Medical Officer

From 0 to 4 year(s) of experience
₹ Not Disclosed by Recruiter

Job Description

Roles and responsibilities:

  • Dealing with patients health care related documents.
  • Ensuring error free processing of preauthorisation within agreed TAT (Turnaround time).
  • Entering accurate information into the application defined by the organization.
  • Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures defined by the insurer and the organization.
  • Inform providers as needed and file completed precertification requests as per procedures.
  • Any authorization not as per the limit or as per the process to be escalated to the team manager on priority.
  • Any medical opinion required from the specialist to be escalated to the specialist.
  • Ensuring process compliance is met as per regulatory procedures.
  • Maintaining Daily excel maintenance for Pre auth cases received and processed.

Skills and Competencies:

  • Medical practitioner/BDS/BHMS/BAMS or equivalent qualification
  • 0-1 year experience in Pre-Authorization and Clams management.
  • Sound medical knowledge and willing to work in non-clinic process.
  • Experience in handling authorization is a add on.
  • Should be willing to work in shifts as the department works on 24/7 function



Key Skills
Skills highlighted with ‘‘ are preferred keyskills

Education

UG:BAMS in Any Specialization,BHMS in Any Specialization,BDS in Any Specialization,B.U.M.S in Any Specialization

Company Profile

Vidal Health Insurance

TTK Healthcare Services is a part of the 74 year old TTK Group providing TPA services to leading general insurance companies. TTK as a TPA provides call center, customer-relations and claim settlement services to the policy holders.
Company Info
X
View Contact Details+

Contact Company:Vidal Health Insurance

Address:TOWER 2, 1ST FLOOR,PLOT NO.13,14,15,,SJR I PARK,EP, IP AREA,WHITEFIELD, BANGALORE, Karnataka, India

Salary:

Not Disclosed by Recruiter

Industry:

Insurance

Role Category:

Doctor

Role:

Medical Officer

Employment Type:

Full Time, Permanent