
Tpa Exp Doctors for Mumbai
2 days ago
Looking for Senior Medical Officer For Mumbai (Andheri marol)
1. Experience into any TPA minimum 2yrs
2. If its clinical then minimum experience up to 3-5 yrs with basic knowledge of claim processing or insurance industry.
Job Title - Medical Officer (Pre Authorization, Reimbursement)
Qualification - BHMS,BAMS,BDS,BUMS,BPT
Job Location: Andheri Marol
Please find the shift detail
- 1. Morning shift
- 8am to 4.30pm
2. General Shift
- 9:30 am to 6.00pm || 10:00 am to 6:30PM
3. 2nd Shift
- 2pm to 10.30pm for males
4. 2nd shift
- 11.30am to 8pm for females
CTC - Depends Upon Interview
Processing of claims request received from the hospital
Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis.
Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication.
Coordination with the insurance company for their approval to proceed with final adjudication.
To assist team in Desk and Medical Audit work pertaining to the Scheme
Field Audit and Hospital Audit
Its Compulsory WORK FROM OFFICE.
**Salary**: ₹300,000.00 - ₹500,000.00 per year
Schedule:
- Rotational shift
Ability to commute/relocate:
- Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (required)
**Education**:
- Bachelor's (preferred)
**Experience**:
- Physician: 1 year (preferred)
- total work: 1 year (preferred)
**Speak with the employer**
+91 8433793186
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