Roles and responsibilities :

- Dealing with patients health care related documents.
- Ensuring error free processing of preauthorisation within agreed TAT (Turnaround time).
- Review structured clinical data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures defined by the insurer and the organization.
- Inform providers as needed and file completed precertification requests as per procedures.
- Any authorization not as per the limit or as per the process to be escalated to the team manager on priority.
- Any medical opinion required from the specialist to be escalated to the specialist.
- Ensuring process compliance is met as per regulatory procedures.
- Maintaining Daily excel maintenance for Pre auth cases received and processed.

Skills and Competencies :

- Medical practitioner/BDS/BHMS/BAMS or equivalent qualification
- 0-1 year experience in Pre-Authorization and Clams management.
- Sound medical knowledge and willing to work in non-clinic process.
- Experience in handling authorization is a add on.




- Should be willing to work in shifts as the department works on 24/7 function
- Key Skills
- medical officer
- BdsbhmsTPAbamshealthcareHealth Insurance
- Skills highlighted with ‘‘ are preferred keyskills

Education

- UG:_BDS in Any Specialization,BHMS in Any Specialization,BAMS in Any Specialization,B.U.M.S in Any Specialization

Company Profile : Vidal Health Insurance

- TTK Healthcare Services is a part of the 74 year old TTK Group providing TPA services to leading general insurance companies. TTK as a TPA provides call center, customer-relations and claim settlement services to the policy holders.
- Company Info
- X- View Contact Details+
- Contact Company:_Vidal Health Insurance
- Address:_TOWER 2, 1ST FLOOR,PLOT NO.13,14,15,,SJR I PARK,EP, IP AREA,WHITEFIELD, BANGALORE, Karnataka, India

Salary : Not Disclosed by Recruiter

Industry: Insurance

Functional Area: Healthcare & Life Sciences

Role Category: Doctor

Role: Medical Officer

Employment Type: Full Time, Permanent

📌 Medical Officer Bangalore - Whitefield (Bengaluru)
🏢 Vidal Health
📍 Bengaluru