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Posted Jan 17, 2022 3 views
- Liaise with manager claims and medical team for monitoring purpose.
- Check the rate lists for revision of rates for all panel hospital
- Check the reimbursement claims through verification on ground and to establish the credibility of claim before its payment to clients.
- Monitor the team visiting the panel hospital and to check the documents necessary for admission in hospital (copy of CNIC, copy AICL card/credit letter etc.) ensuring admission is done as per the agreed SLAs.
- Check the unnecessary and prolonged hospital stay to avoid unjustified expenditures.
- Check the CMR reports of Case Managers regularly for smooth process flow.
- Check the PA data for pre authorization and enhancement case accordingly.
- Manage and develop team: monitor workload, ensure job proficiency, develop career goals by evaluating and monitoring individual staff performance and giving appropriate feedback and identify training and development needs.
Job Details
Industry:
Functional Area:
Total Positions:
1 Post
Job Shift:
First Shift (Day)
Gender:
Male
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Minimum Experience:
3 Years
Apply Before:
Feb 18, 2022
Posting Date:
Jan 17, 2022
HRSG Recruiting
Services · 11-50 employees - Lahore
pHRSG Recruting/p
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