Job Description

Roles & Responsibilities-:

Candidates should have worked in the Hospital Insurance desk (Most Important)

Provide Medical opinion for Health Insurance Claims

Processing of Cashless Requests & Health Insurance Claim Documents

Proficient with medical terms & systems.

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 the 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 Types: Full-time, Permanent, Fresher

Pay: ₹19,664.02 - ₹27,823.43 per month

Benefits:

Health insurance Provident Fund
Work Location: In person