Claim Specialist

Year    Pune, Maharashtra, India
Dhanwantari Hospital Bhairav Nagar Dhanori pune
2 Current Jobs Openings
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Job Description

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Job Designation-: Insurance TPA, Medical Officer/ Claim Specialist Roles & Responsibilities-: Candidates should have worked in Hospital Insurance desk (Most Important) Provide Medical opinion for Health Insurance Claims Processing of Cashless Requests & Health Insurance Claim Documents Proficient with medical terms & system. Understanding of Policy terms & conditions & Various Protocols / Guidelines Understanding of Claims adjudication / Claims Processing Maintaining & Ensuring Standard Operating Procedures & Protocols Ailment Wise ICD & Procedure Coding Manage volumes effectively & efficiently to maintain Turnaround time of processing cases VIP Claims Processing and TAT Maintenance Claim Case Management / Cost Management Requirements-: At least 2-3 yrs experience in Medical Officer Claims Processing Cashless/Reimbursement cases in any hospital 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. Immediate Joiner Job Type: Full-time Salary: 915,086.00 - 925,412.00 per month Schedule: Day shift Ability to commute/relocate: Reliably commute or planning to relocate before starting work (Preferred) Experience: total work: 1 year (Preferred) Job Types: Full-time, Part-time, Regular / Permanent, Fresher Salary: 910,000.00 - 940,000.00 per month Schedule:
  • Day shift
  • Flexible shift
Supplemental pay types:
  • Performance bonus
  • Yearly bonus
Ability to commute/relocate:
  • Pune, Maharashtra: Reliably commute or planning to relocate before starting work (Required)
Experience:
  • total work (Preferred)
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+91 9881444156

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Job Detail

  • Job Id
    JD3038639
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Pune, Maharashtra, India
  • Education
    Not mentioned
  • Experience
    Year
 
 
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