RMO TPA

Job Title

TPA RMO (Resident Medical Officer)

Location

Greater Noida

Experience

4-5 years (preferably in TPA and Ayushman Bharat filing)

Education

MBBS from a recognized institution

Salary

35k to 45k

Employment Type

Full-time

Job Responsibilities

• Patient Management: Oversee and manage patients' medical needs and coordinate with departments to ensure timely medical interventions.
• TPA Coordination: Handle the Third-Party Administrators (TPA) for insurance claims, documentation, and approvals.
• Ayushman Bharat Filing: Manage the filing and processing of claims under the Ayushman Bharat scheme, ensuring timely approvals and accurate documentation.
• Clinical Duties: Attend to patient consultations, perform necessary medical procedures, and provide emergency care when required.
• Record Keeping: Maintain accurate patient records, including treatment and medication details, to ensure proper follow-up and audits.
• Medical Liaison: Act as a liaison between patients, TPA coordinators, and the hospital administration to ensure smooth processing of insurance claims.
• Collaboration: Work closely with consultants, nurses, and administrative staff to provide high-quality care to patients.
• Emergency Response: Be on-call for any emergency medical situations and provide immediate medical assistance.
• Compliance: Ensure compliance with hospital policies, insurance guidelines, and medical protocols.

Skills Required

• Strong understanding of TPA and insurance processes
• Familiarity with Ayushman Bharat scheme documentation
• Excellent communication and interpersonal skills
• Ability to handle stressful situations in a clinical environment
• Proficiency in medical record-keeping and documentation

Job Type

Full-time

Pay

₹40,000.00 - ₹50,000.00 per month

Experience

• total work: 1 year (Preferred)

Work Location

In person