Medical Coordinator

Transformplus; Mumbai; On-site; INR 350,000 - 550,000; Full time

Job summary

Transformplus in Maharashtra is seeking a dedicated Medical Coordinator to join our healthcare team. You will manage and coordinate medical records, process claims, and ensure compliance with health insurance procedures.

This role requires strong written communication, negotiation with providers and insurers, and a focus on delivering excellent customer service to clients. If you are motivated to improve healthcare administration and claims efficiency, this position offers an opportunity to

Qualifications

• Must have proficiency in medical terminology and understanding of medical records.
• Experience in claims processing and adjudication.
• Knowledge of health insurance procedures.
• Strong written communication abilities.

Responsibilities

• Manage and maintain accurate medical records.
• Process and adjudicate claims in accordance with health insurance policies.
• Ensure compliance with all relevant procedures and regulations.
• Negotiate with healthcare providers and insurance companies to resolve claims issues.
• Provide excellent customer service and support to clients regarding their claims and medical records.
• Collaborate with other departments to improve processes and enhance service delivery.

Skills

Medical terminology

Claims processing

Health insurance procedures

Negotiation

Written communication

Customer relationships

Job description

We are seeking a dedicated Medical Coordinator to join our team in Maharashtra. The ideal candidate will have a strong understanding of medical terminology and medical records, along with experience in claims processing and adjudication. This role is crucial in ensuring that our health insurance processes run smoothly and efficiently. As a Medical Coordinator, you will be responsible for managing and coordinating medical records, processing claims, and ensuring compliance with health insurance procedures. You will also engage in negotiations with various stakeholders to facilitate the claims process and maintain positive customer relationships. Strong written communication skills are essential for documenting processes and communicating with clients and healthcare providers. If you are a motivated individual with a passion for healthcare and a desire to make a difference,

Key Responsibilities

• Manage and maintain accurate medical records.
• Process and adjudicate claims in accordance with health insurance policies.
• Ensure compliance with all relevant procedures and regulations.
• Negotiate with healthcare providers and insurance companies to resolve claims issues.
• Provide excellent customer service and support to clients regarding their claims and medical records.
• Collaborate with other departments to improve processes and enhance service delivery.

Required Skills

• Proficiency in medical terminology and understanding of medical records.
• Experience in claims processing and adjudication.
• Knowledge of health insurance procedures.
• Strong negotiation skills.
• Excellent written communication abilities.
• Ability to build and maintain customer relationships.