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| Job Location | Mumbai City |
| Education | Not Mentioned |
| Salary | Not Disclosed |
| Industry | Medical / Healthcare |
| Functional Area | Allied Health Services,Sales / BD |
| EmploymentType | Full-time |
Medical Officer 17/ 12/ 2016 Human Resource HealthIndia Insurance TPA Services Pvt. Ltd. Online FacilitiesDownload LinksHealth IndiaQuick LinksLogin PortalsTPA LoginsPIMS LoginUser Name: Read warning & disclaimer carefully before login Disclaimer: HealthIndia Insurance TPA Services Pvt. Ltd., is not responsible for any inadvertent error that may be noted down in the information being displayed on this website and after this login. The information displayed on this internet website is for immediate information only, and it cannot be treated as original statement or documentation. In case of any discrepancies, please verify the information by calling our call -centre in office hours. Position Title: Medical Officer Position Type: Regular Reason For Vacancy: New Position Location: Mumbai Working Hours: Full Time Reports to: Department Head Department: Claims Department Main responsibilities and Opportunities: Medical ScrutinyProvide Medical opinion for Health Insurance ClaimsProcessing of Cashless Requests & Health Insurance Claim DocumentsProficient with medical terms & system.Understanding of Policy terms & conditions & Various Protocols / GuidelinesUnderstanding of Claims adjudication / Claims ProcessingMaintaining & Ensuring Standard Operating Procedures & ProtocolsAilment Wise ICD & Procedure CodingManage volumes effectively & efficiently to maintain Turnaround time of processing casesVIP Claims Processing and TAT MaintenanceProcessing Error to be maintained 0.25%Claim Case Management / Cost ManagementQualifications, Work Experience: Essential: 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.Desirable: BAMS / BHMS / MBBS etc (BDS to be avoided)Work Experience: Min experience 6 months to 1 year in a TPAKnowledge (Language, IT skills etc): Essential: Understand enterprise architecture in health care and public health organizationsKnowledge of health insuranceWell versed with medical terminologies.Computer knowledgeDesirable: Personal Skills: Communication Skill, Interpersonal SkillRemarks: ,
Keyskills :
medicineopdsurgeryinsurancenursingstandard operating procedurespublic healthaudio masteringhealth insuranceclaims processingclaims adjudicationwritten communicationenterprise architecturek effectively