Position: Medical Officer

• Monitoring and follow up on prior authorization for outpatient services wherever required and all Inpatient services
• Claims analysis prior to their submission to insurance companies by Finance
• Reconciliation of claims paid and outstanding with insurance companies and coordination with Finance
• Demonstrates functional and business knowledge required for the job and applies that to following the requirements of Insurance Companies in the Hospital and follow-up with the Companies
• Makes accurate, thorough and appropriate work a priority
• Anticipates and sets priorities to support department needs and follow policies and procedures for achieving them
• Identify and analyze problems, take action to resolve, apply sound judgement and take responsibility for their resolution