Medical Insurance Claims Executive

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

**Hiring Medical Officers for a leading Mediclaim Investigation Agency** - **WFH after 1 month training period**_ Provide Medical opinion for Health Insurance Claims. Processing of Cashless /Reimbursement / Personal Accident Requests Health Insurance Claim Documents. Requirement: Must be Proficient with medical terms system. Understand enterprise...

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

We are a leading investigation agency specialized in Mediclaim, PA claim, etc. Our specialization stands at the best level in the verification of insurance claims, services in Pan India. Our organization consists of Experience Doctors & investigators, qualified, experienced professionals with extensive investigative experience. We have been able to satisfy...

01. Involves Processing of Claims 02. Validating and processing these claims within TAT 03. With good English communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the organization while settlement of claims **Role **:Medical Officer/Claims processor **Required...

Operations Executive - UAE - Health Insurance Claims Process Responsibilities: Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers. Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria. Verify the accuracy and completeness of claim forms, medical records, and...

Operations Executive - UAE - Health Insurance Claims Process Responsibilities: Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers.Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria.Verify the accuracy and completeness of claim forms, medical records,...

Operations Executive - UAE - Health Insurance Claims Process Responsibilities: Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers. Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria. Verify the accuracy and completeness of claim forms, medical records, and...

**Key Responsibilities**: - Medical Scrutiny - Provide Medical opinion for Health Insurance Claims - Processing of Cashless Requests & Health Insurance Claim Documents - Proficient with medical terms & systems. - Understanding of Policy terms & conditions & Various Protocols / Guidelines - Understanding of Claims adjudication / Claims Processing - Manage...

**Greetings From MediEnsure Pvt Ltd** **Job Title: Hospital Auditor** **Qualification-BAMS/BHMS/BDS/BPT/MBA in Healthcare Management/MHA(People with any other healthcare background also can apply)** **Primary Role**: As a hospital auditor, the primary role is to evaluate medical claims made by hospitals to ensure that they are medically necessary and...

Responsible for entire claims. - Follow up with the Insurance Companies. - Coordination with the customers. - Provide claim Support to the group companies, affinity patners and the branches. - Claims MIS Preparation. - Any other duties assigned by the management from time to time. **Job Types**: Permanent, Fresher **Salary**: From ₹15,000.00 per...

The Medical Insurance Coordinator is responsible for ensuring seamless coordination between patients, healthcare providers, and insurance companies to facilitate accurate billing, maximize insurance coverage, and minimize financial burdens for patients. This role requires strong attention to detail, excellent communication skills, and a deep understanding of...

Desired profile - BAMS, BHMS, BNYS, BDS, MDS, BUMS Verify the documents required for processing claims, notify hospitals in case of insufficiency of documents. scrutinize the claims as per the terms and conditions of the insurance policy and medical admissibility **Job Type**: Permanent **Salary**: ₹300,000.00 - ₹480,000.00 per year Schedule: - Day...

Desired profile - BAMS, BHMS, BNYS, BDS, MDS, BUMS Verify the documents required for processing claims, notify hospitals in case of insufficiency of documents. scrutinize the claims as per the terms and conditions of the insurance policy and medical admissibility **Job Type**: Permanent **Salary**: ₹300,000.00 - ₹480,000.00 per year Schedule: - Day...

experience in motor insurance - Responsible for entire claims. - Follow up with the Insurance Companies. - Coordination with the customers. - Provide claim Support to the group companies, affinity patners and the branches. - Claims MIS Preparation. - Any other duties assigned by the management from time to time. **Job Types**: Full-time, Permanent,...

To ensure 100% accurate and efficient insurance process and 0% rejection by the insurance companies. - Claims are sorted daily and screened (Level 1) for missing and incomplete claims. - Patient demographics are completed as per requirement. - Effective claim screening: Claim forms are screened for patient demographics, medical part, patient signature,...

Junior Insurance Claims Specialist - Freshers • Getting trained and learning on US healthcare, US Dental industry and Revenue Cycle Management for US healthcare. • Creation and submission of healthcare insurance claims using billing software, identifying the necessary billing information to create a complete claim. • Initiate and conduct...

Junior Insurance Claims Specialist - Freshers • Getting trained and learning on US healthcare, US Dental industry and Revenue CycleManagement for US healthcare.• Creation and submission of healthcare insurance claims using billing software, identifyingthe necessary billing information to create a complete claim.• Initiate and conduct...