Tpa Exp Doctors for Mumbai - Acme Services

Acme Services
Acme Services
Verified Company
Mumbai, India

1 week ago

Deepika Kaur

Posted by:

Deepika Kaur

beBee Recuiter
Description
Looking for Senior Medical Officer For Mumbai (Andheri marol)


  • Experience into any TPA minimum 2yrs
  • 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
  • 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, ₹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)


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