Job Designation-: Insurance TPA, Medical Officer/ Claim Specialist
Roles & Responsibilities-:
• Candidates should have worked in Hospital Insurance desk (Most Important)
• Provide Medical opinion for Health Insurance Claims
• Processing of Cashless Requests & Health Insurance Claim Documents
• Proficient with medical terms & system.
• Understanding of Policy terms & conditions & Various Protocols / Guidelines
• Understanding of Claims adjudication / Claims Processing
• Maintaining & Ensuring Standard Operating Procedures & Protocols
• Ailment Wise ICD & Procedure Coding
• Manage volumes effectively & efficiently to maintain Turnaround time of processing cases
• VIP Claims Processing and TAT Maintenance
• Claim Case Management / Cost Management
Requirements-:
• At least 2-3 yrs experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital
• Good Excellent oral and written communication, negotiation and decision-making skills.
• Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.
Immediate Joiner
Job Type: Permanent
Pay: ?18,110.25 - ?26,862.52 per month
Benefits:
• Health insurance
• Provident Fund
Schedule:
• Day shift
Experience:
• total work: 1 year (Preferred)
Work Location: In person
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