Assistant Manager/Manager Claims Gmoney Pvt Ltd
Gmoney Pvt Ltd
Office Location
Full Time
Experience: 3 - 3 years required
Pay:
Salary Information not included
Type: Full Time
Location: All India
Skills: BAMS, BHMS, mbbs, BDS, BUMS
About Gmoney Pvt Ltd
Job Description
The ideal candidate for this role should be a male individual with a background in MBBS, BDS, BAMS, BUMS, or BHMS. As part of the Approval department, your main responsibility will be to accurately approve and scrutinize claims from both PSU and Private health insurance companies, ensuring they align with medical admissibility and policy guidelines. You will be tasked with managing various types of claims such as Pre-authorization, Reimbursement, and Cashless claims, which includes adjudication, quality checks, and adhering to Turnaround Time (TAT) requirements. Additionally, a key aspect of the role involves negotiating cost reductions for high-value Claims-Cases and engaging in conversations with hospitals/providers over the phone to provide appropriate feedback. This is a full-time position that requires you to work from the office during day shifts. The benefits package includes health insurance and Provident Fund. If you are interested in this opportunity, please contact the employer at +91 8433717573 for further discussion.,