Medical Officer

2 weeks ago

Bengaluru, India Mongoose Minds Private Limited Full time

Job Title: Medical officer

Location: Konankunte cross

Job Summary

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.

Behavioral Competencies:

· Strong communication skills (verbal & written).

· Teamwork and collaboration.

· Time management and multitasking.

Job Type: Full-time

Pay: ₹20, ₹30,000.00 per month

Work Location: In person

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