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
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