TPA Operations Coordinator
Phoenix Resourcing
TPA Operations Coordinator
Phoenix Resourcing
Yeyyadi, Mangalore
₹35,000 - ₹40,000 monthly
Fixed
₹35000 - ₹40000
Earning Potential
₹40,000
Job Details
Interview Details
Job highlights
Urgently hiring
Fast HR reply
HR responded to 100% candidates in last 1 days
55 applicants
Benefits include: PF, Travel Allowance (TA), Petrol Allowance, Mobile Allowance, Internet Allowance, Flexible Working Hours, Health Insurance
Job Description
Vacancy Alert | Urgent Requirement
· Medical Field Auditor
Hiring by: Phoenix Assurance Pvt Ltd.
Background Of The Company: We are the most preferred partner for majority of private insurance companies in majority parts of India in relation to claim verification and investigation.
Location & No Of Vacancies: Mangalore, Belgaum & Bagalkot 📍
Eligibility: BHMS/BAMS/BDS/BPT
Key Of Responsibility :
· Candidate must be proficient in medical terminology, disease classification and understanding of line of treatment.
· Candidate must have good command over English.
· Candidate must have basic knowledge of computer, MS office, mail communication etc.
· Candidate must have a smart phone.
· Candidate must have his/her own vehicle for transportation.
Brief Job Role:
· To Visit Hospitals ( Mainly Network) and check for fulfilment of empanelment criteria’s ( like HR gaps, infra gaps, Tariff discrepancies etc.)
· To audit paid claims and identify irregularities ( MOU related, As per policy terms and conditions, consumables, Tariff related, Package mismatch, medical discrepancies.)
· To discuss irregularities with hospital authorities and initiate recovery.
· Live case management ( check for above irregularities for live admitted patients and reduce bill liabilities.)
· To report to higher authorities about daily assigned tasks and completed tasks.
· To prepare daily MIS and report to higher authorities.
Job Timings: 09:30 AM to 6:00 PM – As Decided By Team Leader; Monday to Saturday
Joining: Immediate
Interested candidates can send their CVs at
Regards,
Dr Rashmikant Patel | Director: Phoenix Assurance Pvt Ltd
Job role
Department
Customer Support
Role / Category
Customer Support - BPO / Voice / Blended
Employment type
Full Time
Shift
Day Shift
Job requirements
Experience
Min. 6 months
Education
Diploma
Skills
Drugs and Medicine, Hospitality management, Homeopathic doctor, General insurance, Claim management, Homeopathic treatments, Ayurvedic medicine, Fraud analysis, Dental treatment, Fraud investigation
English level
No English Required
Age limit
23 - 35 years
Gender
Any gender
About company
Name
Phoenix Resourcing
Address
1005 Shilp Zaveri, Swinagar Society, Nehru Nagar, Shyamal, Ahmedabad, Gujarat, India
Job posted by Phoenix Resourcing
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