Job Description

Job Title:

Medical Officer

Open Positions:

2

Location:

Doddakallasandra

Job Summary:

Looking for experienced professionals with a minimum of 1 year in Indian Health Insurance or TPA operations. Candidates should possess strong communication skills and solid medical knowledge, particularly in claims adjudication.

Qualifications:

Mandatory degree in

BAMS, BHMS, BSMS or MBBS

. Preference for candidates who can join

immediately or within 15 days

.

Roles & Responsibilities:

Review and adjudicate medical claims with accuracy, ensuring adherence to guidelines and compliance standards.

Knowledge & Skill Requirements:

Technical Competencies:

Hands-on experience in claims processing, including

preauthorization

,

medical adjudication

, and

billing

. Good understanding of

GIPSA/MA packages

,

SOC

and

tariff deviations

. Ability to identify

bill inflations

and discrepancies in insurance billing. Strong knowledge of

surgeries, advanced medical treatments

and

procedure cost structures

.

Behavioral Competencies:

Excellent

verbal and written communication

skills. Strong

teamwork and collaboration

abilities. Effective

time management

and

multitasking

skills.
Job Type: Full-time

Pay: ₹20,000.00 - ₹25,000.00 per month

Benefits:

Health insurance
Experience:

total work: 1 year (Preferred)
Work Location: In person