04 Oct
|
Neelam Hospital
|
India
04 Oct
Neelam Hospital
India
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 (India)
🏢 Neelam Hospital
📍 India