Medical Officer

6 days ago

Mumbai, India Ideal Softech Limited Full time

Position Description:
The team of medical practitioner part of Pre-Authorization/Claims team will use their skills and expertise in authorizing the request received and they will ensure that the customers are attended on time by following the protocol of the policy defined by the insurer and the organization.

Qualification: B.pharma, Mbbs, Bams, Pharma and Any Medical Officer

Roles and responsibilities:

- Dealing with patients health care related documents.
- Ensuring error free processing of pre-authorization 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 precertification 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.

**Salary**: ₹19,000.00 - ₹28,000.00 per month

**Benefits**:

- Internet reimbursement
- Work from home

Schedule:

- Day shift

Supplemental Pay:

- Performance bonus

Ability to commute/relocate:

- Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work: 1 year (preferred)

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