Medical Claims Examiner

Job Description:We are seeking a highly skilled and motivated Medical Claims Analyst to join our team at Health Prime Services (India) Private Limited.The successful candidate will be responsible for calling insurance companies on behalf of doctors/physicians and following up on outstanding accounts receivable. They will also be expected to possess strong...

Job Description We are seeking a highly skilled Senior Medical Lien Operations Specialist to join our team at Asian Hires. As a key member of our operations department, you will play a pivotal role in ensuring the smooth transition of liens across various stages and performing lien negotiations when required. About the Role The successful candidate will...

Asian Hires seeks a skilled Key Performance Specialist to join our team. This role plays a pivotal part in the US-based lien operations, working closely with the team lead to negotiate, arbitrate, and settle lien amounts with external entities.Job Responsibilities:Perform medical lien reviews to ensure seamless transitions across stages and negotiate liens...

Company OverviewHexpress Healthcare Softech Private Limited is a dynamic organization that values its customers above all else. We understand the importance of delivering exceptional customer experiences, and we are seeking a talented individual to join our team as a Back Office Support.About the RoleWe are looking for an experienced Customer Support...

We are seeking a skilled and detail-oriented Business Support Specialist to join our team at Hexpress Healthcare Softech Private Limited. In this role, you will be responsible for providing critical support to our customer service team, ensuring seamless order fulfillment and delivery.Key ResponsibilitiesOrder Processing: Accurately process and manage orders...

We are seeking qualified, part-time internationally licensed psychotherapists to join our provider network and deliver care with a tech-enabled, AI/machine-learning platform that puts patient outcomes first.As a Mental Health Therapist at Spring Health, you will provide counseling to clients with benefits ranging from short-term goal-focused EAP, to employer...

Supervising patients visiting the hospital to seek treatment as in-patients and out-patients and ensuring a hassle-free medical care - Responding to emergencies and assisting consultants in providing life support - Performing medical examinations and diagnosis - Studying and modifying patients’ diets regularly based on how the patient is responding to the...

Supervising patients visiting the hospital to seek treatment as in-patients and out-patients and ensuring a hassle-free medical care - Responding to emergencies and assisting consultants in providing life support - Performing medical examinations and diagnosis - Studying and modifying patients’ diets regularly based on how the patient is responding to the...

Preparing and submitting billing data and medical claims to insurance companies. - Ensuring the patient’s medical information is accurate and up to date. - Preparing bills and invoices, and documenting amounts due for medical procedures and services. - Collecting and reviewing referrals and pre-authorizations. - Monitoring and recording late payments. -...

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. - Scrutinize the claims, as per the terms and conditions of the insurance policy - Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. - verify the necessary...

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. - Scrutinize the claims, as per the terms and conditions of the insurance policy - Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc. - verify the necessary...

Preparing and submitting billing data and medical claims to insurance companies. - Ensuring the patient’s medical information is accurate and up to date. - Preparing bills and invoices, and documenting amounts due for medical procedures and services. - Collecting and reviewing referrals and pre-authorizations. - Monitoring and recording late payments. -...

**Description** - We are looking for a medical officer for our unit who have experience of opd and ipd patients. - Who have a knowledge of basic computer also. - We have 15 bedded surgical and medicine unit where you have to run individually. - Conduct thorough medical examinations and assessments of patients. - Diagnose and manage acute and chronic medical...

BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector) REPORTING RELATIONSHIP POSITION REPORTS TO : MEDICAL TEAM LEAD DEPARTMENT : OPERATIONS POSITION LOCATION : VADODARA, INDIA POSITION SUMMARY The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical...

BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector)REPORTING RELATIONSHIPPOSITION REPORTS TO: MEDICAL TEAM LEADDEPARTMENT: OPERATIONSPOSITION LOCATION: VADODARA, INDIAPOSITION SUMMARYThe role will be to review and verify large volumes of patient's full medical records with precision, performclinical reviews as...

Minimum 2 years of experience with Claims Processing in the Insurance sector REPORTING RELATIONSHIP POSITION REPORTS TO : MEDICAL TEAM LEAD DEPARTMENT : OPERATIONS POSITION LOCATION : VADODARA, INDIA POSITION SUMMARY The role will be to review and verify large volumes of patient's full medical records with precision, perform ...

Minimum 2 years of experience with Claims Processing in the Insurance sectorREPORTING RELATIONSHIPPOSITION REPORTS TO : MEDICAL TEAM LEADDEPARTMENT : OPERATIONSPOSITION LOCATION : VADODARA, INDIAPOSITION SUMMARYThe role will be to review and verify large volumes of patient's full medical records with precision, performclinical reviews as defined by the...

BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector)REPORTING RELATIONSHIPPOSITION REPORTS TO : MEDICAL TEAM LEADDEPARTMENT : OPERATIONSPOSITION LOCATION : VADODARA, INDIAPOSITION SUMMARYThe role will be to review and verify large volumes of patient's full medical records with precision, performclinical reviews as...

**Summary**: The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical reviews as defined by the specific review methodologies and prepare a detailed report that includes chronologies and timelines, summaries, mass tort matrix and medical opinions on case validity and...

BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector)REPORTING RELATIONSHIPPOSITION REPORTS TO: MEDICAL TEAM LEADDEPARTMENT: OPERATIONSPOSITION LOCATION: VADODARA, INDIAPOSITION SUMMARYThe role will be to review and verify large volumes of patient's full medical records with precision, performclinical reviews as...

BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector) REPORTING RELATIONSHIP POSITION REPORTS TO : MEDICAL TEAM LEAD DEPARTMENT : OPERATIONS POSITION LOCATION : VADODARA, INDIA POSITION SUMMARY The role will be to review and verify large volumes of patient's full medical records with...

BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector)REPORTING RELATIONSHIPPOSITION REPORTS TO: MEDICAL TEAM LEADDEPARTMENT: OPERATIONSPOSITION LOCATION: VADODARA, INDIAPOSITION SUMMARYThe role will be to review and verify large volumes of patient's full medical records with precision, performclinical reviews as...

Minimum 2 years of experience with Claims Processing in the Insurance sectorREPORTING RELATIONSHIPPOSITION REPORTS TO: MEDICAL TEAM LEADDEPARTMENT: OPERATIONSPOSITION LOCATION: VADODARA, INDIAPOSITION SUMMARYThe role will be to review and verify large volumes of patient's full medical records with precision, performclinical reviews as defined by the specific...

BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector) REPORTING RELATIONSHIP POSITION REPORTS TO : MEDICAL TEAM LEAD DEPARTMENT : OPERATIONS POSITION LOCATION : VADODARA, INDIA POSITION SUMMARY The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical...

BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector) REPORTING RELATIONSHIP POSITION REPORTS TO : MEDICAL TEAM LEAD DEPARTMENT : OPERATIONS POSITION LOCATION : VADODARA, INDIA POSITION SUMMARY The role will be to review and verify large volumes of patient's full medical records with...

Hi, We are having an opening for Senior Executive-IRA at our Baroda location. Position: Senior Executive Location: Baroda Company: Sun Pharmaceutical Industries Ltd. Job Summary : Regulatory submissions of drugs and medical devices in India. Area Of Responsibility : Evaluation of regulatory strategies for products to be registered in...