Medical Officer Bhms/bams/bds

1 day ago

Jaipur Rajasthan, India Vidal Health Insurance TPA Private Limited Full time

Dealing with patients health care related documents.
- Ensuring error free processing of pre authorisation within agreed TAT (Turnaround time).
- 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

Pay: ₹20,000.00 - ₹25,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Fixed shift

Supplemental Pay:

- Yearly bonus

**Education**:

- Bachelor's (preferred)

Work Location: In person

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