Check the medical admissibility of a claim by
confirming the diagnosis and treatment details.
Scrutinize the claims, as per the terms and
conditions of the insurance policy
Interpret the ICD coding, evaluate co-pay details,
classify non-medical expenses, room tariff,
capping details, differentiation of open billing
and package etc.
Understand the process difference between PA
and an RI claim and verify the necessary details
accordingly.
Verify the required documents for processing
claims and raise an IR in case of an insufficiency.
Coordinate with the LCM team in case of higher
billing and with the provider team in case of non-
availability of tariff.
Approve or deny the claims as per the terms and
conditions within the TAT.7
Interested candidates can share their resumes via email or WhatsApp:
Email: shenbagam.j@mediassist.in
WhatsApp: 8097549803
Job Types: Full-time, Permanent, Fresher
Pay: ₹300,000.00 - ₹400,000.00 per year
Benefits:
Health insurance
Provident Fund
Work Location: In person
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