Job Description

Job Description:-Medical Coordinator Officer

1)Main responsibilities and Opportunities:

2)Scrutiny of Medical Records & Cases. Provide Medical opinion for Health Insurance-Preauth & Claims.

3)Processing of Cashless Requests & Health Insurance Claim Documents.

4)Ample Knowledge of medical terminology and willingness to work in the non-clinical field.

5)Understanding of Policies, Terms & Conditions & Various Protocols / Guidelines regarding Health Insurance with Claims adjudication/Claims Processing.

6)Follow & Implement Standard Operating Procedures & Protocols

7)Treatment Wise Procedure Coding.

8)Manage volumes effectively & efficiently to maintain Turnaround time (TAT) of processing cases

9)Should be Flexible for Morning/Afternoon Shifts

Required Candidate profile

1)Good Medical field knowledge.

2)Good Excellent oral and written communication, negotiation, and decision-making skills.

3)Good customer relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.

4)Perks and Benefits:- One of the Best in the Industry

Role: MEDICAL OFFICER / MEDICAL COORDINATOR

Industry Type: Medical / Healthcare / Hospitals

Functional Area: Medical, Healthcare, R&D,Health Insurance.

Employment Type: Contractual Job, Full Time & Part-time.

Role Category: Medical Professional – Non-Clinical.

Education: UG: BAMS – Any Specialization, BHMS – Any Specialization, MBBS – Any Specialization, PG: Post Graduation Not Required Doctorate: Doctorate Not Required

Key Skills:-

Claims Adjudication, Claims Processing, Health Insurance

Standard Operating Procedures, Medical Scrutiny, Procedure Coding, Medical

Job Type: Full Time
Job Location: Mumbai

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