Medical Field Auditor Phoenix Assurance Pvt Ltd

About Phoenix Assurance Pvt Ltd

Job Description

Vacancy Alert | Urgent Requirement Medical Field Auditor Background of The Company: We are the preferred partner for the majority of private insurance companies in the majority of parts of India concerning claim verification and investigation. Eligibility: MBBS GMC Certified. Location & No of Vacancies: Ahmedabad, Surat, Baroda, Mehsana, Bhavnagar Job Requirement: Candidate must be proficient in medical terminology, disease classification and understanding of line of treatment. Candidate must have a good command of English. Candidate must have basic knowledge of computer, MS Office, mail communication etc. Candidate must have a smartphone & Laptop. Candidate must have his/her own vehicle for transportation. Brief Job Role: To Visit Hospitals (Mainly Networks) and check for fulfilment of empanelment criteria (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 the 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: 10:00 AM to 6:30 PM As Decided by Team Leader. Working Days: Monday to Saturday Work type: Work from Field Salary Range: Best in Industry Joining: Immediate Contact Person: +91 63588 67434 Human Resource & Administrator. Interested candidates can send their CVs at hradmin@phoenixassurance.in,