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Medical Officer Fresher's job

1 year ago   Financial Services   Gurgaon   90 views Reference: 31634
Job Details
  • Dealing with patients health care related documents.
  • Ensuring error free processing of pre authorisation 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.
  • Inform providers as needed and file completed pre certification 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
  • please Contact - Tanay Srivastava no given below
Company Description
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.