| Job Title | TPA DOCTOR |
|---|---|
| Category | Healthcare |
| Location | New Delhi |
| Company | Max Healthcare |
| Description | Job description Review patient files, diagnosis, and treatment plans for cashless approval Coordinate with TPA/insurance companies for pre-authorization and enhancement approvals Evaluate medical necessity of investigations, procedures, and length of stay Prepare and submit justification notes for queries raised by TPAs Handle claim rejections and deductions with proper clinical reasoning Ensure accurate and complete documentation (case sheets, discharge summary, reports) Follow up on pending approvals and escalate critical cases Support billing team in final claim settlement Maintain compliance with insurance and hospital policies Monitoring Approval rate / reduction in rejections Maintained TAT for pre-authorization and query closure Reduction in billing deductions Quality of documentation and compliance |
| Salary | Not Disclosed |
| Last Date | 2026-05-30 00:00:00 |
| Apply Link | Click Here |
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