www.medimanage.com ManaMumbai Bangalore Chennai : Health Insurance claim, Group Mediclaim

[Admin]

Enter any Medimanage office, and you are guaranteed to find 360 Watt smiling faces across the office!
At Medimanage, we try to build your personal interests into careers. So we have Engineers who excel in Sales, a Doctor managing Operations and a Chartered Accountant who runs our online business. Passion overtakes Qualifications at Medimanage.

We provide opportunities to individuals from diverse industry backgrounds that bring freshness. We believe that the future of this company is linked to creating a fun work environment while empowering employees to stretch & reach their potential.
We have different Process Verticals that are seamlessly integrated to provide our clients passionate service delivery.

If you wish to find out more about the career options, the role responsibilities, you can write to us at career@medimanage.com and know what the current opportunities are.

http://www.medimanage.com

Call us at:
Call +91 22 67282929 [10.00 AM to 6 PM – Monday to Friday]

[SandraAlbert]

We need health insurance because we cannot predict what our medical bills will be. In some years, our costs may be low. In other years, we may have very high medical expenses. If we have health insurance, we will have peace of mind in knowing that we are protected from most of these costs.The purpose of Medicare supplement insurance is to help people cover their health care costs. Health care costs include doctor visits, hospital stays, surgery, procedures, tests, home care, and other treatments and services.Medicare Supplement insurance may apply to a limited or comprehensive range of medical services and may provide for full or partial payment of the costs of specific services. Benefits may consist of the right to certain medical services or reimbursement of the insured for specified medical costs.

[Guest]

Dr. Afsha Sagir Sheikh

~ E-Mail : niks092001 AT gmail.com
To achieve professional excellence through continuous learning and application of medical and healthcare managerial skills in research and developments while contributing to the growth of professionally managed knowledge based Organization
- Nearly 4 years of diversified experience in Healthcare Industry as a RMO, Medical manager, Trainer/ Instructor, Customer Service Manager
- Presently working with Seha Hospital Pvt Ltd. / ARK Family Health And Educational Society Corporate Manager
- Driven by new challenges & desires to be successful in all endeavours.
- Proficient in functional area like Insurance, Healthcare and Medical
- In-depth knowledge hospital operations, Hospital information system and Indian Healthcare market’s potential, opportunities and challenges
- Strong ability to communicate in English effectively in oral as well as written form.
- Working experience in Healthcare Insurance Claim Management
- Outstanding organizational and interpersonal skills and effectively deal with all business contacts.
- Skill and expertise in using Computers and Microsoft tools like MS Office, Outlook Mailing etc.
EMPLOYMENT RECITAL
- Since October 2010 till date with Seha Hospital Pvt Ltd. / ARK Family Health And Educational Society as Corporate Manager
- April 2009 to September 2010 ICICI Lombard General Insurance co as Customer Service Manager
- December 2008 to March 2009 Emergency management research institute (EMRI) as Assistant Partner
- September 2007 to December 2008 E-Meditek solution Pvt. Ltd Medical Manager

TASKS UNDERTAKEN DURING JOB
Hospital Pvt Ltd. / ARK Family Health And Educational Society
- Establishing contacts with corporate, insurers and other third party purchasers of health care services.
- Conduct presentations to organisations briefing services and facilities available at the hospital.
- Organize direct negotiations and contacts for services with these organisations.
- Arrange for specific requirements requested by third party customers and respond to enquiries generated by third party customers.
- Organize, develop and conduct community related programmes like Health talks and community education programmes, Health camps
- Preparation of annual marketing plan and budget for the hospital
- Responsible for developing and implementing expansion strategy for the organization. Coordinating activities pertaining to the project implementation.
- Coordinating with support departments and leading the field team to achieve the set targets within the timelines.
- Planning, organizing, effective management and documentation of the whole program towards achieving specific milestones using effective strategies.
- Percolate the decisions made by the management to reach the project team and ensure all the project staff adopts the systems
- strengthen the team by mentoring them and create the environment for team to perform at their best
- Sensitize the management about the field realities and dynamics.
ICICI Lombard General Insurance Co
- Verification and Approval of claims (cashless and reimbursement)
- Verification of fraud claims (cashless and reimbursement) and take appropriate action for investigation
- Dealing with grievances and resolve the problems
- Communicate with the corporate, customers and Hospital as a customer service manager
Emergency Management Research Institute (EMRI)
- Training and Module preparation for EMT’s to deal with emergency
- Provide FR training to employees of different companies.
- Provide BLS and ACLS Training
E-Meditek solution Pvt. Ltd
- Visit corporate as relationship officer, Monthly MIS Preparation, Handling the MIS
- Communicate with the corporate and Hospital as a relationship officer
- Claim approval and verification, handling of fraud claim cases (cashless and reimbursement).
- RMO for hospitals Sanjeevan Hospital, Dhanvantri Hospital, Rakshak hospital, Galalxy Hospital, Correct text India Pvt Ltd (Medical Transcription)
PROFESSIONAL QUALIFICATION
- Post Graduate Diploma in Hospital and Healthcare Management from Symbiosis Institute Health and Science
- Post Graduate Diploma in Emergency Medical Services from Symbiosis International University, Department of Health and Science
- Certification in Genetics and Medical Immunology from Maharashtra University of Health and Science, Nashik
- Certification in BLS & ACLS from American Heart Association
ACADEMIC QUALIFICATION
- BHMS from Maharashtra University of Health and Science, Nashik