Doctor

Job Description

- Scrutiny of Claims coming form different Panel and Non Panel hospitals

- Assess the medical necessity and compatibility with the policy of the investigations being done at hospitals.

-Approval and Issuance of Credit Letters to Jubilee Health’s panel Hospital and clients as per terms and conditions of the policy.

-Advice /Initiate Claims Investigations of claims purely on Personal Judgment.

-Coordination with the Hospital Management Section, Jubilee Health.

-Coordination with the Claims Section, Jubilee Health

-Coordinate with Customer Service Officer for assisting client / patient at the panel hospital.

-Coordinate with Case Manager for access to patient medical Information.

-Coordinate with Corporate Section of the Hospital

-Coordination with doctors of other shifts for continuity of patient care

-Attend Client Queries as per pre-defined Terms and Conditions of the policy-

Suggest ways and means to bring improvements in the present work process.

-Communicate with Attending doctors and clients in clarifying Jubilee Health policy terms and conditions

Job Locations: Lalazar, Karachi, Pakistan