Doctor- Mbbs
3 weeks ago
Ensure using self login ID
Verifies all necessary document and technical details mandatory for claims processing
Verifies Previously Consumed amount
Verifies enrollment details and Duration of patients Stay in Hospital
Keeping claim pending if any document is missing and need to keep pending twice
Ensure compliance all mandatory documents
Ensure Communicating with Network hospitals regarding pending cases
Monitor fraudulent activity/ practices of NWH
Analysis and reporting claims data
Ensure claims processing as per Adjudication guidelines
ensure Claim settled within TAT
Any work assigned by the Rajeev Gandhi Jeevandayee Arogya Yojana Society from time to time.
Attend Repudiated claim appeal (rejected and reduction claim cases) and resolve it daily
If found any mandatory document missing or discrepancy then seek document compliance
Inform hospital regarding the same
Process the claim as per adjudication guidelines
Ensure communication for Any updates or new development in claim and Pre-auth guidelines
**Job Types**: Full-time, Regular / Permanent, Fresher
**Salary**: Up to ₹700,646.84 per year
**Benefits**:
- Health insurance
- Provident Fund
Schedule:
- Day shift
Ability to commute/relocate:
- Navi Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (required)
**Education**:
- Master's (preferred)
**Experience**:
- total work: 1 year (preferred)
**Speak with the employer**
+91 9372468785
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