India / Chennai Classifieds / Jobs / Pharma Heathcare Jobs

Warning: Avoid Scams and Fraud. Unless you are sure about the other party do not get involved in financial transactions
Medical Officer/Sr. Medical Officer Hyderabad,Hyderabad (Job in Hyderabad Secunderabad)

Reply to: (Not Shown)
(Please mention when contacting)

To apply for this job Click here

 •    Pre-Authorization of Cashless and reimbursement request & Claims scrutiny or reviewing claims files in light of policy T & C of various insurance companies.

 •  Interaction with Health Care Providers & Coordination with internal - external teams in processing the cases .

 •  Medical scrutinizing, assessing and admissibility of medical claims, (Indian Subsidiary of WAPMED-Kuwait, Dubai, Abudabhi).

 •  E-Claims (Electronic Claims ) - these claims are receiving from Dubai and Abu Dhabi & Medical scrutinizing of these claims which comes in ICD-9 and ICD-10 format & CPT Codes Standardized by DHA, HAAD & following the guidelines pertaining to Insurance Companies of Middle East like  Al Ain Ahlia Insurance Company, INTERGLOBAL, AETNA, WARBA, RITAJ, Takaful Emarat Insurance etc.

 •  Paper / Physical Claims – from Kuwait – which comes in PDF format & Process claims as per healthcare guidelines by maintaining daily productivity.

 •  Well versed in proceeding of reimbursement claims of DHA HAAD & Indian Insurance claims.

 •  Commercial audit, Medical audit of claims and raising IR (information required) & issuing for PR (payment request).

 •  Generating claim IDs for data processing & thorough knowledge regarding claims validation & in final audit.

 •  Knowledge of policy concepts like Deductible, Coinsurance, Co-pay, and following plan guides for referring Policy benefit Exclusions in processing of claims.

 •  Continuous Quality improvement in Health Claims Processes & Maintaining TAT (Turn Around Time) for claims settlement.

To apply for this job Click here »

Posted on: Thursday, 12 January, 2017  08:43
Expires On: Monday, 02 July, 2018  18:30

Your most reliable resource for Jobs, Cars, plots, ads, Houses, Flats, Builders, Chennai Real Estate, Services...

India Classifieds - The Number 1 Chennai Classified Ads Portal for Chennai Pharma Heathcare Jobs Jobs