Medical Officer 4 - 05 Nov - BHMS- NHIS

Job Purpose To evaluate and adjudicate pre-authorization requests by reviewing medical details, policy terms, and insurer concurrence, ensuring accurate and timely approvals that contribute to effective processing and customer satisfaction. Principal Accountabilities Process pre-authorization requests : Ensure timely and accurate adjudication (approval, rejection, or shortfall) - compliance with policy terms. Review and validate medical details : Check system entries and documents - maintain ac…