Job Description

Roles & Responsibilities:

Claim Processing:

Verify the medical admissibility of a claim by confirming diagnosis and treatment details.

Claim Scrutiny:

Scrutinize claims according to the terms and conditions of the insurance policy.

Data Interpretation:

Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariffs, and capping details. Differentiate between open billing and package deals.

Process Verification:

Understand the process difference between a PA and an RI claim, and

Document

Interested candidates canRoles and Responsibilities

Education: bhms ,bams

01. Involves Processing of Claims ( Preauthorization / Reimbursement claims)

02. Validating and processing these claims within TAT

03. With good communication and medical Knowledge

04. TPA Experience is an added advantage

Financial :

To see to that there is no financial implication for the organization while settlement of claims

Role :

Medical Officer

Required Knowledge /Skill :

Clinical / TPA /Medical knowledge with insurance background

Education :

BDS/ BHMS/ BAMS/BUMS

Working timing:

Morning Shift / General Shift / Afternoon Shift / Evening Shift

Job Location : Bangalore, mumbai

Note :

This position is for Working from office only. Please do not apply if you are looking for working from home.

share their resumes via email or WhatsApp:

Email:

shenbagam.j@mediassist.com 8097549803
Job Type: Full-time

Pay: ?350,000.00 - ?400,000.00 per year

Benefits:

Health insurance Paid sick time Paid time off Provident Fund
Application Question(s):

What is your current CTC? How many years of experience do you have? What is your expected CTC?
Work Location: In person