Medical Field Auditor

Hiring by: Phoenix Assurance Private Limited ( On behalf of Bajaj Allianz GIC )

Eligibility: BHMS/BAMS/BDS

Job Requirement:

Candidate must be proficient in medical terminology, disease classification and understanding of line of treatment.

Candidate must have good command over English.

Candidate must have basic knowledge of computer, MS office, mail communication etc.

Candidate must have a smart phone.

Candidate must have his/her own vehicle for transportation.

Brief Job Role:

To Visit Hospitals ( Mainly Network) and check for fulfilment of empanelment

criteria's ( 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 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: 09:30 AM to 6:00 PM As Decided By Team Leader; Monday to Saturday.

Salary Range: 1800Rs. to 2000Rs. Per Hospital Visit

Joining: Immediate

Contact Person: +91 63588 67434 Human Resource & Administrator.

Interested candidates can send their CVs at [Confidential Information]