COORDINATOR – MEDICLAIM (Pune)

COORDINATOR – MEDICLAIM (Pune)

29 Aug
|
KEM Hospital
|
Pune

29 Aug

KEM Hospital

Pune

QUALIFICATION:

- BSc Nursing / M.Sc Nursing / PGDHM

- BAMS / BHMS

- EMS would be an added advantage

EXPERIENCE:

- 0 – 1 years

- TPA experience preferred

JOB RESPONSIBILITIES:

- Counselling of the patient and/or relatives regarding mediclaim procedures

- Counselling the patient regarding admission procedure, counselling about deposit specially in case of operative procedures. Deposit in case of sum limit exhausted.

- Providing medical details to the clerical section

- Preauthorization form of admitted patient and pre-approvals

- Query replies – if any documents is required from the patient, or any justification from treating doctor

- Monitoring the medical progress of the patient like change in the treatment plan, treatment cost or change in the anticipated length of stay (paperwork)





- Providing with the help of resident doctors, medical details and justifications for any changes for documentation purposes

- Interacting with the consultants, whenever required

- Coordinating discharge of the patient

- Counselling of the patient regarding the discharge procedure, time required, amount to be paid in approximate amount

- Filling the reimbursement form of non-cashless patient and replying to any query raised from TPA

- Conducting regular ward rounds.

- Any other work/responsibility assigned by the HOD/Management in the course of business/work whether within the same unit/dept or any other unit/dept from time to time

📌 COORDINATOR – MEDICLAIM (Pune)
🏢 KEM Hospital
📍 Pune

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