Medical Graduate jobs in Delhi, Delhi
- ASI-Apex SourcingDelhi, Delhi
- Commuter assistance
- Proficiency in electronic medical records (EMRs) and utilization management software.
- Evaluate the medical necessity, appropriateness, and efficiency of…
- SiemensDelhi, Delhi
- Food provided
- Health insurance
- A Snapshot of Your Day.
- The Candidate should have worked preferably at EPC sites with experience in EHS management of construction (civil works), equipment…
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Medical Representative
Often replies in 3 daysBioincro India LLPDelhi, Delhi- Commuter assistance
- Pharmacy or Life Science graduate.
- The role is suitable for fresh graduates as well as experienced medical sales professionals who want to build long-term…
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- Ace FidentialHealthDwarka, Delhi, Delhi
- Health insurance
- Leave encashment
- Provident Fund
- Learn and understand US Healthcare Revenue Cycle Management (RCM) processes.
- Work on healthcare-related documentation and claim processing.
- Nalanda UniversityDelhi, Delhi
- Researchers who are interested in contributing to research, policy analysis, and institution-.
- Kautilya Global Centre for State Capacity.
- Ganesh Diagnostic & Imaging CentreDelhi
- Listen to dictations from radiologists and rewrite them into written reports using appropriate format and medical terminology.
- Full Time | 2.5 - 4.5 Lacs PA.
- WellcoveDelhi, Delhi
- Strong medical science knowledge to comprehend medical reports.
- Key Skills: Ability to review and analyze complex medical documentation with a high degree of…
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- KPMGHaryana
- Health insurance
- Risk Advisory >> QUALIFICATION • Graduates (BE/B.Tech, BCom, BMS, BBM or similar degree) with 0 - 2 years of related audit, business or sector experience •…
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- Dr. Shroff's Charity Eye HospitalDelhi
- Health insurance
- Provident Fund
- Coordinate with doctors, OT, billing, medical records, and other departments for timely claim processing.
- Manage end-to-end Ayushman Bharat (PM-JAY) cases,…
- RocheDelhi, Delhi
- Relevant graduate delivery required, post-graduation preferred.
- Your role is multifaceted, addressing diverse patient journey needs such as accelerating access…
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- You train under the best mentors and become an expert in your field in your own right.
- Now is the time to join the force.
- Jaipur Golden HospitalDelhi
- SC) HAVING GOOD KNOWLEDGE OF COMPUTERS & EXCELLENT COMMUNICATION SKILLS WITH RELEVANT EXP OF 0-2 YRS.
- Pravi IVF & Fertility CentreDelhi, Delhi
- The Centre Head will be responsible for the overall management, operational efficiency, patient experience, team performance and business growth of the IVF…
- Pravi IVF & Fertility CentreDelhi, Delhi
- The Centre Head will be responsible for the overall management, operational efficiency, patient experience, team performance and business growth of the IVF…
- World Health OrganizationDelhi, Delhi
- A copy of the updated vaccination card must be shared with WHO medical service in the medical clearance process.
- Novaneo HospitalBudh Vihar, Delhi, Delhi
- Strong scientific/medical terminology understanding to confidently engage with senior doctors.
- Referral Network Building: Establish, grow, and maintain a…
Job Post Details
Process Associate - US Healthcare - job post
Job details
Job type
- Permanent
- Full-time
Shift and schedule
- Night shift
Location
Benefits
Pulled from the full job description
- Commuter assistance
Full job description
Process Associate - US Healthcare
Location: Mohan Cooperative, New Delhi
Opening: 50
Required Experience: 2 - 5 years
- Role: Back Office - Other
- Industry Type: Analytics / KPO / Research
- Department: Customer Success, Service & Operations
- Employment Type:Full Time, Permanent
- Role Category: Back Office
Education
- UG: Any Graduate
- PG: Any Postgraduate
Key Skills
- Authorization
- US Healthcare
- Excel
- Back Office Operations
- Data Entry
Perks and Benefits: Best in industry
Job description
This position ensures that healthcare services are delivered efficiently and meet quality standards while aligning with the organizations policies and regulatory requirements. The role involves reviewing medical records, coordinating care, and working with healthcare providers to manage patient treatment plans in a cost-effective manner.
Key Responsibilities:
1. Utilization Review:
- Evaluate the medical necessity, appropriateness, and efficiency of healthcare services.
- Conduct pre-certification, concurrent, and retrospective reviews of care.
- Ensure compliance with applicable guidelines and regulations.
2. Case Management Coordination:
- Collaborate with healthcare providers, payers, and patients to coordinate care and services.
- Advocate for optimal patient outcomes while managing resource utilization.
3. Documentation and Reporting:
- Maintain accurate and up-to-date records of reviews, authorizations, and patient information.
- Prepare reports on utilization trends, compliance issues, and quality metrics.
4. Policy Compliance:
- Ensure adherence to organizational policies and external regulatory standards.
- Stay updated on industry standards and best practices in utilization management.
5. Patient and Provider Communication:
- Educate patients and providers about treatment options, insurance requirements, and care pathways.
- Resolve disputes related to denied claims or coverage issues.
Required Qualifications:
- Education: Bachelors degree in any field
- Experience: Minimum 2-5 years in healthcare or case management
- Experience with insurance providers, hospital administration, or managed care organizations is desirable
Skills and Competencies:
- Strong understanding of medical terminology, clinical practices, and healthcare regulations (e.g., CMS, HIPAA)
- Proficiency in electronic medical records (EMRs) and utilization management software
- Excellent communication, problem-solving, and decision-making abilities
- Ability to analyze and interpret clinical data effectively
- Knowledge of payer systems, billing processes, and managed care principles
Work Environment:
- May involve working closely with an insurance company / managed care setting
- Work from office / US hours
- Candidates should be open to working in night shift
- No cab