Medical Officer

Family Health Plan insurance TPA limited

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.

• Experience

  0 - 5 Years

• No. of Openings

  50

• Education

  BAMS, Bachelor of Hotel Management

• Role

  Medical Officer

• Industry Type

  Hospitals / Medical / Healthcare Equipments

• Gender

  [ Male / Female ]

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office