Job Description

We have organized a walk-in drive on Friday, 4th April. Location- 301, Begumpet Flyover, Kundanbagh Colony, Begumpet, Hyderabad, Telangana 500016 Time: 4pm-6pm All the interested fellows are requested to come directly for the interview at the scheduled time. Roles and responsibilities : Only BHMS/BAMS/BDS Medical Doctor Freshers are not preferred Processing of health claims as per SOP/guidelines shared, Day-to-day achievement of expected productivity without compromising on the quality parameters. Identification of Fraud triggers and possible leakage Complete understanding of health claims processing Aware of latest regulations and their implications Adherence to the prescribed TATs for each category Thorough medical knowledge and clinical efficacy of the treatment protocols given Be able to read, interpret and question the information on the medication and relation to the diagnosis Clear understanding on ICD code and procedure codes Case management where there is the possibility of inflation/abuse Interpretation of the product wordings for appropriate claims decision