Medical Officer and TPA (Fresher-5 Years)

Posted on 04-Oct-2017 by : Family Health Plan Insurance TPA Ltd
Gurgaon, Hyderabad
Not Disclosed

Keyskills : Insurance Claim process

Job Summary

12 Openings
Medical Services
Hospitals/ Health Care

Job Description

  • Third Party Administration (Health) services (TPA)
  • Claims and Preauthorization Processing
  • HealthCare Assistance Services
  • High Ratio Claims Management in coordination with Networking and Empanelment Department

Roles & Responsibilities

    • Monitoring the overall operations of Claims 
    • Responsible for ensuring efficient response at the level of Pre-authorization to maintain TAT
    • Ensure adherence to processes and controls.
    • Creating the process for claim processing (Cashless and Reimbursement)
    • Co-ordination between Network Hospitals

Company Profile

FAMILY HEALTH PLAN INSURANCE TPA LTD Family Health Plan Insurance TPA Ltd is pioneering as one of the best Third Party Administrators in Health Insurance sector for providing quality assistance to core groups of the healthcare industry. FHPL is licensed by Insurance Regulatory Development Authority of India and acts as a nodal agency between the core groups of the healthcare industry. The core groups are Insurance companies, insured members (Policy holders) and Hospitals (healthcare service providers). FHPL ensures quality health care and bridges the gap between the sources for rendering the right service, at right time, to the right person, at a right price.

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