medical-compliance-jobs-in-mysore, Mysore

8 Medical Compliance Jobs nearby Mysore

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posted 2 weeks ago

AR caller-physician billing

Source To Win Consultancy
experience1 to 5 Yrs
Salary4.5 - 5 LPA
location
Mysore
skills
  • physician billing
  • denials
  • excellent communication
Job Description
The AR Caller is responsible for following up on outstanding medical claims with insurance companies to ensure timely reimbursement. The role involves working on physician billing (professional billing), handling claim denials, and maintaining excellent communication with payers and internal teams.  Key Responsibilities: Make outbound calls to insurance companies to check claim status and ensure prompt payment. Work on physician billing (CPT, ICD-10, HCPCS) claims and understand professional billing guidelines. Review and handle denials, identify root causes, and take corrective actions. Update claim notes in the billing system clearly and accurately. Follow up on unpaid, underpaid, or denied claims until resolved. Coordinate with internal teams (coding, charge entry, payment posting) for corrections and resubmissions. Maintain productivity, quality standards, and meet daily/weekly targets. Ensure compliance with HIPAA and practice policies.
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posted 1 month ago

phlebotomist blood collector

NEW ERA LIFE CARE PRIVATE LIMITED
experience2 to 7 Yrs
Salary4.0 - 9 LPA
location
Mysore, Jaipur+8

Jaipur, Baramulla, Samastipur, Imphal, Kozhikode, Vishakhapatnam, Mumbai City, Aligarh, Coimbatore

skills
  • blood collection
  • clinical pathology
  • infection control
  • live blood analysis
  • blood management
  • lab testing
  • blood typing
  • blood bank
  • medical records
  • clinical chemistry
Job Description
We are looking for Phlebotomist to join our dynamic team and embark on a rewarding career journey Collect blood samples from patients using a variety of techniques, including venipuncture, fingerstick.  Ensure the proper identification of patients and their blood samples, and accurately label each sample with the patient's name and other relevant information.  Transport blood samples to the laboratory for testing and analysis, ensuring proper handling and storage to maintain sample integrity.  Monitor patient reactions and provide appropriate care and support during and after the blood collection process.  Maintain accurate records of all blood collections and patient interactions, and ensure compliance with all relevant regulations and guidelines.  Collaborate with physicians, nurses, and other healthcare professionals to ensure that blood samples are collected and handled appropriately for each patient.
posted 2 months ago

Branch Manager

Apollo Home Healthcare Ltd.
experience3 to 7 Yrs
location
Mysore, Karnataka
skills
  • Leadership
  • Team Management skills
  • Operational Oversight
  • Financial Performance Monitoring skills
  • Experience in Healthcare Management
  • Regulatory Compliance
  • Strong Communication
  • Interpersonal skills
  • Ability to develop
  • maintain patient
  • healthcare provider relationships
Job Description
Role Overview: As a Branch Manager at Apollo Home Care in Mysore, your main responsibility will be overseeing the daily operations of the branch. This will involve ensuring the delivery of high-quality home healthcare services and managing a multidisciplinary team. You will play a crucial role in staff management, operational oversight, financial performance monitoring, and ensuring compliance with healthcare regulations. Moreover, building and maintaining relationships with patients, caregivers, and medical professionals to develop personalized care plans and improve patient outcomes will be a key aspect of your role. Key Responsibilities: - Leadership and Team Management skills - Operational Oversight and Financial Performance Monitoring skills - Experience in Healthcare Management and Regulatory Compliance - Strong Communication and Interpersonal skills - Ability to develop and maintain patient and healthcare provider relationships Qualifications Required: - Any Graduate / MBA in Healthcare Management, Business Administration, or a related field - Prior experience in Healthcare, Business Development & Revenue Generation for the Unit - Fluency in Telugu, Hindi, and Kannada (All 3 mandatory) - Experience in home healthcare services is a plus (Note: The additional details of the company were not present in the job description.),
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posted 2 months ago

Dentist

Global Multispeciality Dental Clinic
experience2 to 6 Yrs
location
Mysore, Karnataka
skills
  • clinic management
Job Description
**Job Description:** **Role Overview:** You should be capable of managing a clinic independently, demonstrating leadership and decision-making skills to ensure smooth operations. **Key Responsibilities:** - Manage day-to-day operations of the clinic efficiently - Supervise staff members and assign tasks as needed - Ensure compliance with all regulatory requirements and standards - Handle patient inquiries and complaints in a professional manner - Maintain inventory and order supplies as necessary **Qualifications Required:** - Degree in Healthcare Administration or a related field - Proven experience in clinic management - Strong leadership and communication skills - Ability to work independently and make sound decisions - Knowledge of healthcare regulations and best practices (Note: Additional details about the company are not provided in the job description.),
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posted 2 months ago

Medical Safety Physician

Qinecsa Solutions
experience3 to 7 Yrs
location
Mysore, Karnataka
skills
  • Clinical Trials
  • MedDRA
  • Drug Safety
  • Regulatory Compliance
  • Communication Skills
  • Medical Safety
  • Litigation Cases
Job Description
Role Overview: As a Medical Safety Physician at Qinecsa Solutions India Private Limited, you will play a vital role in reviewing and assessing individual case safety reports from various sources, ensuring regulatory compliance, and communicating effectively within the client therapeutic teams and functional team management. Your responsibilities will include maintaining knowledge of product portfolios, escalating complex case issues, and performing assessments of litigation cases across assigned products. Additionally, you will be required to comply with applicable Global Health Authority regulations and perform other drug safety-related activities as assigned. Key Responsibilities: - Review and assess individual case safety reports from clinical trials, spontaneous and solicited reports. - Determine the regulatory reportability of cases within your assigned therapeutic team and across all products/sites promptly. - Perform triage of cases, assess seriousness and relatedness, assign appropriate MedDRA codes, review narratives, and assess labeling. - Maintain current knowledge of the product portfolio and safety profiles across therapeutic areas. - Escalate complex case issues to the medical review team when necessary. - Conduct assessments of litigation cases across assigned products. - Communicate effectively within client therapeutic teams and functional team management. - Comply with applicable Global Health Authority regulations. - Perform other drug safety-related activities as assigned. Qualifications Required: - Educational qualifications in a relevant field. - Industry experience. - Specific certifications. (Note: Additional details of the company were not included in the provided job description),
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posted 3 weeks ago

Fertility Consultant - Doctor

Confidential Healthcare and Life Sciences Company
experience1 to 5 Yrs
location
Mysore, Karnataka
skills
  • Strong clinical
  • diagnostic acumen
  • Patientcentric approach
  • empathetic communication
  • Proven counseling skills
  • ability to manage complex fertility cases
  • Commitment to ethical medical practice
Job Description
You will be working at a Fertility centre that is dedicated to providing compassionate and evidence-based fertility care to couples. As one of India's leading fertility networks, the centre aims to make parenthood possible for more families through advanced technology and a highly skilled team. **Key Responsibilities:** - Conduct detailed fertility evaluations and create personalized treatment plans for patients. - Perform and oversee ART procedures such as IVF and IUI. - Collaborate with multidisciplinary teams to ensure seamless patient care. - Maintain accurate patient records and uphold compliance with clinical protocols. - Offer empathetic counseling and support to patients throughout their fertility journey. - Participate in clinical audits, case reviews, and continuous improvement initiatives. **Qualifications & Experience:** - Education: MBBS with MD/MS/DNB in Obstetrics & Gynaecology - Specialization: Fellowship or MCH in Reproductive Medicine/ART (mandatory) - Experience: Minimum 1+ years of post-qualification experience in fertility or ART practices **Skills:** - Strong clinical and diagnostic acumen - Patient-centric approach with empathetic communication - Proven counseling skills for managing complex fertility cases - Commitment to ethical medical practice If you join this team, you will: - Work with a nationally recognized fertility care provider - Collaborate with experts in reproductive medicine - Have access to cutting-edge technology and world-class laboratories - Experience a supportive and growth-oriented work environment,
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posted 2 months ago

Pharmacist

RMS Hospitals
experience12 to 16 Yrs
location
Mysore, Karnataka
skills
  • Dispensing medications
  • Managing pharmacy billing
  • Maintaining inventory records
  • Ordering pharmaceutical supplies
  • Maintaining detailed records
  • Ensuring compliance with regulations
  • Providing counseling to patients
  • Supporting audits
Job Description
As a dedicated and detail-oriented Pharmacist at RMS Hospitals, your role will involve dispensing medications accurately, managing pharmacy billing, maintaining inventory records, and ensuring optimal stock levels to support high-quality patient care and efficient pharmacy operations. Your responsibilities will include: - Dispensing prescribed medications accurately and efficiently to patients and staff. - Reviewing prescriptions for accuracy, proper dosage, and potential drug interactions. - Managing billing operations, including generating accurate invoices and processing insurance claims. - Monitoring and managing inventory to ensure all medications and supplies are in stock and within expiry. - Ordering pharmaceutical supplies and maintaining optimal stock levels through vendor coordination. - Maintaining detailed records of all dispensed medications, purchases, and stock levels. - Ensuring compliance with regulatory and hospital guidelines for medication storage and handling. - Providing counseling to patients on dosage, usage, and side effects of medications when necessary. - Supporting audits and maintaining documentation for inspections or certifications. Qualifications Required: - Bachelor's degree - Minimum 12 years of experience in a hospital or retail pharmacy preferred. - Strong understanding of pharmaceutical practices, drug interactions, and medical terminologies. - Proficiency in using pharmacy management or billing software. - Excellent attention to detail, organizational, and communication skills. Please note that this is a full-time, on-site position with rotational shifts based on hospital scheduling needs. If you are interested in joining our healthcare team at RMS Hospitals, please contact us at 6363714540 or email us at Info@rmshospitals.in.,
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posted 1 week ago
experience5 to 9 Yrs
location
Mysore, Karnataka
skills
  • Java
  • NET
  • RESTful APIs
  • JSON
  • network security
  • SSL
  • firewalls
  • identity management
  • API integrations
  • React JS
  • OAuth 20
  • OpenID Connect
  • UnixLinux environments
Job Description
As a Technical Implementation Engineer at our leading health-tech SaaS organization, you will play a crucial role in the successful implementation, configuration, and technical support of client solutions. Your responsibilities will include collaborating with client teams, internal engineers, and third-party vendors to ensure seamless deployment and integration of systems. Here is what is expected from you: Key Responsibilities: - Lead end-to-end product implementation, configuration, and environment setup. - Integrate APIs with client systems, including EHRs, data platforms, and third-party tools. - Provide expertise on API usage, data exchange formats, authentication, and secure integration. - Collaborate with engineering and product teams to ensure smooth deployments in cloud or on-premise environments. Client Support & Troubleshooting: - Serve as Tier 2 technical support for client-facing implementation and post-deployment issues. - Troubleshoot API and data integration challenges, system errors, and connectivity problems. - Escalate complex technical issues and collaborate with product and engineering teams for resolution. - Maintain detailed documentation of solutions, FAQs, and troubleshooting steps. Collaboration & Communication: - Coordinate with project managers to track implementation progress and manage risks. - Contribute to API documentation, integration guides, and onboarding materials. - Conduct technical training and enablement sessions for client teams. - Gather client feedback to support continuous product improvement. Qualifications: - 5+ years of experience in a technical client-facing role (implementation engineer, integration specialist, or technical consultant). - Strong hands-on experience in API integration and implementation using RESTful APIs, JSON, and authentication protocols (OAuth 2.0, OpenID Connect). - Working knowledge of Java, .NET, or React JS. - Solid understanding of integration workflows, data pipelines, or middleware tools. - Proficiency in Unix/Linux environments (bash, curl) for configuration and scripting. - Knowledge of network security, SSL, firewalls, and identity management. - Excellent communication, problem-solving, and client relationship skills. Preferred (Nice-to-Have): - Familiarity with HL7 FHIR, CMS Interoperability and Patient Access rule, or prior authorization APIs. - Exposure to cloud platforms (AWS, Azure, or GCP) or containerized deployments (Docker, Kubernetes). - Understanding of compliance frameworks (HIPAA, SOC2). In addition to the above responsibilities and qualifications, you will be working during India business hours with at least 4 hours overlap with U.S. EST time zone. The work setup can be hybrid or in-office based on location and company policy. Join us for a competitive salary, comprehensive benefits, opportunities for professional growth, and a collaborative, innovation-driven work culture that values work-life balance. Your educational background should include a Bachelors or Masters degree in Computer Science, Information Technology, or a related field.,
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posted 2 months ago

Medical Coder

Source To Win Consultancy
experience2 to 5 Yrs
Salary5 - 9 LPA
location
Hyderabad, Chennai+2

Chennai, Bangalore, Salem

skills
  • drg
  • qa
  • ip
  • medical coding
  • ivr
  • senior
  • ivr coding
  • ar
  • caller
  • medical
  • coder
  • ipdrg
Job Description
Responsibilities Review and analyze patient records and documentation to assign accurate codes for diagnoses and procedures. Utilize coding classification systems such as ICD-10, CPT, and HCPCS to ensure compliance with regulations and standards. Collaborate with healthcare providers to clarify documentation and ensure accurate coding. Maintain up-to-date knowledge of coding guidelines, regulations, and best practices. Conduct audits and quality checks on coding accuracy and compliance. Prepare and submit claims to insurance companies and follow up on any discrepancies or rejections.  Skills and Qualifications Proficient in medical coding systems including ICD-10, CPT, and HCPCS. Strong understanding of medical terminology, anatomy, and physiology. Experience with electronic health record (EHR) systems and coding software. Detail-oriented with strong analytical and problem-solving skills. Excellent communication skills for interaction with healthcare professionals and insurance companies. Ability to work independently and meet deadlines in a fast-paced environment. Certification in medical coding (e.g., CPC, CCS, CCA) is preferred but not mandatory.  REGARDS SARANYA.M HR   6380710428 saranyam.stw@gmail.com
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posted 2 weeks ago

Medical Coder and QA

Source To Win Consultancy
experience1 to 6 Yrs
location
Hyderabad, Chennai+4

Chennai, Bangalore, Salem, Tiruchirappalli, Pune

skills
  • e/m coding
  • cpt
  • coding
  • surgery
  • ivr
  • hcpcs
  • radiology
  • denial
  • ipdrg
  • medical
Job Description
Job Title: Medical Coder/ Sr Medical Coder/ QA Job Description:We are looking for experienced and certified Medical Coders across multiple specialties to join our growing healthcare teams. The ideal candidate should have a strong understanding of medical terminology, anatomy, and coding guidelines, along with hands-on experience in assigning accurate ICD, CPT, and HCPCS codes. Locations: Chennai, Hyderabad, Bangalore, Pune, Salem, TrichyExperience: 1 to 7 yearsCertification: Mandatory (CPC / CCS / CCA / or equivalent) Specialties Required: IP DRG E/M Surgery IVR Denial Management  Roles and Responsibilities: Review and analyze patient medical records to assign accurate diagnosis and procedure codes. Ensure compliance with ICD-10-CM, CPT, and HCPCS coding guidelines. Maintain accuracy and productivity standards as per company policies. Collaborate with quality and audit teams to resolve coding-related queries. Keep updated with the latest coding guidelines and payer requirements. Ensure data confidentiality and compliance with HIPAA regulations. Preferred Candidate Profile: Certified medical coder with minimum 1 year of relevant experience. Excellent knowledge of medical terminology, anatomy, and physiology. Strong analytical and problem-solving skills. Good communication and documentation abilities. Salary: Best in industry Interested candidates can share their updated resume to 9345281515/steffis.stw@gmail.com Regards, Steffi HR Executive 9345281515 steffis.stw@gmail.com
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posted 1 month ago

IPDRG Medical Coder, QA

Source To Win Consultancy Hiring For Omega, Echoe Assistance, EXL
experience2 to 7 Yrs
Salary4.0 - 9 LPA
location
Chennai, Bangalore
skills
  • ccs
  • medical coding
  • cpc
  • ipdrg coding
  • medical coder
  • ipdrg coder
Job Description
Job description Job SummaryThe IPDRG Medical Coder is responsible for assigning accurate codes to inpatient medical records, ensuring compliance with coding standards and contributing to the efficiency of healthcare processes.     Key Responsibilities Assign IPDRG codes to inpatient medical records based on established guidelines and regulations. Review and interpret clinical documentation to ensure accurate coding. Collaborate with healthcare professionals to resolve documentation discrepancies. Meet coding accuracy and productivity targets. Stay informed about updates to coding standards and practices . Required Qualifications Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder) certification required. Experience: Minimum of 2 year of experience in IPDRG coding. Education: Background in healthcare, medical coding, or a related field preferred. Skills: Proficiency in IPDRG coding systems and guidelines. High attention to detail and accuracy. Analytical and problem-solving skills. Strong communication and teamwork abilities  
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posted 2 weeks ago

Medical Coder

Source To Win Consultancy
experience1 to 6 Yrs
Salary1.0 - 4.0 LPA
location
Hyderabad, Chennai+4

Chennai, Bangalore, Salem, Tiruchirappalli, Pune

skills
  • denials
  • coding
  • ed coder
  • ivr coder
  • drg coder
  • ipdrg coder
  • e/m coder
  • facility coder
  • medical coder
  • ip coding
Job Description
Position- Medical Coder Location- Bangalore, Hyderabad, Chennai, Salem, Trichy, Pune Exp- 1 to 7 Years CTC- Upto Rs. 4.8 LPA Contact person- Padmavathi- Mail- padmavathik.stw@gmail.com or can call on 82202 46289  About the Role: We are looking for detail-oriented and knowledgeable Medical Coders to review clinical documentation and assign accurate medical codes for diagnoses, procedures, and services. Key Responsibilities Review medical records, physician documentation, operative reports, and diagnostic reports. Assign accurate ICD-10-CM, CPT, and HCPCS codes based on documentation. Ensure compliance with coding policies, payer guidelines, NCCI edits, and CMS regulations. Maintain productivity and quality benchmarks as per organizational standards. Abstract relevant clinical information to support coding accuracy. Collaborate with physicians and internal teams for clarification of documentation when needed. Conduct quality checks and correct coding errors to minimize claim denials. Stay updated with changes in coding guidelines, rules, and regulatory updates. Ensure coding is in alignment with HIPAA and audit requirements.
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posted 1 month ago
experience8 to 12 Yrs
location
Karnataka
skills
  • market trends
  • Word
  • Excel
  • PowerPoint
  • cGMP compliance
  • investigating deviations
  • supporting CAPAs
  • coordinating supplier audits
  • handling change controls
  • Supplier Corrective Action Report SCAR process
  • Quality
  • Compliance
  • global procurement processes
  • GxP standards
  • supplier engagement
  • quality
  • compliance electronic toolssystems
Job Description
As a motivated individual, you will play a crucial role in supporting cGMP compliance within procurement operations at Regeneron. Your responsibilities will include investigating deviations, supporting CAPAs, coordinating supplier audits, handling change controls, and contributing to the development and implementation of the Supplier Corrective Action Report (SCAR) process. **Role Overview:** You will be essential in ensuring successful audit closures by proactively addressing issues with suppliers and maintaining clear communication to achieve satisfactory outcomes. Additionally, you will manage SCARs, follow up with suppliers and internal team members, and ensure timely reporting and closure of all actions. Your partnership with team members will facilitate discussions on Quality and Compliance, align category priorities with Procurement management, and achieve interpersonal goals. You will implement strategies to enhance process efficiency, drive value across procurement operations, and utilize your knowledge of global procurement processes within the biopharmaceutical industry to support the growth of the Global Procurement organization. **Key Responsibilities:** - Ensuring successful audit closures and maintaining clear communication with suppliers - Managing SCARs, following up with suppliers and internal team members, and ensuring timely reporting and closure of all actions - Partnering with team members to facilitate discussions on Quality and Compliance and aligning category priorities with Procurement management goals - Implementing strategies to improve process efficiency and drive value across end-to-end procurement operations - Applying in-depth knowledge of global procurement processes within the biopharmaceutical industry - Contributing to quality and compliance initiatives to maintain adherence to GxP standards and relevant regulatory requirements - Demonstrating data insights to guide decisions and deliver successful quality and compliance outcomes **Qualifications Required:** - Bachelor's degree in a relevant field and at least 8 years of experience in a cGMP environment focusing on quality, compliance, and/or procurement, with specific experience in the Pharma/BioPharma sector - Proven record in supporting global quality or category teams, processes, and suppliers across diverse categories - Strong relationships with customers and suppliers to achieve impactful results - Success in supporting cross-functional teams in areas such as SCARs, ASLs, CAPAs, Change Notifications, and other Quality and Compliance processes - Valuable insights and expertise in handling Quality and Compliance processes successfully - Ability to apply external data, market trends, and supplier engagement to enhance understanding of supply market dynamics - Experience operating with integrity, focus, and transparency in ambiguous environments to drive relevant change and improvement - Familiarity with quality and compliance electronic tools/systems is beneficial - Proficiency in standard business applications such as Word, Excel, and PowerPoint for communication, presentations, and analysis - Continuous improvement approach and collaboration with leadership to implement solutions If you meet the above qualifications and are eager to contribute to the future of healthcare at Regeneron, we encourage you to apply and take the first step towards living the Regeneron Way!,
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posted 2 weeks ago
experience2 to 6 Yrs
location
Chikkaballapur, All India
skills
  • Medical records
  • NABH
  • Medical billing software
  • Data entry accuracy
  • Patient information management
  • Health data analysis
  • Record auditing
  • NMC
Job Description
As a Medical Records Technician at SMSIMSR, your role is crucial in ensuring accurate and timely medical documentation for effective and ethical patient care. Your responsibilities will include: - Maintaining and updating electronic and physical medical records of inpatients and outpatients - Ensuring accuracy, completeness, and timely entry of patient information into the hospital database - Supporting clinical departments, insurance teams, and administrative units in retrieving patient records - Ensuring strict confidentiality and compliance with data privacy protocols and hospital policies - Working with doctors and nurses to clarify case details, discharge summaries, and missing documentation - Organizing medical record files, reports, X-ray films, and lab reports in structured formats - Assisting in internal audits, data requests, and statutory inspections - Maintaining records in compliance with NMC, NABH, and health authority guidelines Qualifications required for this role include a minimum of 2 years of experience in hospital medical records or health information management, along with a Diploma or Degree in Medical Records Technology / Health Information Management. This is a full-time position with a 6-day workweek based in Muddenahalli, Chikkaballapur, Karnataka. Joining SMSIMSR will offer you exposure to hospital health information systems (HIS) and opportunities for skill development in hospital informatics and compliance. Housing and other benefits will be discussed during the hiring process. If you are an organized and detail-oriented professional passionate about supporting healthcare operations, we encourage you to apply for this position. As a Medical Records Technician at SMSIMSR, your role is crucial in ensuring accurate and timely medical documentation for effective and ethical patient care. Your responsibilities will include: - Maintaining and updating electronic and physical medical records of inpatients and outpatients - Ensuring accuracy, completeness, and timely entry of patient information into the hospital database - Supporting clinical departments, insurance teams, and administrative units in retrieving patient records - Ensuring strict confidentiality and compliance with data privacy protocols and hospital policies - Working with doctors and nurses to clarify case details, discharge summaries, and missing documentation - Organizing medical record files, reports, X-ray films, and lab reports in structured formats - Assisting in internal audits, data requests, and statutory inspections - Maintaining records in compliance with NMC, NABH, and health authority guidelines Qualifications required for this role include a minimum of 2 years of experience in hospital medical records or health information management, along with a Diploma or Degree in Medical Records Technology / Health Information Management. This is a full-time position with a 6-day workweek based in Muddenahalli, Chikkaballapur, Karnataka. Joining SMSIMSR will offer you exposure to hospital health information systems (HIS) and opportunities for skill development in hospital informatics and compliance. Housing and other benefits will be discussed during the hiring process. If you are an organized and detail-oriented professional passionate about supporting healthcare operations, we encourage you to apply for this position.
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posted 3 weeks ago
experience3 to 7 Yrs
location
Karnataka
skills
  • medical terminology
  • clinical research
  • Microsoft Office
  • clinical data abstraction
  • oncology knowledge
Job Description
Role Overview: As part of the Oncology Clinical Team at Triomics, you will be responsible for building Oncology Data dictionaries, Curation/Abstraction, SOPs, and clinical trial study build. Your role will involve navigating electronic medical record systems and other medical databases, reviewing clinical trial data for consistency and compliance with study protocols and regulatory requirements, abstracting medical record data, and maintaining up-to-date knowledge of cancer trial designs and requirements. Key Responsibilities: - Screen patient cases for eligibility across multiple oncology clinical trials using trial-specific inclusion/exclusion criteria. - Interpret diagnostic, pathology, imaging, and other clinical reports to extract accurate, trial-relevant information per SOPs. - Abstract and categorize clinical data (e.g., adverse events, hospitalizations, medications) with high accuracy into designated electronic systems. - Serve as an oncology subject-matter expert across solid and hematologic malignancies. - Apply critical thinking to understand complex clinical concepts and make sound abstraction decisions. - Build and maintain data libraries, coordinate with cross-functional teams, review project documentation, and provide guidance to Data Abstractors. - Respond promptly to queries, perform additional tasks as assigned, and conduct second-level/QC reviews of medical records. Qualifications Required: - 3+ years of experience in clinical data abstraction or patient treatment-related data work. - Strong clinical knowledge of chronic disease states and medical terminology. - Oncology knowledge across the care continuum, including solid and liquid tumors. - Experience in reviewing medical data for clinical research, especially oncology trials. - Certification in Clinical Research or Clinical Data Management preferred. About Triomics: Triomics is building the modern technology stack for oncology trial sites and investigators to unify clinical care and clinical research workflows. Their platform, based on the proprietary oncology-focused large language model OncoLLMTM, eliminates operational inefficiencies in patient recruitment and data curation, speeding up clinical trials and generating high-quality data. Join Triomics for: - Revolutionizing a unique industry with global patient impact. - Company-sponsored workations in various locations, fostering a hard-working yet fun culture. - Tackling challenging problems in a highly regulated industry. - Working with experts from multiple industries and the best in the field. Please brush up on your knowledge/skills in areas such as previous roles and experiences, cancer types, histological classification of solid tumors, liquid tumors, biomarkers/tumor markers, TNM classification, cancer therapy types, and chemotherapy mechanisms for discussions.,
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posted 2 weeks ago
experience2 to 6 Yrs
location
Karnataka
skills
  • Clinical Research
  • Scientific Exchange
  • Medical Support
  • Training Education
  • Compliance Reporting
Job Description
Role Overview: As a Regional Medical Advisor (RMA) in the Medical Affairs department, your role will involve engaging with healthcare professionals (HCPs), supporting clinical research, and providing scientific and strategic insights to internal stakeholders. You will act as a key scientific resource for the medical community and contribute to the medical strategy of the organization. Key Responsibilities: - Establish and maintain strong scientific relationships with Key Opinion Leaders (KOLs), investigators, and other HCPs. - Facilitate scientific discussions and deliver fair-balanced, evidence-based, and non-promotional medical information. - Support speaker training and scientific meetings/congresses at regional and national levels. - Attend and provide scientific coverage at key regional and national medical congresses and scientific meetings. Synthesize and disseminate relevant scientific information and insights from these meetings to internal teams. - Gather and communicate actionable medical insights from KOLs and the healthcare environment back to internal medical and development teams. - Identify regional medical unmet needs, treatment gaps, and emerging trends to inform strategic medical planning and product development. - Provide scientific support to commercial teams, ensuring compliance with internal and regulatory standards. - Participate in advisory boards, CME programs, and other educational/scientific initiatives. - Support company-sponsored and investigator-initiated trials (IITs) through site identification, feasibility, and ongoing communication. - Facilitate Real World Evidence (RWE) initiatives and post-marketing surveillance studies as applicable. - Provide scientific support and medical expertise to investigators involved in company-sponsored research. - Support unsolicited Investigator-Initiated Studies (IIS) requests by providing scientific review and liaison with internal review processes. - Facilitate the understanding and dissemination of clinical trial data (company-sponsored and relevant external data). - Provide scientific and medical education to internal stakeholders (e.g., sales force, market access) on disease areas, product information, and clinical data, ensuring strict adherence to compliance guidelines. - Stay updated with the latest medical/scientific knowledge in relevant therapeutic areas. - Participate in and present at internal medical meetings, training sessions, and symposia. - Ensure activities are conducted in compliance with local regulations, company SOPs, and ethical standards. - Maintain accurate records of interactions, insights, and activities through appropriate systems (e.g., CRM). Qualifications Required: - Educational Qualification: MBBS / MD / BDS / MDS with relevant therapeutic expertise. - Experience: 02 years of experience in a similar role within the pharmaceutical/biotech industry preferred. - Strong communication, interpersonal, and scientific presentation skills. - Ability to travel extensively within the assigned region.,
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posted 3 weeks ago

Medical Biller

OG Healthcare
experience2 to 6 Yrs
location
Karnataka
skills
  • Denial Management
  • Eligibility Authorization
  • Patient Experience
  • Compliance Reporting
  • Proficient in practice management
  • RCM platforms
  • Advanced Excel skills
  • Basic Power BI
  • Productivity trackers
  • GenerativeAI assistance tools
  • Proactive
  • Team player
  • High attention to detail
  • Persistent communicator
  • Clear English communication
  • Embraces organizational principles
Job Description
As an experienced professional in end-to-end follow-up and resolution of outstanding patient and insurance balances for U.S. healthcare clients, you are skilled in delivering accurate, compliant, and timely cash collection while upholding core principles: customer-first, straightforward communication, respect, humility, and continuous learning. Key Responsibilities: - Denial Management: Analyze EOB/ERA codes, assign root-cause categories, and record preventative notes for training and proactive process improvement; aim to reduce denial rate by 2 ppt within six months. - Eligibility & Authorization: Verify coverage and prior-authorization status before resubmission; log variances for provider feedback. - Patient Experience: Resolve patient balance queries within 2 business days via phone/email, maintaining 95% CSAT. - Compliance & Reporting: Safeguard PHI per HIPAA, SOC 2, and organizational policies; update daily A/R aging dashboard; escalate any >45-day spike to the manager and complete daily checklists before close of shift. Qualifications & Skills: - Graduate degree or diploma in commerce, healthcare administration, or equivalent. - CPC or CPB certification preferred. - Proficient in practice management or RCM platforms (e.g., Athena One, Kareo, eClinicalWorks). - Advanced Excel skills (pivot tables & lookups); basic Power BI or similar dashboard exposure. - Comfortable with productivity trackers and generative-AI assistance tools. - Proactive, takes initiative without hand-holding. - Team player; always willing to help colleagues. - High attention to detail; targets zero posting errors. - Persistent yet respectful communicator with parties. - Clear English spoken and written. - Embraces organizational principles in daily behavior. In the work environment, you will operate from a dedicated office setting, ensuring a structured and collaborative work environment. Additionally, you will be committed to working night shifts to align with U.S. healthcare client timelines, showcasing flexibility and dedication.,
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posted 2 months ago
experience1 to 5 Yrs
location
Karnataka
skills
  • Clinical Development
  • Medical Affairs
  • Medical Communications
  • Medical Information Systems
  • Medical Writing
  • Pharmacovigilance
  • Product Knowledge
  • Product Management
  • Regulatory Compliance
  • Advisory Board Development
  • Clinical Knowledge
  • Clinical Testing
  • Educational Program Development
  • Emergency Care
  • Good Clinical Practice GCP
  • Healthcare Education
  • Health Economics Research
  • InvestigatorInitiated Studies IIS
  • Life Science
  • Management Process
  • Medical Marketing Strategy
  • Medical Policy Development
  • Regulatory Affairs Compliance
  • Regulatory Compliance Consulting
Job Description
As a Regional Medical Advisor (RMA) for General & Specialty Medicine in the South Region, you will play a crucial role as a key representative for the company. Your primary objective will be to engage with essential stakeholders in the field and provide scientific expertise across identified regions, products, and therapy areas to valued customers. **Responsibilities and Primary Activities:** - **Scientific Expertise:** Develop and maintain a comprehensive understanding of the company's products, particularly in the cardiovascular therapeutic area. Stay updated on the latest medical advancements, clinical guidelines, and treatment protocols. - **Stakeholder Engagement:** Build and maintain relationships with Scientific Leaders (SLs), Key Decision Makers (KDMs), healthcare professionals, and academic institutions. Engage in scientific discussions, present clinical data, and provide educational support to Key Opinion Leaders (KOLs) regarding the company's products and therapeutic areas. - **Support to Medical Strategy:** Collaborate with the line manager to provide strategic inputs and expertise to product management. - **Medical Education:** Deliver scientific and medical education to internal stakeholders, including sales and marketing teams. Collaborate with the Medical Affairs team to develop and present training materials. - **Scientific Exchange:** Facilitate knowledge transfer between the company and external stakeholders by participating in medical conferences, advisory boards, and scientific meetings to gather insights and share data. - **Clinical Data Communication:** Interpret and communicate clinical trial data, real-world evidence, and other scientific information to healthcare professionals and regulators, ensuring compliance with regulations and company policies. - **Clinical Research Support:** Provide medical support for local studies, including identifying study sites for Investigator Initiated Trials. - **Cross-Functional Collaboration:** Work closely with Clinical Development, Regulatory Affairs, Marketing, and Market Access teams to provide scientific input, support clinical trial design, and align on medical communication plans. - **Medical Initiatives:** Support and lead medical projects aligned with the therapy area, involving strong stakeholder interaction. - **Medical Information:** Address medical inquiries and provide timely, accurate responses to healthcare professionals and other stakeholders, ensuring that medical information materials are current and compliant. - **Sales Force Training:** Train sales colleagues on assigned therapy areas and assist in pre-launch and launch training for new products. - **Compliance:** Adhere to legal, regulatory, and compliance guidelines, ensuring all activities are conducted ethically and in accordance with applicable laws. **What You Must Have:** - **Educational Background:** A strong academic foundation in life sciences, such as a medical degree (MD) or doctorate (Ph.D.). - **Industry Experience:** At least 1 year of experience in the pharmaceutical cardiovascular therapy area, including roles in clinical research or medical affairs. - **Therapeutic Area Expertise:** Demonstrated knowledge and expertise in the relevant cardiovascular therapeutic area. - **Scientific and Clinical Knowledge:** Strong understanding of medical and scientific principles, clinical trial design, data analysis, and interpretation. - **Communication and Relationship-Building Skills:** Excellent interpersonal, communication, and presentation skills. - **Analytical and Problem-Solving Skills:** Ability to analyze complex scientific data and provide recommendations. - **Adaptability and Flexibility:** Capability to work in dynamic environments and travel frequently. - **Regulatory and Compliance Knowledge:** Familiarity with legal, regulatory, and compliance guidelines. In summary, as an RMA in Medical Affairs, you will act as a scientific expert and liaison between the company and external stakeholders, contributing to building scientific credibility, fostering relationships, and supporting strategic objectives in the healthcare industry.,
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posted 2 months ago
experience3 to 7 Yrs
location
Karnataka
skills
  • Claims Processing
  • Data Analytics
  • Regulatory Compliance
  • Analytical Skills
  • Communication Skills
  • Time Management
  • Business Acumen
  • Audit Handling
  • Medical Knowledge
  • Health Insurance Policies
  • ProblemSolving Skills
Job Description
As a Quality Auditor on the Process Excellence team at Navi, your role involves auditing claims processed by medical officers to ensure accuracy, compliance, and continuous improvement. The team is committed to upholding and enhancing the quality of customer interactions through audits on agent communications across various channels like calls and chats. You will collaborate with business stakeholders to drive key business metrics while ensuring accuracy, consistency, and compliance. Key Responsibilities: - Identify discrepancies, fraud, or errors in claims to ensure compliance with health insurance policies and regulatory requirements. - Review health claims for accuracy, completeness, and compliance with insurance policies and regulations. - Identify inconsistencies, overbilling, or discrepancies between services provided and claims submitted. - Detect potential fraudulent claims by analyzing patterns and identifying suspicious activities. - Propose process improvements to enhance the efficiency and accuracy of the claims audit process. - Stay updated with industry trends, regulations, and changes in healthcare policies affecting claims auditing. Qualifications Required: - Medical Graduate in any stream (MBBS/BHMS/BAMS/BUMS/BDS) - Experience in audit handling - Background in claims processing with clinical experience in a hospital setting - Data analytics experience (preferred) - Proficiency in Hindi and English is mandatory; knowledge of other languages would be advantageous. - Understanding of health insurance policies, regulations, and IRDAI circulars - Strong analytical and problem-solving skills - Excellent attention to detail and ability to identify discrepancies - Effective communication skills for collaboration with stakeholders - Time management skills to meet deadlines - Broad understanding of Claims Practice - Sharp business acumen in health insurance claim servicing needs Navi, founded in 2018 by Sachin Bansal & Ankit Agarwal, is revolutionizing financial services for a billion Indians with simple, accessible, and affordable products. The company values ambition, perseverance, self-awareness, ownership, and integrity. Navi is known for its innovative solutions and customer-centric approach, providing a dynamic team environment where excellence is encouraged and supported. If you aspire to innovate and deliver real value to customers, Navi is the place for you.,
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posted 3 weeks ago
experience2 to 6 Yrs
location
Karnataka
skills
  • Computer proficiency
  • English communication
  • Grammar skills
  • Attention to detail
Job Description
As a Medical Scribe at our company, you will be responsible for documenting patient encounters accurately in the EHR, supporting physicians by managing medical notes & records, and ensuring HIPAA & data privacy compliance. Key Responsibilities: - Document patient encounters accurately in the EHR - Support physicians by managing medical notes & records - Ensure HIPAA & data privacy compliance Qualifications Required: - Minimum 2 years experience as a real-time Medical Scribe - Strong English communication & grammar skills - Good computer proficiency & attention to detail - Willingness to work U.S. night shifts from the office Join us in playing a vital role in healthcare by helping doctors focus more on patients while you manage their documentation. Apply now and start your journey as a Medical Scribe!,
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