Ayu Health -AM- Medical & TPA-Claims (upto 6-7LPA)
Location
Bangalore | India
Job description
Key Job Responsibilities:
- Provide Medical opinion for Health Insurance Claims
- Processing of Cashless and Reimbursement Requests & Health Insurance Claim Documents
- Maintaining & Ensuring Standard Operating Procedures & Protocols
- Manage volumes effectively & efficiently to maintain Turnaround time of processing cases
- Coordinate with various departments to correct the processes leading to delays
- Claim Case Management / Cost Management
- Maintain a processing error of 1%
- Handling escalations from hospitals regarding the process/TAT/approvals.
Qualification:
Applicants must possess at least a graduation degree in BAMS / BHMS /MBBS, Physiotherapy, Nursing etc. Along with Masters in Hospital Administration/Health Management
Experience:
- At least 3-5 years' experience in Claims processing/ TPA documentation process.
- 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.
Job tags
Salary
