Medical Officer Bhms/bams/bds
Job Description
• Dealing with patients health care related documents.
• Ensuring error free processing of pre authorisation within agreed TAT (Turnaround time).
• Entering accurate information into the application defined by the organization.
• Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures defined by the insurer and the organization.
• Inform providers as needed and file completed pre certification requests as per procedures.
• Any authorization not as per the limit or as per the process to be escalated to the team manager on priority.
• Any medical opinion required from the specialist to be escalated to the specialist.
• Ensuring process compliance is met as per regulatory procedures.
• Maintaining Daily excel maintenance for Pre auth cases received and processed
Job Type: Full-time
Pay: ?20,000.00 - ?25,000.00 per month
Benefits:
• Health insurance
• Provident Fund
Schedule:
• Rotational shift
Supplemental pay types:
• Yearly bonus
Education:
• Bachelor's (Preferred)
Work Location: In person
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Job Detail
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Job IdJD3392306
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IndustryNot mentioned
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Total Positions1
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Job Type:Contract
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationRJ, IN, India
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EducationNot mentioned
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ExperienceYear