Current jobs related to Medical Claims - Malad Mumbai Maharashtra - Dr Claims

  • Medical Claims

    1 week ago


    Malad, Mumbai, Maharashtra, India Dr Claims Full time

    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 /...


  • Mumbai, Maharashtra, India beBeeMedical Full time ₹ 40,00,000 - ₹ 50,00,000

    Job Overview:We are seeking a Medical Officer to provide medical opinions for health insurance claims and process cashless requests in Mumbai.Main Responsibilities:Assessing health insurance claimsProcessing of cashless requests for claim documentsManaging reimbursement proceduresEssential Skills and Qualifications:Minimum 2-3 years of experience in claims...


  • Mumbai, Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good 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...


  • Mumbai, Maharashtra, India beBeeDenial Full time ₹ 15,00,000 - ₹ 28,00,000

    Key ResponsibilitiesWe follow up on pending or denied claims by making outbound calls to insurance companies.We analyze Explanation of Benefits (EOBs) and denial codes to understand the reasons behind claim rejections.We take appropriate actions, such as appeals, re-submissions, or escalations, based on our analysis.We meet productivity targets and quality...

  • Medical Officer

    1 week ago


    Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full time

    Paramount 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...


  • Navi Mumbai, India Teamployer Solutions Full time

    ❗❗ **MEGA WALK-IN DRIVE**❗❗ **US-based MEDICAL SETTLEMENT PROCESS (Blended)** - Company: - **GEBBS**: - About Company: - **Gebbs is a Medical billing company that deals in Insurance Claim Settlement. It works as a mediator between the medical provider (Client/Doctor) & Insurance Company**: - Location: - **AIROLI & ANDHERI** **GREAT OPPORTUNITY...

  • Medical Officer

    2 weeks ago


    Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full time

    Paramount 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

    1 week ago


    Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full time

    Paramount 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

    5 days ago


    Maroshi, Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full time

    Paramount 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...

  • claim adjudication

    4 days ago


    Navi Mumbai, Maharashtra, India INTEGRUM OUTSOURCE SOLUTIONS PVT LTD Full time ₹ 2,40,000 - ₹ 3,00,000 per year

    Should possess U.S Health insurance claim processing experienceKnowledge of medical billing and coding terminologiesReady to work in Night Shift as well as Day shiftUnderstanding of plan documents and general benefitsFamiliarity with terms such as deductible, out of pocket, coinsurance, and copayStrong attention to detail and accuracyAbility to work in...

Medical Claims

2 weeks ago


Malad Mumbai Maharashtra, India Dr Claims Full time

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

Pay: ₹18,000.00 - ₹20,000.00 per month

Schedule:

- Day shift

Supplemental Pay:

- Yearly bonus

**Experience**:

- TPA / hospital billing: 2 years (preferred)

Work Location: In person

Application Deadline: 15/05/2025
Expected Start Date: 22/04/2025