Sarthak Kumar Biswas
Physician | Telemedicine Consultant | Medical Reviewer | Claims & Utilization Review
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About
Qualified physician with progressive experience across telemedicine, insurance medical review, prescription validation, and utilization review. Proven ability to assess medical necessity, ensure diagnosis-treatment correlation, and maintain SOP/TAT compliance across high-volume digital healthcare platforms. Skilled in chronic disease management, remote patient care, and clinical documentation. Seeking remote and hybrid roles in telehealth, health-tech, or insurance TPA review.
Experience
Consultant Physician – Hair Health at Traya Health (2026-06 – Present)
- Conduct teleconsultations for hair loss, alopecia, and scalp-related conditions.
- Evaluate medical history, lifestyle factors, and investigations to design treatment plans.
- Assess treatment suitability, contraindications, and monitor patient progress.
Telehealth Doctor at Zeno Health (2025-10 – Present)
- Conduct high-volume teleconsultations; review symptoms, history, and investigations.
- Verify and validate prescriptions; provide evidence-based recommendations and patient counselling.
- Maintain accurate EMR documentation ensuring regulatory compliance.
Freelance Medical Consultant at Health Assure & MediBuddy (2026-03 – Present)
- Perform virtual OPD consultations, patient triage, and acute/chronic condition management.
- Review and validate prescriptions; ensure diagnosis-prescription correlation.
Medical Reviewer / Claim Processing Doctor at Medi Assist Insurance TPA (2025-08 – 2025-11)
- Reviewed OPD/IPD claims; processed pre-authorizations and reimbursement requests.
- Assessed medical necessity and prepared detailed medical justifications for claim decisions.
- Ensured strict SOP and TAT compliance across cashless and reimbursement processes.
General Physician at Private Medical Practice (2024-01 – 2025-01)
- Managed outpatient consultations; diagnosed and treated acute and chronic conditions.
- Prescribed medications and maintained thorough clinical documentation.
Consultant Physician at S. N. Ray Hospital (2023-04 – 2023-12)
- Provided outpatient consultations and assisted in multidisciplinary treatment planning.
Resident Medical Officer (RMO) at Shri Vinayak Shri Hospital (2022-07 – 2023-03)
- Managed OPD/IPD patients; assisted in emergency decision-making.
- Prepared discharge summaries and maintained accurate inpatient records.
Clinical Observer at Apollo Multispecialty Hospital (2022-01 – 2022-06)
- Observed clinical workflows and participated in multidisciplinary case discussions.
- Gained exposure to evidence-based practice in a tertiary care setting.
Education
Bachelor of Medicine, Bachelor of Surgery in Medicine – University of Cebu Gullas College of Medicine (2015 – 2019)
Internship in Medicine – Sir Sunderlal Hospital, BHU, Varanasi; Vicente Sotto Memorial Medical Center, Philippines (2019 – 2019)


