Medical Officer- Insurance Claims

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

Verify patient insurance coverage - Generate bill estimate based on hospital guidelines and determine patient copay / deposit - Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital - Obtain required case information and signoff from hospital and share information with insurer /...

Greetings From Medi assist Company!! Hurry up Medi assist 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 & Bsc nursing. Shifts: Day shift Rotational 6 days working ( work from office) Job role :...

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...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

We are looking for a team of dynamic people with the great experience of Health Care, Health Insurance, TPA, Third Party Administrator Industry, for different roles like Claim Processing, Medical assessment, M.I.S, Customer Relationship, Field Exec. - Salary:_ INR 1,75,000 - 4,50,000 P.A. Salary as per Qualification, Expereince & Location - Industry:_...

We are looking for a team of dynamic people with the great experience of Health Care, Health Insurance, TPA, Third Party Administrator Industry, for different roles like Claim Processing, Medical assessment, M.I.S, Customer Relationship, Field Exec. - Salary:_ INR 1,75,000 - 4,50,000 P.A. Salary as per Qualification, Expereince & Location - Industry:_...

**Company Name **:Healthindia Insurance TPA (Work form Office) **Job Location **:Mumbai, Vidyavihar - West **Job & Responsibilities**: - Medical Scrutiny. - Provide Medical opinion for Health Insurance Claims. - Processing of Cashless Requests & Health Insurance Claim Documents. - Proficient with medical terms & system. **Required Qualification **:BAMS &...

**Company Name **:Healthindia Insurance TPA (Work form Office) **Job Location **:Mumbai, Vidyavihar - West **Job & Responsibilities**: - Medical Scrutiny. - Provide Medical opinion for Health Insurance Claims. - Processing of Cashless Requests & Health Insurance Claim Documents. - Proficient with medical terms & system. **Required Qualification **:BAMS &...

**Company Name **:Healthindia Insurance TPA **Job Location **:Mumbai **Job & Responsibilities**: - Medical Scrutiny. - Provide Medical opinion for Health Insurance Claims. - Processing of Cashless Requests & Health Insurance Claim Documents. - Proficient with medical terms & system. **Required Qualification **:BAMS, BHMS **Min experience 1 Year to 2...

We are looking for a team of dynamic people with the great experience of Health Care, Health Insurance, TPA, Third Party Administrator Industry, for different roles like Claim Processing, Medical assessment, M.I.S, Customer Relationship, Field Exec. - Salary:_ INR 1,75,000 - 4,50,000 P.A. Salary as per Qualification, Expereince & Location - Industry:_...

**Job description** **Role**:Medical Officer** **Work from Office only** **Job Descriptions**: - **To approve Claims based on the buckets allotted to each approver.**: - **To inform the Network department in case of any erroneous billing / excess billing.**: - **To approve online preauthorization requests received.**: - **In case of any suspicious...

We are looking for a team of dynamic people with the great experience of Health Care, Health Insurance, TPA, Third Party Administrator Industry, for different roles like Claim Processing, Medical assessment, M.I.S, Customer Relationship, Field Exec. - Salary:_ INR 1,75,000 - 4,50,000 P.A. Salary as per Qualification, Expereince & Location - Industry:_...

**Job Summary** Hi Urgent Opening for Medical Officer with a leading TPA at Andheri Marol **WORK FROM OFFICE ONLY** Location -Andheri Vacancy - 1 **Responsibilities**: - Understanding of Policy terms & conditions & Various Protocols / Guidelines - Maintaining & Ensuring Standard Operating Procedures & Protocols Ailment Wise ICD & Procedure Coding -...

Ready to work in Non-Clinical job Check the medical admissibility of claims by confirming the diagnosis and treatment details Verify the required documents for processing claims and raise an information Request in case of an insufficiency Approve or deny the claims as per the T&C within TAT Ready to work in morning and afternoon shifts **This is a WFO...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

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...