Medical Officer

Family Health Plan insurance TPA limited

dear doc,

greetings from family health plan insurance tpa ltd!

fhpl hiring medical professionals for non-clinical insurance claim processing.

about us:

fhpl is into health insurance sector and a group company of apollo hospitals.

we are india’s one of the leading tpa with presence in more than 25 locations across country.

location:

family health plan insurance tpa ltd

ground floor, srinilaya – cyber spazio, road no 2,

banjara hills, hyderabad – , telangana, india

• to give cashless/preauthorization, and scrutiny medical reimbursement claims, and to process claims

• third party administration (health) services (tpa)

• claims and preauthorization processing

• healthcare assistance services

• high ratio claims management in coordination with networking and empanelment department

• monitoring the overall operations of claims and preauthorization.

• responsible for ensuring efficient response at the level of preauthorization to maintain tat.

• ensure adherence to processes and controls.

• creating the process for claim processing (cashless and reimbursement).

• co-ordination between network hospitals/preauthorization/claims.

• ensuring a high-quality patient care at customized/optimized cost.

• creating the process for claim processing (cashless and reimbursement).

• must be willing to work in non - clinic

requirements:

• at least 1 yrs experience in medical officer claims processing cashless.

• good excellent oral and written communication, negotiation, and decision-making skills.

• good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.

desired profile:

bams / bhms /bums etc…

work experience:

min experience 6 months to 1 year in a tpa.

• Experience

  0 - 5 Years

• No. of Openings

  50

• Education

  BAMS, Bachelor of Hotel Management

• Role

  Medical Officer

• Industry Type

  Hospitals / Medical / Healthcare Equipments

• Gender

  [ Male / Female ]

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office