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BHMS Doctor - Apollo Multispeciality Hospitals, Kolkata @ Apollo Hospitals

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 BHMS Doctor - Apollo Multispeciality Hospitals, Kolkata

Job Description

Key Job Responsibilities:


  • Claims Adjudication: Reviewing and analyzing medical documentation for hospitalization claims to verify authenticity and necessity.
  • Pre-Authorization Approval: Evaluating, approving, or denying cashless treatment requests based on policy coverage and medical validity.
  • Medical Review & Scrutiny: Checking the treatment protocol, medication, and diagnosis to ensure they are appropriate for the patient's condition.
  • Coordination & Communication: Acting as a bridge between treating doctors in hospitals and insurance providers to clarify, negotiate, or justify treatment plans.
  • Grievance Handling: Addressing queries and disputes related to claim settlement and policy coverage.

Job Classification

Industry: Medical Services / Hospital (Diagnostics)
Functional Area / Department: Healthcare & Life Sciences
Role Category: Other Hospital Staff
Role: Clinical Assistant
Employement Type: Full time

Contact Details:

Company: Apollo Hospitals
Location(s): Kolkata

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Keyskills:   TPA Insurance Patient Counselling Tpa Billing

 Fraud Alert to job seekers!

₹ .5-5 Lacs P.A

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Apollo Hospitals

2COMS Consulting Pvt. Ltd. is a Recruitment and staffing solutions company established in 1999 in Kolkata with branches in Pune, Hyderabad & Bhubaneshwar. 2COMS focuses on verticals like KPO, BPO, IT, Insurance, Banking.