A
Aster DM Healthcare
Recovery Officer
Skills
Compliance
2 months ago
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Important information
Contract type:
Permanent
Location:
Raipur, Chhattisgarh, India
Work mode:
Onsite
Published on:
3 September 2026
What they need
- Billing & Pre-Auth Coordination: Handled end-to-end credit billing, documentation, and pre-authorization approvals for Ayushman Bharat (AB-PMJAY), CGHS, ECHS, and corporate TPA clients.
- Outstanding Recovery: Tracked, monitored, and accelerated the recovery of long-pending outstanding payments from government panels and private insurance companies.
- Denial & Query Management: Investigated short-payments, deducted amounts, and claim rejections; prepared and submitted strong medical justifications to reverse denials.
- Payment Reconciliation: Performed regular reconciliation of credit ledgers against bank receipts to ensure accurate accounting of TPA and scheme payments.
- Corporate Liasoning: Maintained strong professional relationships with TPA empanelment managers and corporate corporate desk officers to expedite stuck payments.
- Audit Compliance: Audited discharge summaries, indoor case papers (ICP), and final bills before submission to ensure zero-penalty compliance with government guidelines.
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