Paramount Health Services TPA Ltd Mumbai : Medical Officer

[mskavi]

Paramount Health Services (TPA) Ltd. Mumbai, Mumbai Suburbs : Medical Officer
Website: http://www.phmhealth.com

Designation: Medical Officer
Experience: 0 - 2 Years
Location: Mumbai, Mumbai Suburbs

Job Description:
Medical Management :
Medical Scrutiny of health insurance claim documents.
Co-ordination with Insurance companies.
Inter departmental co-ordination.
Preauthorisation :
Authorization of Cashless request.
Reviewing cashless requests.

Desired Candidate Profile:
-MBBS/BHMS/BAMS qualified.
-Good written and verbal skills.
-Team Player
-Ability to coordinate

Company Profile:
Paramount Health is a Managed Care Service organisation providing innovative
services towards health care requirements.
Our array of health care services includes beneficiary enrollment, claim settlement, cashless hospitalisation benefit, etc.

Email Address: recruit.phs@paramounttpa.com

Keywords: Medical Officer, Medical, BHMS, MBBS, BAMS, Medical, Healthcare, Insurance, Pharma, Medical Representative, Medi Claims

[dr jayshree K Thakur]

APPLICATION FOR MEDICAL OFFICER

NAME : DR. JAYSHREE KUNAL THAKUR

PERSONAL DETAILS :
DATE OF BIRTH : 4TH MAY 1983
THANE

EMAIL : drjaysrhee44 AT yahoo.co.in
MARITAL STATUS : MARRIED
LANGUAGES KNOWN : ENGLISH, MARATHI, HINDI
OBJECTIVE : TO BECOME SUCCESSFUL PHYSICIAN

ACADEMIC DETAILS :
DEGREE BOARD/INSTITUTE PASSING YEAR
B.H.M.S. NASHIK UNIVERSITY JUNE-2006
H.S.C. PUNE UNIVERCITY FEB-2000
S.S.C. PUNE UNIVERCITY MARCH-1998

OTHER QUALIFICATION : IACH DEPLOMA COURCE
COMPUTER KNOWLEDGE : BASIC
WORK EXPERIENCE :
1) MODI HOSPITAL, JAYSINGPUR FOR 12 MONTH AS R.M.O.
2 ) CRYSTAL HOSPITAL, BORIVALI FOR 7 MONTH AS R.M.O.
3 ) HITWARDHAK HOSPITAL, KANDIVALI FOR 18 MONTH AS R.M.O.
4 ) DEODHAR HOSPITAL, THANE AS R.M.O. FOR 6 MONTH

[Guest]

DR. POONAM VISHAWAS PATIL.
MSC (CRM), B.A.M.S. (PUNE) DYA, PGDEMS, DIPLOMA ACLS-BLS PROVIDER COURSE.
MCI REGISTRATION NO. = I-59450-A
Gender :
Status : Married
EMAIL : poonam16.patil AT gmail.com
Date of Birth : 16th May 1985
Linguistic Proficiency : English, Hindi, Marathi.
Hobbies : Painting, playing games, reading books.
Educational Qualifications
Successfully completed MSc CRM from ICRI Mumbai 2 year full time course.
Examinations Institutions Year of Passing % Marks
S.S.C H.A High School, PIMPRI 2000 68%
H.S.C D.Y. PATIL ACS COLLEGE,PIMPRI 2003 62.67%
B.A.M.S P.A.D.DR.D.Y.P Ayurvedic College & Research Center Pimpri Pune-18.
1st year October-2004 67.21%
2nd year June -2006 67.73%
3rd year Nov\Dec-2007 68.51%
D.Y.A Tilak maharashtra Vidyapeet Gultekadi Pune-411037. May-2006 64.50%
ACADEMIC ACHIEVEMENTS : - Awarded by Lions and Rotary Club for Ideal Student Award in Medical College.
SPECIAL FEATURES :-
Successfully completed ACLS & BLS provider course,
Have 1st Class in PGDEMS from Symbiosis Institute of Health Sciences (PUNE).
Sucessfully Completed MS-CIT from I.T.I. MORWADI.PIMPRI, CHINCHWAD

EXPERIENCE :-
Working with Dr. Anil Potdar ( cardiologist) as a CRA successfully completed one project “Patent radial artery device”.
Mediassist india TPA pvt.ltd
Mediassist India Pvt Ltd working since July 2011As a Senior medical officer.
1. Working as case processor for Individual claim.(NIA,UIIC)
2. Pre-autherisation processing for the individual claim(NIA, UIIC)
Previous Experience :
Health India Medical Pvt Ltd.
Working as a medical investigator officer handling all life claim with
Health claim & working with following companies.
1. State Bank of India
2. ICICI prudential
3. Max Bupa
4. Canara HSBC
5. ING Life insurance company
6. Birla Sun life
7. Future Generali
8. Agon religare
9. Bharti Axa
Job profile :
Investigating the case
Dealing with hospital & life Insured.
Processing the claim
Making final report
Dealing with field officer
Hitech Medical services :
Worked as a medical officer as medical officer for the investigation of cases with hospital visit for the cashless & reimbursement cases.
Joy Hospital
Was worked in JOY hospital(100 bed ISO certified tertiary care) as an CMO from April 2010 to April 2011.
Prem Clinic
Had 1yr. working EXPERIENCE IN OBSTETRICIAN & GYNACOLOGY, with DR.VIBHA ZUTSHI PIMPRI AS a OT ASSISTANT &24 hr. R.M.O.
NIRMAYA HOSPITAL
Worked in NIRMAYA HOSPITAL, CHINCHWAD as an R.M.O in Casualty & I.C.U, C.C.U
LOKMANYCARE HOSPITAL (PUNE)
Worked with DR.SUPRESHANT KULKARNI IN LOKMANYCARE HOSPITAL (PUNE) AS OT assistant & surgery department R.M.O FOR 10 MONTH.
ABHISHEK NURSING HOME
Working in ABHISHEK NURSING HOME GHATKOPAR (W) as night R. M. O. since last 6 month
Extra Cirricular Activities :-
Passed Drawing Grade Exams
Participated in school & colleges’s sports and annual functions.
I HEREBY ASSURED THAT ABOVE GIVEN INFORMATION IS CORRECT
Signature
Dr.Poonam V Patil

[Unregistered]

Name : Anagha Ashwin Bhale.
Email id. : bhale.anagha AT yahoo.com

Objective :
To establish and participate in a research team that is devoted to finding better diagnosis , treatment and prediction of complex human disease’s ( including cancer ) while expanding my knowledge and skills in functional genomics and diagnostic clinical research.

Academic Qualification :
-pursuing PG in CR ( successfully completed semester 3)
-BHMS from Shri. CMPHMC
-HSC from Patkar College (2007 )
-SSC from Pragati Vidyalaya ( 2005 )

Educational details :
Exam Name of the institute university Marks obtained in % Passing year :
SSC Pragati vidyalaya Mumbai 79% 2005
HSC Patkar college Mumbai 77% 2007
1st yr BHMS CMPHMC Mumbai 71% 2009
2nd yr CMPHMC Mumbai 64% 2010
3rd yr CMPHMC Mumbai 61% 2011
4th yr CMPHMC Mumbai 60% 2012

Work Experience :
Worked with Dr. Mamtora , as a assistent (completed 10 months )
Worked with Dr. Hemal Bhagat , ( for 3 months. )
Worked with Dr. Ambesange , as a observer
worked at Sadiwala nursing home as R.M.O.

Seminars / Projects / Academics / Achievements :
- Project on Ethics committee at CR
- Thesis on lumbar discogenic pain
- Passed with distinction in Anatomy and Pharmacy ( 2008 )
- Won Anatomy Quiz ( 2008 )

Workshop :
Respiratory Workshop ( 2010 )
Key Skills :
- Time & Team management and ability to work under optimum supervision.
- Presentation, negotiation and organizational skills.
- Interacts easily with people of diverse backgrounds, cultures, and professional levels Fluent in verbal and written English.
- Hard working

Extra curricular achievement :
- Won Rangoli competition , 2nd place
- Won Thumb painting competition , 3rd place
- Won Poster making competition , 3rd place
- Participated in mehandi competition
- Won nail art competition
- Passed Elimentary with grade C
- Passed Intermediate with grade B
- Participated in Interschool dance competition

Personal Details :
Known Languages : English , Hindi , Marathi
Date Of Birth : 20th April , 1990.
Nationality : Indian
Gender :
Marital status : Single
Hobbies : watching movies , painting , listening to music.

Reference : Will be provided on request.
Date –
Place - Signature
Name – Anagha Ashwin Bhale.

[Unregistered]

Name :-Dr.Ashwini shankar chikane
DOB :- 5th september 1990
Nationality :-Indian
Religion :-Hindu maratha
Languages known :- English;Marathi;Hindi
Educational Qualification :- B.A.M.S from M.U.H.S nashik
Work Experience :-as a rmo
1 year in seven eleven hospital bhayandar
2 month kulloli gen.surgery & maternity hospital; sangali