- Position:MedicalOfficer Company:VHITPA VidalHealthis100%SubsidiaryofBajajFinservHealth(BFHL).VidalHealthwasestablishedinMarch 2002withthemissiontoprovidetopqualityTPAservicestoHealthInsurancepolicyholdersandbe themostpreferredTPAinIndia.WearelicensedbyIRDA(InsuranceRegulatory&Development; Authority-LicenseNo.016)andhavebeenempaneledbyleadinginsurancecompanies,bothpublic sectorandprivate,acrossdifferentregionsofthecountry.VidalHealthoperatesthroughfourkey businessverticals:Commercial,Government,International,andSelf-Fund,withapresenceboth acrossIndiaandinternationally. CompanyLink:https://www.vidalhealthtpa.com/vidalhealthtpa LinkedIn: https://www.linkedin.com/company/vidal-health/ KeyObjectives/ResponsibilitiesofthisRole: ? EnsuringerrorfreeprocessingofPreAuthorizationwithinagreedTAT(Turnaroundtime)bywayof followingthefollowingprocess, ? Byenteringaccurateinformationintotheapplicationdefinedbytheorganization. ? Reviewstructuredclinicaldatamatchingitagainstspecifiedmedicaltermsanddiagnosesor procedurecodesandfollowestablishedproceduresdefinedbytheinsurerandtheorganization.



? Informprovidersasneededandfilecompletedprecertificationrequestsasperprocedureso Interactingwithprovidersfordischargesummeryetc..asandwhenrequired. ? Ensure100%accuracyofalltheauthorizationapprovalaspertheprocess. ? Anyauthorizationnotasperthelimitoraspertheprocesstobeescalatedtotheteammanageron priority. ? Anymedicalopinionrequiredfromthespecialisttobeescalatedtothespecialist. ? Ensuringprocesscomplianceismetasperregulatoryprocedures. ? MaintainingDailyexcelmaintenanceforPreauthcasesreceivedandprocessed. ? Solvingcustomerquerieswherevermedicalopinionsarerequiredandneedtobeaddressbythe medicalpractitioner PreferredSkills/Tools: •MedicalpractitionerBHMS/BAMS/BDS •0-3years'experienceinPre-AuthorizationandClaimsmanagement. •Soundmedicalknowledgeandwillingtoworkinnon-clinicprocess. •Minimumofoneyearexperienceinhandlingauthorization(preferred) •Shouldbewillingtoworkinshiftsandshouldbewillingtoworkfromoffice(noWFH) • Prior&relevantexperienceintheHealthTechIndustrywouldbeanaddedadvantage.; KeyResults •ExcellentInterpersonalSkills •Exceptionallyhighmotivationlevelsandneedstobeaself-starter. •Stronganalyticalskills •ExceptionallyHighlevelofproficiencyinMSOffice(PowerPointandExcel

📌 Medical Officer (Rajasthan)
🏢 Vidal Health Insurance TPA
📍 Rajasthan