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TPA Doctor (BAMS/MBBS)
Vaidyog Helathtech Pvt ltd
Full-time
Vacancies1
Experience0.0 - 5.0 years
Salary₹300,000 - ₹700,000
Posted20 hours ago
Job Description
We are seeking a detail-oriented and clinically knowledgeable TPA Doctor (BAMS/MBBS) to manage insurance pre-authorizations, medical documentation, claim coordination, and communication with Third-Party Administrators (TPAs) and insurance companies. The candidate will play a key role in ensuring timely approvals, minimizing claim rejections, and facilitating a smooth cashless hospitalization process for patients. The ideal candidate should have a sound understanding of clinical documentation, health insurance processes, medical coding basics, and excellent communication and coordination skills.
Key Skills
TPA & Insurance OperationsMedical Record ReviewCashless AuthorizationInsurance Claim ProcessingMedical DocumentationClinical AssessmentPre-AuthorizationHospital Billing CoordinationInsurance CommunicationQuery ResolutionMS OfficeAttention to Detail
Medical Qualifications
Valid medical registration with the appropriate medical councilKnowledge of hospital insurance and TPA processes
Certifications Required
Valid MBBS/BAMS medical registrationCertification or training in health insurance/TPA operations is preferred
Education
MBBS or BAMS from a recognized medical institutionRelevant experience in hospital TPA, insurance, or medical claims operations is preferred
Perks & Benefits
Competitive salaryPerformance-based incentivesProfessional development opportunitiesTraining and skill-development programsPaid leaveCareer growth opportunitiesSupportive hospital environmentEmployee benefits as per organization policy