Opening For Mediclaim Doctor with Ruby Hall Clinic - Pune

Job Description

Role & responsibilities Medical Scrutiny 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. Preferred candidate profile Qualification - BAMS / BHMS / Any Graduate Experience - 2 - 5 yrs Good Clinical knowledge & communication skills. Perks and benefits As per market standards.