Medical Officer

3 days ago


Mohali Punjab, India Medpark Healthcare Full time

**1. Job Title: Medical Officer - Credit Billing Department**

**Department**: Billing & Credit
**Location**: Medpark Hospital, Mohali
**Experience**: 1-5 Years (Hospital Billing/TPA Coordination preferred)
**Qualification**: MBBS/BAMS/BHMS or equivalent medical qualification

**Job Type**: Full-Time
**Age Group**: 25-50 years
**Salary: -** 40000 - 60000

**Job Summary**:
The Medical Officer in the Credit Billing Department plays a key role in coordinating with clinical teams, insurance/TPA desks, and billing units to ensure accurate and timely documentation for cashless and credit patients. This position involves medical record assessment, treatment justification, and close coordination with TPAs for approval processes.

**Key Responsibilities**:

- Review and verify patient case sheets, treatment plans, and investigations for accuracy before submission to TPA.
- Ensure clinical documentation is complete and aligns with billing and insurance protocols.
- Assist in preparing and submitting Pre-Authorization (PreAuth) requests and justification letters for treatments and surgeries.
- Liaise with consultants for clinical inputs when required by insurance companies.
- Support the billing team in coding diagnoses and procedures appropriately.
- Follow up on pending approvals and coordinate for final authorization and discharge clearance.
- Participate in daily rounds of admitted credit/TPA patients to stay updated on treatment progress.
- Ensure timely response to queries raised by insurance/TPA representatives.
- Maintain updated knowledge of insurance guidelines and hospital policies.
- Assist in resolving billing disputes or queries related to patient care and clinical documentation.

**Skills & Competencies**:

- Strong understanding of clinical documentation and medical terminologies
- Knowledge of TPA, CGHS, ECHS, ESI and other credit billing systems
- Good communication and coordination skills
- Detail-oriented with a high degree of accuracy
- Proficient in MS Office and hospital information systems (HIS)

**Job Types**: Full-time, Permanent

Pay: ₹40,000.00 - ₹60,000.00 per month

Work Location: In person



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