Job Description

Position Summary

We are seeking enthusiastic MBBS freshers / interns / house-surgeons (or with up to 2 years experience) to join our medical insurance claims processing team. The role involves verifying medical documents, liaising with hospitals / TPAs / insurers, reviewing claims for accuracy and completeness, and ensuring timely processing. Clinical knowledge is helpful for assessments but the primary focus is on documentation, coding/compliance, and communication.

Key Responsibilities

Review medical bills, treatment notes, diagnostic reports etc. for insurance claims. Verify policy coverage, exclusions, pre-authorizations. Liaise with TPAs / insurance companies / hospital billing departments. Ensure claims are accurate, with all required supporting documentation. Handle queries, follow-ups, denials & rejections. Maintain records, adhere to SLAs and turnaround times. Provide medical expertise in reviewing treatment plans, coding, and clinical documentation to support claim adjudication; coordinate with treating hospitals and consult directly with doctors to assess the necessity and urgency of proposed procedures. Assist senior processing officers / managers as needed.

Qualifications

MBBS degree (fresh graduates, house-surgeons preferred). Good understanding of medical terminology, anatomy & common diagnostics. Strong communication skills (written & verbal), attention to detail. Basic computer skills, ability to work with spreadsheets / claim processing software. Ability to work in a fast-paced environment, meet deadlines, manage multiple tasks.

What We Offer

Competitive salary (see below) + incentives/performance bonuses. Training in insurance claims norms, coding, policy review. Regular working hours, with occasional extended hours if needed. Opportunity for growth into senior processing or supervisory roles.
Job Type: Full-time

Pay: ₹50,000.00 - ₹100,000.00 per month