Medical Doctor - Bengaluru / Bangalore - confidential

    confidential
    confidential Bengaluru / Bangalore

    2 days ago

    Full time ₹900,000 - ₹3,000,000 (INR) per year *
    Description
    • Processing of health claims as per SOP/guidelines shared,
    • Day to day achievement of expected productivity with out compromising on the quality parameters.
    • Identification of Fraud triggers and possible leakage
    • Complete understanding of health claims processing
    • Aware of latest regulations and its implications
    • Adherence to the prescribed TATs for each category
    • Thorough medical knowledge, clinical efficacy of the treatment protocols given
    • Able to read, interpret and question the information on the medication and relation to the diagnosis
    • Clear understanding on ICD code and procedure codes
    • Case management where there is possibility of inflation/abuse
    • Interpretation of the product wordings for appropriate claims decisio
    * This salary range is an estimation made by beBee
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