Reviewing claims: Review medical records, paperwork, and documentation from patients, physicians, and insurance companies. Have worked for the Approval dept. for accurate approving/proper scrutinizing of the claims Verifying information: Verify patient information and assess medical documentation. PSU and Private health insurance companies according to medical admissibility within policy guidelines. Determining reimbursement: Manage Pre-authorization, Reimbursement & Cashless claims including adjudication, Quality check & TAT. Determine appropriate amounts based on insurance coverage and contracts Resolving discrepancies: Investigate and resolve claim discrepancies and denials Communicating: Communicate with healthcare providers, insurance companies, and policyholders Maintaining records: Update and maintain claim records and databases Providing support: Provide support to policyholders and healthcare providers regarding claim inquiries Adhering to regulations: Adhere to healthcare regulations and billing procedures Job Type: Full-time Benefits: Health insurance Provident Fund Schedule: Day shift Work Location: In person,
Employement Category:
Employement Type: Full time Industry: Medical / Healthcare Role Category: Not Specified Functional Area: Not Specified Role/Responsibilies: Doctor - Insurance Tpa Job In Gmoney Pvt Ltd