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DR.Hiren Shah

DR.Hiren Shah

Medical officer,claim assessment

Followers of DR.Hiren Shah136 followers
location of DR.Hiren ShahVadodara, Gujarat, India

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  • Timeline

  • About me

    Senior Medical Officer at Medsave Healthcare (TPA) Ltd.

  • Education

    • ANAND HOMOEOPATHIC MEDICAL COLLEGE AND RESEARCH CENTRE,ANAND

      1988 - 1994
      B.H.M.S Homeopathic Medicine/Homeopathy

    • GEB HIGHSCHOOL,VADODARA

      1986 - 1989
      HSC

  • Experience

    • Vipul Medcorp TPA PVT LTD

      Jan 2009 - Dec 2011
      Medical officer,claim assessment

      ASSESSING REIMBURSED MEDICLAIM FILES,AND CASHLESS PROCESS OF MEDICLAIM,INVESTIGATION OF DOUBTFUL FILES

    • Health India TPA Services Pvt. Ltd.

      Apr 2009 - Dec 2011
      AS INVESTIGATOR OF MEDICLAIM FILES

      DOING THOROUGH INVESTIGATION OF MEDICLAIM CASES AND ALSO DOING ON THE SPOT INVESTIGATION WHILE PATIENT ACTUALLY ADMITTED

    • Gujarat Infrapipes Pvt. Ltd.

      Dec 2011 - now
      DOCTOR

      TREATMENT,FIRST AID OF WORKERS AND STAFF,PREVENTIVE MEASURES FOR GOOD HEALTH OF STAFF AND WORKERS,EDUCATING STAFF AND WORKERS ABOUT SAFETY AND GOOD HEALTH,

    • VIPUL MEDCORP TPA PVT.LTD.

      Jan 2013 - now

      To access the mediclaim(reimdursement & cashless ) files as per terms & conditions of various insurance companies.Giving cashless approval and assessment of cashless files.To give expert opinion for mediclaim files.Manage the doctors team by distributing the work and discussing on various topics and giving information about new update of terms & conditionsTraining of new joinee doctors. Handle the medical audit for various insurance companiesDiscussion of repudiated claim files at New India R.O. Show less To access the mediclaim(reimdursement & cashless ) files as per terms & conditions of various insurance companies.Giving cashless approval and assessment of cashless files.To give expert opinion for mediclaim files.Manage the doctors team by distributing the work and discussing on various topics and giving information about new update of terms & conditionsTraining of new joinee doctors. Handle the medical audit for various insurance companiesDiscussion of repudiated claim files at New India R.O. Show less

      • CLAIM PROCESSING

        Jan 2013 - now

      • senior medical officer

        Jan 2013 - now

    • Raksha TPA Private Ltd.

      Oct 2017 - now

      • To access the mediclaim(reimbursement & cashless ) files as per terms & conditions of various insurance companies.• Giving cashless approval and assessment of cashless files.• To give expert opinion for mediclaim files.• Manage the doctors team by distributing the work and discussing on various topics and giving information about new update of terms & conditions.• Handle the medical audit for various insurance companies.

      • Senior Medical Officer

        Oct 2017 - now

      • Senior Medical Officer

        Oct 2017 - now

    • Medsave Healthcare (TPA) Ltd.

      Feb 2018 - now
      Senior Medical Officer

  • Licenses & Certifications

    • BEST FIELD MEDICAL OFFICER FROM HEALTH INDIA TPA