Chennai, Tamil Nadu 0-2 Yrs ₹1.5 - ₹02 Yearly
Job description
Job Tile :
Claims processing Doctor
Job Description:
Medical claims processor will have to look into claims where
payment was denied. Commonly due to issues of insurance coverage eligibility ,
the claims handler may be tasked with reviewing documentation from the patient,
their physicians, or the insurance.
With the medical expertise ,need to master the various
products and to apply the same during claim processing.
Claims processors process any claim payments when applicable
and must ensure they comply with federal, state, and company regulations and
policies.
List of Responsibilities:
To validate the authenticity and the credibility of the
claims.
To coordinate with various persons (Claimant, Treating
Physician, Hospital insurance desk, Field Visit Drs, Investigation officers)for
hassle-free claim processing .
To expertise ,the process of negotiation when necessitated.
The claim handler owes a duty of care to the patient,
ensuring that their needs are being met and that they re receiving the
treatment or medicine they need.
Job Qualifications and Requirements:
Required BDS, BHMS, BAMS Graduates.
Adapt and inbuilt the process of communication and
coordination across the zones and the supporting verticals accordingly.