Medical officers - Claims ,TPA Job in Stalwarts Servicios

Medical Officers Claims ,tpa

Year KA, IN, India

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Job Description

Medical Officer

We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA who have strong communication and along with good medical knowledge in Claims Adjudication.

Qualifications:

Degree in BAMS, BHMS, BSMS, or MBBS (strictly required).

Candidates who can join immediately or within 15 days are preferred.

Roles & Responsibilities:

Ensuring accuracy and compliance in medical claims adjudication.

Knowledge & Skill Requirements

:

Technical Competencies:

Claims processing - Preauthorization, Medical Adjudication, and Billing experience.

Understanding of GIPSA/MA packages, SOC, and Tariff deviations.

Identifying bill inflations in insurance billing.

Knowledge of surgeries, advanced treatments, and procedure costs

Job Type: Full-time

Pay: ?250,000.00 - ?400,000.00 per year

Benefits:

Health insurance Provident Fund
Work Location: In person

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Job Detail

Job Id

JD4702928
Industry

Not mentioned
Total Positions

1
Job Type:

Full Time
Salary:

Not mentioned
Employment Status

Permanent
Job Location

KA, IN, India
Education

Not mentioned
Experience

Year

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