Cashless and Reimbursement

CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...

CRM implants for claim support at client location Resolve customer queries on policy coverage and health claim processes Facilitate to drive claims app for submission and tracking of claims by employees Collect and dispatch claim documents as per corporate requirement Coordinate with internal claims units at IL to ensure seamless cashless and priority...

An essential role of a TPA is to coordinate between the insurer and hospital for the claim settlement process. They check all the bills and documents submitted by the claimant and cross-check all details before approving a settlement. TPA ensures a smooth claim processing settlement by verifying and checking the documents submitted by the insured They can...

An essential role of a TPA is to coordinate between the insurer and hospital for the claim settlement process. They check all the bills and documents submitted by the claimant and cross-check all details before approving a settlement. TPA ensures a smooth claim processing settlement by verifying and checking the documents submitted by the insured. They can...

**Client Servicing** - Resolving customer queries within TAT and ensuring smooth claim process - Providing information to the customers and to respond to their claim related queries - Coordinating with the customers/agents for cashless claim settlement - Coordinating with internal stakeholders like enrolment, - Account management, claims, investigation,...

Initiation and tie up with Insurance companies and TPAs Providing information to patients regarding cashless and reimbursement insurance procedures and available services To facilitate process for availing insurance services like filling of forms, transmission of claim forms to TPA Handling problems related to authorization, rejection of claim and...

Updation of all indoor patients files for billing - Admission of indoor patients - Follow up for deposit of IPD Patients - OT sheet updating for surgery patients - Relatives counselling regarding the bills & insurance (cashless & reimbursement) - Make TPA patients refund vouchers - Follow up with TPA regarding outstanding - To send preAuth to respective...

**JOB PURPOSE** To assist clinical research teams and often help training and supporting the sales force. To provide an authoritative opinion regarding medical based questions, legal and regulatory matters thus enabling colleagues to comply with the required statutory requirements. **PRINCIPAL ACCOUNTABILITIES** - Scrutiny of files to determine if the...

**Job Designation-: Insurance TPA, Medical Officer/ Claim Specialist** **Roles & Responsibilities-**: - Provide Medical opinion for Health Insurance Claims - Processing of Cashless Requests & Health Insurance Claim Documents - Proficient with medical terms & system. - Understanding of Policy terms & conditions & Various Protocols / Guidelines -...

Responsibility Initiation and tie up with Insurance companies and TPAs Handling problems related to authorization, rejection of claim and difficult issues or queries. Follow up of difficult payments Facilitate authorization for emergency cases Initiation and tie up with Insurance companies and TPAs Handling problems related to authorization, rejection...

**Claims**Processing claims, including cashless and reimbursement claims, and ensuring they are handled efficiently and accurately - **Customer service**Responding to client and patient queries, resolving issues, and providing updates on claim statuses - **Record keeping**Maintaining accurate records of all transactions, including client correspondence and...

Having experience of Hospital Billing TPA Desk management Reimbursement & cashless claims Documentation & processing Query handling Health insurance **Salary**: ₹120,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Internet reimbursement Schedule: - Day shift Supplemental pay types: - Performance bonus Ability to...

**TPA Executive** Location - Chembur Female/Male Experience - 2 to 3 years Hospital Exp Only Immediate Joiner Salary - 23,000 to 25,000 Mediclaim/Cashless/Insurance Pay: ₹23,000.00 - ₹25,000.00 per month Schedule: - Day shift - Evening shift - Morning shift **Experience**: - total work: 1 year (preferred) Work Location: In person

Following is JD and Qualification Requirement. - Education: BSc / GNM Nursing. - Experience: 2-3 years is Tertiary Care Hospital, must have a knowledge of nursing training, NABH, Codes etc. JD: - Conduct Nursing training periodically as per NABH Guideline. - Conduct NABH Training for the hospitals. - Connect with Patient for health queries,...

**TPA CORDINATOR** LOCATION- SANPADA IMMEDIATE JOINER SALARY - 15,000 TO 20,000 EXP CANDIDATE ONLY MEDICLAIM, CASHLESS, INSURANCE HOSPITAL EXP REQUIRED **Experience**: - total work: 1 year (preferred) Work Location: In person

Processing of cashless/reimbursement claim - Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. - Review the treatment details/ medication regimen given during hospitalization and ask for justification from treating doctor if treatment protocol is not...

**Role: Claim & Care Coordinator** **Key Responsibilities** - Co-ordinate for faster approval of claims for cashless and reimbursement claims - Connect with customers whose claims are assigned to CCC. Enquire about their health, understand their requirements, and help them in finishing formalities around claim submission either in hospital or post-discharge...

**Responsibilities and Duties.** - Serve as a point of contact for Insurance related inquiries - Create a consistent, positive work atmosphere through the communication - Close interaction with respective department at hospital - To interact with hospital insurance patients. - Interact with Hospital Management, Doctors, Medical and non-medical staff at the...

We are a VC-funded startup building India’s largest OPD network of healthcare service providers enabling cashless transactions. We are operating across 520+ Cities and 8500+ Pincodes pan India. For more details please visit us on medpay.ai Job Title: Field Executive Location: Bangalore **Responsibilities**: Conduct field visits to client locations,...

We are a VC-funded startup building India’s largest OPD network of healthcare service providers enabling cashless transactions. We are operating across 520+ Cities and 8500+ Pincodes pan India. For more details please visit us on medpay.ai Job Title: Field Executive Location: Bangalore **Responsibilities**: Conduct field visits to client locations,...