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 Indias 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