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