Dear Doc,
Greetings from Family Health Plan Insurance TPA Ltd!
FHPL Hiring medical professionals for non-Clinical insurance claim processing.
About US:
FHPL is into Health Insurance sector and a group company of Apollo Hospitals.
We are India’s one of the leading TPA with presence in more than 25 locations across country.
Location:
Family Health Plan Insurance TPA Ltd
Ground Floor, Srinilaya – Cyber Spazio, Road no 2,
Banjara Hills, Hyderabad – , Telangana, India
• To give cashless/preauthorization, and scrutiny Medical Reimbursement Claims, and to Process Claims
• Third Party Administration (Health) services (TPA)
• Claims and Preauthorization Processing
• HealthCare Assistance Services
• High Ratio Claims Management in coordination with Networking and Empanelment Department
• Monitoring the overall operations of Claims and Preauthorization.
• Responsible for ensuring efficient response at the level of Preauthorization to maintain TAT.
• Ensure adherence to processes and controls.
• Creating the process for claim processing (Cashless and Reimbursement).
• Co-ordination between Network Hospitals/Preauthorization/Claims.
• Ensuring a high-quality patient care at customized/optimized cost.
• Creating the process for claim processing (Cashless and Reimbursement).
• Must be willing to work in non - clinic
Requirements:
• At least 1 yrs experience in Medical Officer Claims Processing Cashless.
• Good Excellent oral and written communication, negotiation, and decision-making skills.
• Good customer service/relationship skills and ability to work effectively in a fast-paced environment with shifting priorities.
Desired Profile:
BAMS / BHMS /BUMS etc…
Work Experience:
Min experience 6 months to 1 year in a TPA.
0 - 5 Years
50 Openings
3.5-6.0 Lac/Yr
Face-to-Face interview
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