04/03 Satish Kumar Jakkula
Founder & CEO at 4S Advisory

Views:236 Applications:10 Rec. Actions:Recruiter Actions:0

Medical Officer - TPA Firm - BHMS/BAMS/BUMS/MBBS (0-3 yrs)

Mumbai Job Code: 13702

A leading TPA firm is looking for Medical Officers.

Claims - Reimbursement :

Education (Medical Graduates) :


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):


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.

This job opening was posted long time back. It may not be active. Nor was it removed by the recruiter. Please use your discretion.

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