Dr Mohd Saifullah Khalid Email & Phone Number

Noida Area, India

Noida Area, India

Role & Responsibilities:• Claims Management: processing and medical verification.• Medical case management studies and investigation review. Cashless • claim processing domain. • Responsible for cashless and Reimbursement of claims • Price review and cost saving• Responsible for Medical scrutinization.• Resolve queries of the provider and medical affairs.• Audit the reimbursement as well as the cashless claim as per medical knowledge and policy t&c.

Noida Area, India

 Preauthorization coordinationo Member query on Hospitalization.o Hospital Admission/Discharge & Tariff queries.o Claims settlement & related queries.o Handling disputesClaims Management: processing and medical verification.• Medical case management studies and investigation review. Cashless • claim processing domain. • Responsible for cashless and Reimbursement of claims • Price review and cost saving• Responsible for Medical scrutinization.• Resolve queries of the provider and medical affairs.• Audit the reimbursement as well as the cashless claim as per medical knowledge and policy t&c.

Gurgaon, India

• Claims Management: processing and medical verification.• Medical case management studies and investigation review. Cashless claim processing domain.• Responsible for cashless and Reimbursement of claims • Price review and cost saving• Responsible for Medical scrutinization.• Resolve queries of the provider and medical affairs.

 Maintenance of IPD patient records.  Follow up of IPD patients twice a day and on call. Post operative care of surgery IPD patients and follow up of same after discharge according to concerned consultant.

Specialised Diploma In Health Insurance, Health Insurance, First

Bums, 2009

Senior School Certificate