Bams jobs in Pune, Maharashtra

Job Description: Assistant Doctor (Insurance)

Position: Assistant Doctor – Insurance

Location: Dhole Patil Road, Pune.

Employment Type: Full-time

Job Summary

We are seeking a dedicated and proactive Assistant Doctor – Insurance to manage insurance-related medical coordination within the hospital. The ideal candidate will have experience in hospital insurance processes, excellent communication skills, and the ability to coordinate effectively between patients, doctors, and TPA/insurance companies. The candidate should be solution-oriented, organized, and committed to ensuring a smooth patient experience.

Key Responsibilities

• Review and coordinate insurance-related medical cases in accordance with hospital and insurance guidelines.
• Counsel patients regarding insurance eligibility, documentation, approvals, and claim processes.
• Handle and resolve patient and insurance-related queries in a timely and professional manner.
• Coordinate efficiently with TPA representatives, insurance companies, treating doctors, and hospital departments.
• Ensure timely submission of medical documents required for insurance approvals and claims.
• Monitor pre-authorization, enhancement requests, claim approvals, and discharge-related insurance formalities.
• Maintain accurate records of insurance cases and follow up on pending approvals.
• Provide regular updates to patients and their families regarding the status of insurance approvals.
• Work closely with clinical and administrative teams to ensure seamless coordination and patient satisfaction.
• Identify issues proactively and provide practical solutions to minimize delays and improve workflow.

Requirements

• MBBS/BAMS/BHMS or equivalent medical qualification.
• Minimum 1–3 years of experience in hospital insurance coordination.
• Sound knowledge of hospital insurance processes, TPA procedures, and cashless claim management.
• Experience in insurance counseling and addressing insurance-related patient queries.
• Strong coordination skills with the ability to liaise effectively between patients, doctors, hospital departments, and TPA/insurance companies.
• Excellent communication, interpersonal, and problem-solving abilities.
• Fluency in English, Hindi, and Marathi is mandatory (spoken and written).
• Proficiency in MS Office and Hospital Information Systems (HIS) is preferred.
• Ability to work efficiently under pressure while maintaining accuracy and professionalism.

Work Schedule

• Day Shift
• Flexible shift availability based on operational requirements.

Preferred Candidate Profile

• Smart, confident, and highly organized professional.
• Excellent coordination and stakeholder management skills.
• Strong analytical and decision-making abilities.
• A proactive problem solver with a patient-first approach.
• Ability to handle multiple cases simultaneously while ensuring timely resolution.
• Professional attitude with a commitment to quality healthcare service and patient satisfaction.

Pay: ₹35,000.00 - ₹46,410.78 per month

Benefits:

• Flexible schedule
• Paid time off
• Provident Fund

Work Location: In person