Founder & CEO at 4S Advisory
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Medical Officer - TPA Firm - BHMS/BAMS/BUMS/MBBS (0-3 yrs)
A leading TPA firm is looking for Medical Officers.
Claims - Reimbursement :
Education (Medical Graduates) :
BHMS, BAMS, BUMS, MBBS
Experience : 0-3 years
To confirm the claim is received in correct MAID, Hospital, etc,
- To capture the bifurcation of Admissible and Non-admissible payments
- To check the Policy conditions.
- To check the Hospital Discount for Cashless Claims
- To maintain the TAT & Quality
TPA Experience added advantage
Claims - Pre Authorization:
Education (Medical Graduates):
BHMS, BAMS, BUMS, MBBS
Experience: 1-3 years
To approve PAs based on the buckets allotted to each approver
- To inform the Network department in case of any erroneous billing / excess billing
- To approve online preauthorization requests received
- In case of any suspicious case, the same will be informed to Investigator.
- To process cases within TAT.
- Strictly adherence to the policy T&C.
- Strictly follow duty schedule and timing.
- To complete target.
- To work as a team.
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