07 Aug
|
Neelam Hospital
|
Rajpura
07 Aug
Neelam Hospital
Rajpura
Key Responsibilities
- Clinical Scrutiny: Analyze and approve/deny patient claims by verifying the diagnosis, treatment details, and medical necessity based on insurance policy terms.
- Billing & Coding: Interpret ICD coding, evaluate co-pay/deductibles, and manage the distinction between package and open billing.
- Authorization: Review and process pre-authorizations for cashless treatments.
- Documentation: Ensure all required documentation (discharge summaries, investigations) is complete to avoid claim rejection.
- Liaison: Coordinate with hospital departments (doctors, billing) and TPAs/insurance companies to resolve queries and reduce Turnaround Time (TAT). Docthub +5
Job Type: Full time
Pay: ₹25,000.00 - ₹45,000.00 per month
Work Location: In person
📌 Medical officer-Medical Officer-TPA Billing (Rajpura)
🏢 Neelam Hospital
📍 Rajpura