US Health Care

2 weeks ago

Navi Mumbai, Maharashtra, India INTEGRUM OUTSOURCE SOLUTIONS PVT LTD Full time ₹ 20,000 - ₹ 25,000 per year

Job Title: Provider Support (Inbound Voice Process)

Department: Operations

Employment Type: Full-Time

Reports To: Team Manager

Company: Integrum Outsource Solutions Private Limited

Work Shift: Night Shift

Eligibility: Only Male Candidates (Boundaries: Thane to Panvel)

Job Summary:

We are seeking a skilled and experienced Provider Support (Associate/Specialist/Executive) for our Inbound Voice Process. The role involves providing eligibility, benefits, and claim status support via calls, ensuring high-quality service, and adhering to compliance standards.

Key Responsibilities:

  • Analyze, review, and adjudicate provider claims.
  • Resolve medical claims by approving or denying documentation, calculating benefit amounts, and initiating payments/denials.
  • Ensure compliance with company policies, state and federal regulations, and client guidelines.
  • Review claims to verify cost reasonability and medical necessity.
  • Identify and report overpayments, underpayments, and other discrepancies.
  • Communicate with reinsurance brokers for claim processing information.
  • Verify member eligibility, benefit coverage, and authorization requirements.
  • Utilize domain knowledge to solve problems and improve workflows.
  • Maintain HIPAA compliance and protect confidential claim information.
  • Provide process improvement suggestions and update documentation accordingly.
  • Perform administrative duties as assigned.

Required Qualifications:

Experience & Skills -

  • Freshers with excellent communication skills with interest = in Medical Billing (RCM), International Calling, Claim Processing, or Denial Management (A.R) can apply.
  • Typing speed of at least 30 WPM.
  • Effective verbal and written communication skills.
  • Active listening and ability to assess customer needs.
  • Critical thinking and problem-solving skills.

Work Environment & Benefits:

  • Work from Office - Seawoods Darave, Navi Mumbai
  • Drop Facility Available
  • Competitive Salary - Rs. 20,000 to Rs. 25,000

Compliance & Adherence:

  • Must comply with all company policies and procedures.
  • Adherence to HIPAA regulations and healthcare compliance standards.

If you meet the requirements and are looking for a challenging role in the healthcare industry, we invite you to apply and become part of our growing team

Job Type: Full-time

Pay: ₹20, ₹25,000.00 per month

Schedule:

  • Night shift

Language:

  • English (Required)

Location:

  • Navi Mumbai, Maharashtra (Required)

Shift availability:

  • Night Shift (Required)

Work Location: In person

  • Health Care Coach

    2 weeks ago

    Navi Mumbai, Maharashtra, India Credicus Business Services Full time ₹ 25,000 - ₹ 30,000 per year

    Health Care Coach-B.Pharma Salary: Up to 30kRole:Provide psychosocial support to patients with chronic/acute/terminal illnessesCounsel patients postdischarge and track their health statusClear and effective communicationPassion for patient care Required Candidate profileLocation: Ghansoli, Navi MumbaiQualification: Graduate (Medical Field only) Apply:Send...

  • Openings For Health Care Coach

    2 weeks ago

    Navi Mumbai, Maharashtra, India Credicus Business Services Full time ₹ 30,000 per year

    Health Care Coach-B.Pharma Salary: Up to 30KRole:Provide psychosocial support to patients with chronic/acute/terminal illnessesCounsel patients postdischarge and track their health statusClear and effective communicationPassion for patient care Required Candidate profileLocation: Ghansoli, Navi MumbaiQualification: Graduate (Medical Field only) Apply:Send...

  • US Health Care

    1 week ago

    Navi Mumbai, Maharashtra, India INTEGRUM OUTSOURCE SOLUTIONS PVT LTD Full time ₹ 2,00,000 - ₹ 4,00,000 per year

    Job Title: Provider Support (Inbound Voice Process)Department: OperationsEmployment Type: Full-TimeCompany: Integrum Outsource Solutions Private LimitedWork Shift: Night ShiftEligibility: Only Male CandidatesJob Summary:We are seeking a skilled and experienced Provider Support (Associate/Specialist/Executive) for our Inbound Voice Process. The role involves...

  • care insurance: loan protect

    2 weeks ago

    Mumbai, Maharashtra, India Care Insurance Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Company DescriptionCare Health Insurance is a specialized health insurer offering a range of products including Health Insurance, Top-up Coverage, Personal Accident, Maternity, International Travel Insurance, and Critical Illness coverage. The company also provides Group Health and Personal Accident Insurance for corporates, micro-insurance products for the...

  • Psychologist for Home-Based Elder Care Services

    4 days ago

    Mumbai, Maharashtra, India AAJI CARE HOME HEALTH SERVICES PRIVATE LIMITED Full time ₹ 20,000 - ₹ 2,40,000 per year

    Job descriptionAbout Aaji Care:Aaji Care is dedicated to enhancing the emotional and psychological well-being of elders by providing compassionate, home-based mental health support. Our Elder Buddy program offers cognitive, behavioral, and emotional care through structured psychological interventions, helping seniors lead fulfilling lives in the comfort of...

  • Medical Superintendent

    2 weeks ago

    Navi Mumbai, Maharashtra, India Sahrudaya Health Care Full time ₹ 15,00,000 - ₹ 20,00,000 per year

    Develop and implement organizational policies and procedures for the medical unit.Government policies (PNDT, Transplant Act, Narcotics and Drugs compliance, Radiologylicense, medical certificates, etc) to be strictly adhered to & to keep the hospital ready at all thetime for government and internal audits and inspections.To coordinate (with respective group...

  • Care Manager

    2 weeks ago

    Mumbai, Maharashtra, India Veera Health Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Veera Health is a YCombinator, Sequoia Capital & GFC-funded startup building digital solutions and products to help Indian women live a lifestyle of wellness. This includes our groundbreaking hormonal health and weight loss programs (with results published in leading American journals) as well as science-backed supplement products. We are looking for a...

  • Shopify Developer

    1 week ago

    Navi Mumbai, Maharashtra, India Bold Care Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    Job Title:Shopify DeveloperCompany:Bold CareLocation:Navi MumbaiAbout Bold Care:Bold Care is one of India's leading men's health and wellness brand focusing on sexual health, based out of Mumbai. In the last 3 years, we have serviced more than 1.5Mn users and been funded by some of the leading early stage consumer & healthcare investors in the country.Apart...

  • Komal Health Care

    2 weeks ago

    Mumbai, Maharashtra, India Komal Health Care Pvt. Ltd. Full time

    Opening for National Sales Manager Head - Orthopedic DivisionExperience- 7 yrs in Orthopedic ImplantLocation- Mumbai - Conducts market research and develops sales plans and updates periodically based on changing market scenarios and insights from the prior quarters - Sales plan must be reported every month to management team for analysis and approval -...

  • Health Care Executive

    2 weeks ago

    Mumbai, Maharashtra, India Pfizer Full time

    Hi Pfizer is hiring for Health Care Executive for CNS Division (Nurtec Brand) Job Location : South Mumbai ( South Mumbai location exp mandatory ) Industry : Pharma Therapy Exp : Neuro/ CNS Qualifications & Experience Bachelor's degree in Pharmacy, Life Sciences, or related field 3–10 years of pharma sales experience, preferably in CNS or specialty...