Medical Officer- ( Claim Doctor)

  • TPA
  • Mumbai, Maharashtra, India
  • Jan 19, 2021
Full time Health Care

Job Description

Ensure using self login ID

Verifies all necessary document and technical details mandatory for claims processing

Verifies Previously Consumed amount

Verifies enrollment details and Duration of patients Stay in Hospital

Skills-

Qualification - BAMS /BHMS

Location : Worli 

Salary Range : 1.00 - 3.20 lpa

Keeping claim pending if any document is missing and need to keep pending twice

Ensure compliance all mandatory documents

Ensure Communicating with Network hospitals regarding pending cases

Monitor fraudulent activity/ practices of NWH

Analysis and reporting claims data

Ensure claims processing as per Adjudication guidelines

Ensure Claim settled within TAT

Any work assigned by the Mahatma Jyotibha Phule Jan Arogya Yojana from time to time.

Interested Candidate Forward cv - chaitrali.angane@paramounttpa.com

Skill-

BAMS/BHMS

Salary Range : 1.00-3.20 LPA

Location : Worli (Lower Parel)