Senior Medical Officer for Doctor

Acme Services

Job Openings with Leading Tpa Company

job Description -

experience - 2 to 4 Years

qualification - Bhms, Bams, Bums

ctc - upto Lpa

1) Medical Management

2) Processing of Cashless Claim Request Received from the Hospital

3) Properscrutiny of the Medical Documents Received from the Hospital/ Patient and Ask for Relevant Details to Corroborate with the Availablediagnosis

4) Review the Treatment Details/ Medication Regimen Given During Hospitalization and Ask for Justification from Treating Doctor if the Treatment Protocol is Not Appropriate to the Diagnosis

5) Collate the Medical Details with the Applicable Policy Terms to Arrive At the Final Decision of Claims Adjudication.

6) Coordination with Provider Department Team for the Hospital Bill and Available Tariff Dispute.

7) Handling Cashless Claim Grievance Effectively.

Experience : 2 - 5 Years

No. of Openings : 10

Education : Any Doctorate Degree

Role : Medical Officer

Industry Type : Hospitals / Medical / Healthcare Equipments

Gender : [ Male / Female ]

Job Country : India