10 Job openings found

Key Responsibilities: Review and Code Anesthesia Services: Examine medical records and anesthesia reports to assign appropriate ICD-10-CM, CPT, and HCPCS codes for anesthesia procedures and related services. Ensure Accuracy and Compliance: Verify that all coding practices adhere to current coding standards, payer policies, and regulatory requirements, including CMS guidelines and local payer ...

 Identification of point of leakage/doubt  Investigation of identified policies/claims based on identification/observation  To initiate appropriate precedence action- Recoveries / Repudiation / Policy Cancellation  Industry collaboration and effective utilization of information to add value for better lossminimization and control,  To identified closed cases by QA team and retrigger anomaly cases   Key ...

Primary Role Description: - • Responsible to monitor the quality of investigations carried out by the investigation agencies &verification officers • To quality check the investigation reports & evidences received from field and submit withrecommendation for claim processing• Co-ordinate with field investigators and help/guide them on claim investigations Key Roles & Responsibilities: ...

Job Summary: The HR Operations role is responsible for managing and improving HR processes and systems to ensure the effective administration of HR functions. This role supports various HR activities, including payroll processing, benefits administration, employee records, compliance, and reporting.   Key Responsibilities: HR Administration: Manage employee on boarding and off boarding processes. Maintain and ...

  Recruitment and Staffing: Manage end-to-end recruitment processes including job postings, resume screening, interviewing, and hiring. Oversee onboarding processes and ensure new hires are integrated smoothly into the company. Employee Relations: Serve as a point of contact for employee inquiries and concerns. Address and mediate employee relations issues, providing guidance on conflict resolution and company policies. Foster ...

Key Roles & Responsibilities: Identify opportunities of improvement across customer services, underwriting and claims Ensurerobust MIS architecture (Pre sales / Post sales) Co-create operational strategy for the region in alignment with the distribution strategy Prepare a plan on operations (size, scope and technology utilization) in consultation with the KAM;implement the ...

Key Roles & Responsibilities: ·       Identify opportunities of improvement across customer services, underwriting and claims Ensure robust MIS architecture (Pre sales / Post sales) ·       Co-create operational strategy for the region in alignment with the distribution strategy ·       Prepare a plan on operations (size, scope and technology utilization) in consultation with the KAM; ...

Candidate needs to have excellent oral and written communication skills and must be proficient inEnglish communication & excel including tools like pivot tables, macro & PPT.2. Ability to develop cordial working relations with stakeholders across the value-chain.3. Must have sound ability to analyze and comprehend numerical data and derive logical ...

JOB PROFILE   Position - Assistant Manager - Content Job Location - Gurgaon Department - Marketing (Performance) Reports to - General Manager Our Purpose At Niva Bupa, our purpose is “to give every Indian the confidence to access the best healthcare.” Our Values Commitment Innovation Empathy Collaboration Transparency Proficiency Level (Please Tick) L1: - HEAD OF FUNCTION/BUSINESS (Sr. Leadership Team) L2: - MANAGER OF MANAGER L3: - MANAGER L4: ...

As the national head of a bancassurance division for a health insurance company, your role would encompass overseeing the company's health insurance distribution through banking channels across the country. Here are some key responsibilities and tasks you might handle: Strategy Development: Formulating strategies to expand the company's bancassurance business in the ...