Roles and Responsibilities
- To give cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims
- Third Party Administration (Health) services (TPA)
- Claims and Preauthorization Processing
- HealthCare Assistance Services
- High Ratio Claims Management in coordination with Networking and Empanelment Department
- Roles & Responsibilities:
- Monitoring the overall operations of Claims and Preauthorization.
- Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT.
- Ensure adherence to processes and controls.
- Creating the process for claim processing (Cashless and Reimbursement).
- Co-ordination between Network Hospitals/Preauthorization/Claims.
- Ensuring a high-quality patient care at customized/optimized cost.
- Creating the process for claim processing (Cashless and Reimbursement).
- Desired Candidate Profile:
- BAMS/BHMS/BDS Graduates only
- Should have interest to work in non - clinic
work from Office. If interested email your Cv's to aditi.sinha@fhpl.net
Desired Candidate Profile
BAMS/BHMS/BUMS