Medical Officer Fresher's job
1 year ago Financial Services Gurgaon 90 views Reference: 31634Job 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.