Medical Advisor - Medical Approvals Department
- Handles the approvals and verifies these for accuracy, completeness, whether it includes the diagnosis, symptoms, the duration of illness, medical report, and procedure requested for approval, etc.
- Communicate with treating doctors to ensure medical justification.
- Verifies pricing of laboratory tests and procedures requested for approval.
- Ensures that confidentiality is maintained with respect to all patient records.
- Gives medical clearance, either through the official books and follows up outstanding cases continuously.
- Works to give approvals quickly and efficiently to serve the high levels of client and serve the interests of the company.
- Communicates constantly with concerned hospitals to provide various medical services that are aimed at building strong relationships with them.
- Keeps clients’ files updated.
- Backs up for officers, senior officers or authorization operator in case of any performance deficit.
- Ensures that medical decisions and processes are documented in a professional way.
- Assists in any other capacity as required by the management.