Br Without experience Jobs – 46 Open Jobs Today

Insurance Liaison Officer & Payer Management (AB-PMJAY | TPAs | Corporates | Insurers)
AKHAND JYOTI EYE HOSPITAL —Parsa, Patna, Bihar
- ₹20,000 - ₹35,000 a month
- Full-time
- Microsoft Office
- Bachelor's degree
- In-person
Quick apply
12d
Project Manager
JR Infratech —Bodh Gaya, Bihar
- From ₹50,000 a month
- Full-time
- AutoCAD
- Civil engineering
- Microsoft Office
- Paid sick time
Quick apply
4d
Front Desk Receptionist
HOTEL BUDDHA INTERNATIONAL —Fraser Road Area, Patna, Bihar
- ₹14,000 - ₹15,000 a month
- Full-time
- Customer service
- English
- Administrative experience
- Food provided
Quick apply
5d
WordPress Website, SEO & AI Content Creator Intern
Adoxmedia —Patna, Bihar
- ₹8,000 - ₹10,000 a month
- Social media management
- In-person
- AI
Quick apply
Head of Supply
Affiefly Private Limited —Patna, Bihar
- Up to ₹80,000 a month
- Email
- Salesforce
- English
- SQL
- Paid time off
- Paid sick time
Quick apply
14d
Physical Education Teacher
Delhi International Public School Tajpur —Samastipur, Bihar
- ₹20,000 - ₹25,000 a month
- Full-time
- Assembly
- Math
- Bachelor's degree
- Health insurance
Quick apply
Video Editor
Blue Whistle Advertising —Patna, Bihar
- ₹15,453.39 - ₹30,245.72 a month
- Full-time
- In-person
Quick apply
7d
Senior Operations Staff (CPP)
DHL —Bhagalpur, Bihar
- Weekend availability
- English
- Travel
- Data entry
- Health insurance
- Paid time off
Network Engineer
Raghav IT Solution Services OPC Pvt. Ltd —Muzaffarpur, Bihar
- ₹15,608.74 - ₹35,448.76 a month
- Full-time
- Software troubleshooting
- Bachelor's degree
- Linux
- Cell phone reimbursement
Quick apply
Senior Operations staff (SAJ)
DHL —Muzaffarpur, Bihar
- Weekend availability
- English
- Travel
- Data entry
- Health insurance
- Paid time off
10d
System Officer
Kalawati Enterprises Pvt Ltd —Motihari, Bihar
- ₹10,000 - ₹13,000 a month
- Full-time
- English
- Bachelor's degree
- In-person
- Health insurance
- Paid time off
Quick apply
Operations Staff (PTW)
DHL —Patna, Bihar
- Weekend availability
- English
- Travel
- Data entry
- Health insurance
- Paid time off
Creative Strategist
Purolabs —Bihar
- Full-time
- Remote
- English
- AI
- Paid time off
- Work from home
Quick apply
Senior Operations Staff (DHI)
DHL —Patna, Bihar
- Weekend availability
- English
- Travel
- Data entry
- Health insurance
- Paid time off
Marketing Executive
Physics Wallah —Sasaram, Bihar
- ₹10,000 - ₹30,000 a month
- Microsoft Office
- Bachelor's degree
- Travel
Quick apply
7d
Manager-Mass Distribution
Vodafone Idea —Patna, Bihar
- English
- Master's degree
- Bachelor's degree
Manager -Mass Distribution
Vodafone Idea —Patna, Bihar
- English
- Master's degree
- Bachelor's degree
Manager - Mass Distribution
Vodafone Idea —Gaya, Bihar
- English
- Master's degree
- Bachelor's degree
2d
Executive N - Project Sales
Asian Paints —Bihar
- Full-time
- Master's degree
- Business Administration
- MBA
EXECUTIVE N - SALES ENGINEERING
Asian Paints —Patna, Bihar
- Full-time
- Microsoft Excel
- Bachelor's degree
- Travel

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Insurance Liaison Officer & Payer Management (AB-PMJAY | TPAs | Corporates | Insurers)

AKHAND JYOTI EYE HOSPITAL -
Parsa, Patna, Bihar

Quick apply

Job details

Full-time
₹20,000 - ₹35,000 a month
12 days ago

Qualifications

Microsoft Office
Bachelor's degree
Medical management
Fraud prevention and detection
Leadership

Full job description

Key Responsibilities

1) Empanelment, MoU Closure & Relationship Management

· Identify, onboard, and expand payer coverage across AB-PMJAY, TPAs, insurers, and corporates via MoUs/Service Line Agreements (SLAs).

· Lead end-to-end agreement lifecycle: proposal, negotiation, documentation, approval, renewal, and exit (if required).

· Work with the Legal team to draft/review/close MoUs and ensure operational clauses are implementable.

· Maintain strategic relationships with payer decision-makers; conduct periodic reviews to improve volumes and settlement timelines.

· Build relationships where there is potential for high business

2) Process Design, SOPs & Compliance to MoUs

· Convert each MoU into clear internal SOPs (patient journey, documentation checklist, approvals, portal steps, billing rules, timelines).

· Ensure MoU compliance across departments; monitor deviations and fix root causes through training and corrective actions.

· Develop a system of continuous excellence and SOP revisions where appropriate

· Standardize package definitions, inclusions/exclusions and documentation requirements (scheme-wise/payer-wise).

3) Patient Guidance & Front-End Facilitation

· Ensure patient-facing teams are provided accurate guidance on eligibility, documentation, pre-authorisation, and the cashless process, and implement clear SOPs aligned to signed MoUs/SLAs to strengthen process discipline and robustness.

· Resolve escalations related to approvals/denials/eligibility/portal errors, while protecting patient experience and hospital ethics.

4) Portal Operations & Cashless Execution Discipline

· Ensure all relevant staff are trained and proficient in using payer portals (AB-PMJAY/TPA/insurer portals) by establishing a standard induction programme, which can also be used for onboarding and training F2E girls.

· Drive excellence in pre-authorisation submissions, timely bill uploads, query management, and end-to-end claim tracking till closure by creating and enforcing clear checklists and step-by-step process documentation for each payer/workflow.

· Build checklists, maker–checker controls, and daily trackers to ensure zero slippage.

· Build and lead a high-performing payer management team (empanelment, portals, documentation, query desk).

5) Claims, Receivables & Realization (Revenue Integrity)

· Ensure timely submission of service bills and supporting documents; reduce rejections and avoidable deductions.

· Own claim follow-up rhythm and coordinate with Finance & Accounts for receipts, reconciliations, and ageing control.

· Establish dashboards for claim status, pending queries, ageing, and payer-wise performance.

· Ensure all relevant staff are trained and proficient in using payer portals (AB-PMJAY/TPA/insurer portals) through a standardised induction program (reusable for onboarding/training F2E girls), with periodic refresher sessions and competency checks.

· Drive excellence in pre-authorisation submissions, timely bill uploads, query management, and end-to-end claim tracking till closure by developing payer-wise checklists and step-by-step SOPs and ensuring strict adherence through maker–checker controls.

· For every major denial, deduction, portal failure, or incident/escalation, document the resolution method and learnings and share the same with the Knowledge Management (KM) vertical for institutional use (case logs/playbooks).

· Update SOPs based on learnings from claims/queries/incidents to prevent repeat errors, improve first time-right submissions, and strengthen process robustness across teams.

· Embed risk-averse insurance management practices by ensuring strong compliance to MoUs/SLAs, documentation discipline, data privacy controls, audit readiness, and proactive escalation of any potential non-compliance, fraud risk, or recurring rejection patterns.

6) Training and Culture Building

· Create a training calendar and competency checks for staff handling portals, documentation, and payer SOPs.

· Identify high-potential Football to Eyeball (F2E) girls suited for payer/portal operations, and train and mentor them within this framework—developing at least 6 F2E women into supervisory/leadership roles as per the leadership plan.

Outcome: Strong culture of accountability, responsiveness and closure discipline.

· Values (Non-Negotiables): Adhering to Akhand Jyoti’s Value Compass of : Compassion, Commitment, Teamwork and Respect

· Leading from the Back (expected leadership behaviors, non-negotiable):

Self Leadership:

Ø Open-mindedness: listen first; welcome data and frontline inputs before decisions.

Ø Ownership: take end-to-end responsibility; no handover culture.

Ø Detachment: remain objective; solve problems without ego or blame.

Team Leadership:

Ø Trust: build trust through transparency, predictability, and fairness.

Ø Leverage strengths: place people where they perform best; develop capability intentionally.

Ø Collaboration: break silos; ensure payer workflows align with clinical operations and patient experience.

Task Leadership:

Ø Outside-in thinking: understand payer expectations, patient constraints, and compliance realities; design accordingly. Identifying other potential customers, benchmark with other best in class hospitals.

Ø Test the limits (safely): improve speed and efficiency without compromising ethics, safety, accuracy, quality or compliance.

Ø Be tough softly: firm on standards and timelines; respectful in communication.

8) Governance, Committees & Cross-Functional Collaboration

· Serve as an active member of committees as nominated (payer governance, revenue integrity, quality/patient experience, etc.).

· Work closely with clinical and operations teams to ensure payer workflows do not delay care delivery.

· Support organisational priorities/special assignments as mutually agreed or assigned by CGO/leadership, with clear scope, timelines and reporting.

Job location will be in Mastichak, Parsa, Pojhi, Bihar-841219

Pay: ₹20,000.00 - ₹35,000.00 per month

Work Location: In person

Quick apply

Refine Your Search

without experience jobs in br

Insurance Liaison Officer & Payer Management (AB-PMJAY | TPAs | Corporates | Insurers)

Project Manager

Front Desk Receptionist

WordPress Website, SEO & AI Content Creator Intern

Head of Supply

Physical Education Teacher

Video Editor

Senior Operations Staff (CPP)

Network Engineer

Senior Operations staff (SAJ)

System Officer

Operations Staff (PTW)

Creative Strategist

Senior Operations Staff (DHI)

Marketing Executive

Manager-Mass Distribution

Manager -Mass Distribution

Manager - Mass Distribution

Executive N - Project Sales

EXECUTIVE N - SALES ENGINEERING

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