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Coordinator - Mediclaim

3 months ago

Pune, Maharashtra, India KEM Hospital Full time

QUALIFICATION:

  • BAMS / BHMS

EXPERIENCE:

years

  • Mediclaim experience preferred

JOB RESPONSIBILITIES:

  • Counselling of the patient and/or relatives regarding mediclaim procedures
  • Counselling the patient regarding admission procedure, counselling about deposit specially in case of operative procedures. Deposit in case of sum limit exhausted.
  • Providing medical details to the clerical section
  • Preauthorization form of admitted patient and preapprovals
  • Query replies if any documents are required from the patient, or any justification from treating doctor
  • Monitoring the medical progress of the patient like change in the treatment plan, treatment cost or change in the anticipated length of stay (paperwork)
  • Providing with the help of resident doctors, medical details and justifications for any changes for documentation purposes
  • Interacting with the consultants, whenever required
  • Coordinating discharge of the patient
  • Counselling of the patient regarding the discharge procedure, time required, amount to be paid in approximate amount
  • Filling the reimbursement form of noncashless patient and replying to any query raised from TPA
  • Any other work/responsibility assigned by the HOD/Management in the course of business/work whether within the same unit/dept or any other unit/dept from time to time
    Job Category:Clerical & Administrative
    Job Type:Full Time
    Job Location:Pune