CRM Executive

About LabStack-

LabStack is the growth engine for healthcare.

We are building the infrastructure layer that connects healthcare businesses with healthcare providers and operational workflows across India.

Our network spans diagnostics, hospitals, doctors and clinics, pharmacy, home healthcare and other healthcare services.

As healthcare networks grow, processing hospital claims accurately and coordinating with insurers and TPAs becomes a critical operational function. This role will be responsible for making sure claims move through the process accurately, efficiently and within defined SLAs.

About the Role-

We are looking for a Hospital Claims & TPA Processor to manage and oversee hospital claims and TPA-related operations.

You will work with hospitals, TPAs, insurers and internal operations teams to ensure that claims and related documentation are processed correctly and on time.

This is a detail-oriented role where accuracy, documentation, follow-up and SLA management are critical.

What You Will Do-

• Process and review hospital claims received from healthcare providers.
• Coordinate with hospitals and TPAs for claim-related documentation.
• Verify claim forms, bills, medical documents and supporting records.
• Check claims for completeness and identify missing or inconsistent information.
• Track claims from submission through processing and closure.
• Follow up with hospitals and TPAs on pending claims and documentation.
• Coordinate on claim queries, discrepancies and re-submissions.
• Maintain accurate claim records and status updates.
• Ensure claims are processed within defined SLAs.
• Monitor pending, rejected, queried and approved claims.
• Escalate cases that require additional review or intervention.
• Maintain claim trackers and operational reports.
• Coordinate with internal teams to resolve claim-related issues.
• Identify recurring documentation or processing issues and help improve the workflow.
• Maintain confidentiality and accuracy while handling healthcare and claim-related information.

What We're Looking For-

• Minimum 1 year of relevant experience.
• Prior experience in hospital claims, TPA operations, insurance claims, healthcare operations or hospital billing is preferred.
• Good understanding of the hospital insurance/TPA claims process.
• Experience working with hospitals, insurers or TPAs is a strong advantage.
• Strong attention to detail.
• Good understanding of claim documentation and verification.
• Strong follow-up and coordination skills.
• Comfortable working with Excel/Google Sheets and operational trackers.
• Ability to manage multiple claims and deadlines simultaneously.
• Strong written and verbal communication.
• Ability to identify discrepancies and escalate issues appropriately.
• Comfortable working in a fast-paced healthcare operations environment.

Compensation & Employment-

Compensation: ₹20,000–₹35,000 per month

Job description:

Role Overview

We are hiring an Insurance Process Executive with 1–4 years of experience in insurance operations or back-office processing. The selected candidate will be responsible for managing end-to-end insurance processes including new business, renewals, endorsements, and claims support, while ensuring high accuracy and compliance with Australian insurance standards.

This role offers excellent exposure to international insurance processes and structured careergrowth opportunities.

Key Responsibilities

• New Business: Process new insurance policies, quotations, and compliance.
• Renewals: Handle renewal processing, prepare renewal schedules, and coordinate policy updates.
• Claims Support: Assist in claim lodgement, documentation collection, and follow-ups with relevant stakeholders.
• Endorsements: Manage policy modifications, updates, and mid-term changes.
• Compliance & Audit: Ensure accuracy of data entry and adherence to compliance and regulatory requirements as per Australian standards.
• Client Support: Respond to client queries, provide updates, and maintain professional communication with internal and external teams.
• Maintain proper records and documentation using internal systems and tools. Skills Required
• Strong communication skills (written and verbal).
• Good logical thinking and analytical ability.
• Strong attention to detail and accuracy in data handling.
• Proficiency in software tools such as Zoho CRM, MS Excel, Outlook, SharePoint, etc.
• Ability to work under deadlines and manage multiple tasks efficiently.
• Quick learner with adaptability to new processes and systems.

Eligibility Criteria

• 1–4 years of experience in insurance operations (with good knowledge of insurance class / transport insurance / Business Insurance), process executive roles, or back office support.
• Candidates with experience in the Australian insurance domain will be preferred.
• Commerce/Finance/Business background

Benefits:

• Commuter assistance
• Food provided
• Health insurance
• Internet reimbursement
• Leave encashment
• Paid sick time
• Paid time off
• Provident Fund

Work Location: In person

Job Title: Customer Service Representative – Healthcare – FEMALE

Location: Vasanthnagar, Bangalore (Female, Onsite, Full time)

Department: Customer Service

Reports To: Operations Manager

About Miror

Miror is India’s leading FemTech platform transforming how women experience peri-menopause and menopause. In just a year, we’ve built India’s largest menopause-focused WhatsApp community, partnered with the National Health Mission and the Indian Menopause Society, and launched category-defining nutraceutical products and digital health services. Our app blends science and technology—offering personalized care pathways, symptom tracking, diagnostic links, games, AI-powered chat, expert consultations, and more. We're proud recipients of the Innovation in Menopause Care award at the Global Women’s Health Innovation Conference 2024 and are rapidly scaling toward our $1B+ vision. Learn more: www.miror.in

Summary

We are seeking a motivated, customer-focused professional to join Miror Therapeutics Pvt. Ltd. as a Customer Service Representative. The ideal candidate will be responsible for handling customer interactions, supporting patients, and promoting Miror’s healthcare products and services with empathy, efficiency, and professionalism.

Key Responsibilities

·       Handle inbound calls and make outbound calls to prospective and existing customers/patients to promote Miror’s healthcare products and services.

·       Provide accurate and detailed product information, address customer queries, and deliver high-quality service with empathy and understanding.

·       Communicate with customers through phone calls, WhatsApp, email, and SMS.

·       Execute and manage WhatsApp and email marketing activities.

·       Record, update, and maintain accurate customer information, interactions, and feedback in the system.

·       Follow up with customers to ensure satisfaction and support patient engagement.

·       Collaborate with internal teams to ensure smooth communication and customer experience.

Requirements

·       Bachelor’s degree in any discipline; candidates with healthcare-related qualifications or experience will be preferred.

·       3–5 years of experience in customer service, inbound/outbound calling roles; healthcare industry experience is highly desirable.

·       Strong verbal and written communication skills with persuasive ability.

·       Proficiency in MS Office and basic computer applications.

·       Customer-oriented mindset with strong problem-solving skills.

·       Ability to multitask and work in a fast-paced environment.

Key Skills

·       Customer Service Excellence

·       Healthcare Product Knowledge

·       Strong Communication & Relationship Management

·       Empathy, Patience, and Active Listening

·       Attention to Detail

·       Time Management

Why Join Us?

·       Work at the intersection of healthcare, community, and technology

·       Directly impact the lives of women across India and beyond

·       Flexible work environment and collaborative team

·       Opportunity to grow with a purpose-driven startup

How to reach me?

Connect with me on my LinkedIn

Check us out on – www.miror.in

Best Regards,

Indrani Dutta

Senior HR Manager

www.miror.in

RCM Analytics Specialist – US Healthcare

Job Title: RCM Analytics Specialist

Department: Revenue Cycle Management (RCM)

Industry: US Healthcare / Medical Billing

Experience: 2–5 Years

Employment Type: Full-Time

Location: Mohali

Shift: US Shift / Night Shift

Work Mode: Work from Office

Job Summary

We are looking for an experienced RCM Analytics Specialist to analyze US Healthcare RCM data, prepare performance reports, identify trends and revenue gaps, and provide actionable insights to improve collections, reduce denials, and enhance operational performance.

Key Responsibilities

• Analyze US Healthcare RCM data to identify trends, gaps, operational issues, and areas for improvement.
• Prepare and maintain daily, weekly, and monthly RCM performance reports and dashboards.
• Analyze denial trends and identify root causes, including eligibility, authorization, coding, documentation, and payer-related issues.
• Track payer-wise and client-wise performance and identify potential revenue leakage.
• Analyze AR aging buckets and identify high-value or aging accounts requiring immediate attention.
• Develop reports to help management monitor team productivity, collections, quality, and financial performance.
• Prepare MIS reports, dashboards, ad-hoc analysis, and business insights for management.
• Present analytical findings and recommendations to management and operational stakeholders.

Required Skills & Qualifications

• 3–5 years of experience in US Healthcare RCM, Medical Billing Analytics, MIS, Business Analytics, or Healthcare Operations.
• Strong analytical and problem-solving skills.
• Good understanding of RCM metrics, reports, and operational KPIs.
• Ability to analyze large datasets and identify trends, discrepancies, and opportunities for improvement.

Preferred Skills

• Experience with Power BI or other BI/dashboarding tools.
• Knowledge of SQL and database querying.
• Advanced Excel skills, including Pivot Tables, XLOOKUP/VLOOKUP, SUMIFS/COUNTIFS, charts, and dashboards.
• Experience in developing automated MIS/RCM dashboards.

What We Offer

• Competitive Salary: ₹40,000 – ₹70,000 per month
• Attractive Incentives for experienced candidates
• Growth and career development opportunities
• Professional and collaborative work environment

POSITION SUMMARY 

The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical reviews as defined by the specific review methodologies and prepare a detailed report that includes chronologies and timelines,summaries, masstort matrix andmedical opinions on case validity and valuation. 

JOB RESPONSIBILITIES 

o Analyzing and summarizing medical records for pre and postsettlement projects. o Interpreting clinical data in terms of medical terminology and diagnosis. 

o Adhering to company policies/ARCHER principles and hence taking good care of Archer culture

. o Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time. 

o Daily reporting to Medical team lead for productivity & quality 

KNOWLEDGE, SKILLS AND ABILITIES Technical Skills: 

o Knowledge of basic level of health care data analysis and clinical review. 

o Sound knowledge of medical terminology, assessments, patient evaluation, and clinical medicine. 

o Ability to work proficiently with Microsoft Word, Adobe, and Excel. 

Interpersonal Skills: 

o Ability to perform well in a team environment, with staff at all levels, to achieve business goals. 

o Ability to function under pressure and with deadline-oriented project demands as well as manage multiple initiatives. 

o Team player and motivated self-starter. 

o Detail-oriented, organized, able to multi-task. 

o Effective communication skills. 

EDUCATIONAL QUALIFICATION AND EXPERIENCE REQUIRED

o MBBS graduate (No experience required) 

o BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector).  

ADDITIONAL SKILLS 

o HIPPA, Critical thinking, Basic understanding of US culture, Basic understanding of organization culture and behavior. 

CAREER PATH 

o Medical Officer 

o Medical Team Lead