Roles and responsibilities: ? Dealing with patient’s health care related documents. ? Ensuring error free processing of reimbursement claims within agreed TAT (Turnaround time). ? Entering accurate information into the application defined by the organization. ? 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. ? Any adjudication which is 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 reimbursement claim received and processed.
📌 Medical Officer_ SF_4 (Bengaluru)
🏢 VH Medcare
📍 Bengaluru
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