Medical Officer for Tpa Co. at Banaglore

2 months ago


Bengaluru, India Acme Services Full time

Looking for BHMS,BAMS,BDS,BUMS,BPT For TPA Company

JD:
Processing of claims request received from the hospital

Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis.

Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication.

Coordination with the insurance company for their approval to proceed with final adjudication.

To assist team in Desk and Medical Audit work pertaining to the Scheme

Field Audit and Hospital Audit

**Job Types**: Full-time, Fresher

**Salary**: ₹280,000.00 - ₹400,000.00 per year

Schedule:

- Day shift
- Rotational shift

**Speak with the employer**
+91 8433793186


  • Medical Officer(Mbbs)

    2 months ago


    Bengaluru, India Paramount Health Services & TPA Pvt Ltd Full time

    Paramount Health Services & TPA Pvt Ltd. One of the leading TPA Industry. Looking for medical officer(medical scrutiny) for claim processing. Qualification**:MBBS**.(**Work from office**) Experience :1yr(clinical or non clinical) *LOCATION :Bangalore* **Salary**:As per company standard and other benefits like PF, GMC, gratuity,etc ~*_Job description_~* -...


  • Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Mediassist TPA Pvt Ltd. !! Hurry up Mediassist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Experience: looking for TPA background and clinical experience in health insurance. Education: BAMS, BDS ,BUMS, BHMS, BPT MPT Shifts: Day shift Rotational 6 days working ( work from office) Job role : Settlement...

  • Medical Officer

    2 months ago


    Bannerghatta, Bengaluru, Karnataka, India Medi Assist Insurance TPA Pvt. Ltd. Full time

    Job description Greetings from Medi Assist India TPA Pvt Ltd Immediate Hiring for Medical Officer - BHMS/BAMS/BDS/BPT/BUMS/MBBS/Pharmacy for Bengaluru Location Educational qualification : MBBS/BHMS/BAMS/BDS/BPT/BUMS/Pharmacy Freshers can apply Experience - 0-3 years of experience in Hospital/TPA/Healthcare/Insurance Roles & Responsibilities 1. Should...


  • Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    **Job description**: **Roles and Responsibilities** 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...

  • Medical Doctors

    2 months ago


    Bengaluru, India AYU Health(Plus Health Tech Ventures Pvt Ltd) Full time

    Job description: The Quality A. Manager Hospital shall support the TPA processing department of AYU Health by managing the entire TPA Operation of the entire organization. Must be maintaining good interpersonal relations with insurance companies and patients/attendants. Have to ensure, post discharge insurance queries are dealt within the timeline. Key...


  • Whitefield, Bengaluru, Karnataka, India Tresbien HR Staffing Full time

    Greetings from Tresbien HR! Hiring Doctors (Non Clinical ) for a TPA Insurance Co. Experience - 6 Months (Clinical\Non Clinical) Qualification - BAMS\BHMS Location-Whitefield, Bangalore This is Work from Home Job (Evening Shift - 4.30 pm to 1.30 am) **Job Description**: - Medi claims Processing, TPA Claims. Verification of Claims. Analysis, scrutiny...


  • Whitefield, Bengaluru, Karnataka, India Tresbien HR Staffing Full time

    Greetings! Hiring Doctors Medical Officers for Non Clinical Profile (Health Claims) to be processed. Experience - 3 to 5 Years Qualification - MBBS, BDS, BHMS & BAMS Location - Whitefield, Bangalore **Job Description**: - Examining & passing Medical\Health claims of patients. Analysis Reports & processing claims. Final approval of mediclaims. Good...


  • Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    **Job description**: **Roles and Responsibilities** 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...

  • Medical Officer

    2 months ago


    Bengaluru, India Tresbien HR Consultancy Full time

    India's leading Healthcare TPA, having corporate office in Bangalore and branch office in major Indian cities, is hiring Medical Officer for its Branch office in Bangalore, Karnataka. Qualifications : BAMS/BHMS. Experience: Fresh Graduate/0 years of experience. Joining time : immediate joining. **Job Description**: 1. Analyses Medical Reports and...


  • Peenya, Bengaluru, Karnataka, India Tresbien HR Staffing Full time

    Greetings from Tresbien HR! Urgently required Helpdesk Officer - TPA Medi claims for a Health Insurance Co at Peenya & Banaswadi at Bangalore location. Males only apply Exp - 6 Months Qualification - Any Graduate Location - Peenya & Banaswadi Salary Package - 20K in hand. **Job Description**: - Responds to customer inquiries regarding...

  • Medical Officer

    2 months ago


    Bengaluru, India Tresbien HR Consultancy Full time

    India's leading Medical Insurance TPA with Corporate office in Bangalore and branch offices across all major cities in India, is associated with major Insurance companies providing Medical insurance policies. Job Location : Bangalore Qualification: Bachelor of Dental Science/BDS Experience: 0-1 year Working days: Monday to Saturday. Sunday weekly...

  • Medical Officer

    2 weeks ago


    Bengaluru, India Tresbien HR Consultancy Full time

    **Job Summary** Opening with a leading TPA in Whitefield Bangalore for the position of Medical officer **Work from Office** Job Responsibilities: - Coordination with clients regarding insurance policy. - Process insurance forms, prepare reports. - Grievance Handling at Corporates - Processing Claims **Requirements**: - BAMS/BHMS/BDS - Basic knowledge...


  • Whitefield, Bengaluru, Karnataka, India Tresbien HR Consultancy Full time

    Opening for Medical Officer - TPA with a leading TPA in Whitefield Bangalore Job Description for Medical officer 1-Involved in Analysing Reports in Process Medical claims 2-Final approvals for medical claims. 3-Should have good medical knowledge 4-Eagerness to learn and implement new medical aspects/medical scenarios 5-Providing the quality services by...

  • Medical Officer

    5 days ago


    Bengaluru, Karnataka, India Pococare Full time

    **Company Description** Pococare is a technology-driven healthcare organization based in Bengaluru, India. We aim to redefine medical emergency response in India and are committed to reducing the number of emergency cases that do not receive attention. Our solution ensures customer readiness for facing the eventuality of a medical emergency, smooth...


  • Bengaluru, India Paramount Health Services & TPA Pvt Ltd Full time

    Job Description in Brief: Require working professionals from **TPA Industry only** for the Provider, Networking, and Empanelment departments. **Requirements and skills** - Strong communications skills - Proficient in Microsoft Office - Detail Oriented Responisble for empanelment / depanelment of hospitals; Ensure execution of the Agreement is as per the...


  • Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    **Job description** **Roles and Responsibilities** 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...

  • Medical Officer

    2 weeks ago


    Bengaluru, India Tresbien HR Consultancy Full time

    **Job Summary** Opening with a leading TPA in Whitefield Bangalore for the position of Medical officer **Work from HOME** Job Responsibilities: - Coordination with clients regarding insurance policy. - Process insurance forms, prepare reports. - Grievance Handling at Corporates - Processing Claims **Requirements**: - BAMS/BHMS/BDS - Basic knowledge of...


  • Bengaluru, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    **Job description** **Roles and Responsibilities** 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...

  • Medical Officer

    6 days ago


    Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    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...

  • Medical Officer

    2 weeks ago


    Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    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...