08 Nov
|
Max Healthcare
|
Dwarka
08 Nov
Max Healthcare
Dwarka
MHC/27545
- Front Office
- Dwarka-Max Super Speciality Hospital Posted On 22 May 2026 End Date 05 Jun 2026 Required Experience 5 - 7 Years
- Share
Register And Apply Basic SectionNo. Of Openings
1
Designation
Deputy Duty Manager 1
Employee Category
Front Office
Closing Date
05 Jun 2026 SkillsSkill
Required Qualification
MEDICAL Job Description- Review patient files, diagnosis, and treatment plans for cashless approval :
- Coordinate with TPA/insurance companies for pre-authorization and enhancement approvals
- Evaluate medical necessity of investigations, procedures, and length of stay
- Prepare and submit justification notes for queries raised by TPAs
- Handle claim rejections and deductions with proper clinical reasoning
- Ensure accurate and complete documentation (case sheets, discharge summary, reports)
- Follow up on pending approvals and escalate critical cases
- Support billing team in final claim settlement :
- Maintain compliance with insurance and hospital policies
- Monitoring Approval rate / reduction in rejections
- Maintained TAT for pre-authorization and query closure
- Reduction in billing deductions
- Quality of documentation and compliance
📌 Tpa Doctor (Dwarka)
🏢 Max Healthcare
📍 Dwarka