
3 weeks ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
2 months ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
2 months ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
2 months ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
2 months ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
2 months ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
3 weeks ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
3 weeks ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
2 weeks ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...
-
Medical Officer
2 weeks ago
Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full timeParamount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...