Hiring Medical Officer Claim Processing

**Hiring Medical Officers for a leading Mediclaim Investigation Agency** - **WFH after 1 month training period**_ Provide Medical opinion for Health Insurance Claims. Processing of Cashless /Reimbursement / Personal Accident Requests Health Insurance Claim Documents. Requirement: Must be Proficient with medical terms system. Understand enterprise...

**Key Responsibilities**: - Medical Scrutiny - Provide Medical opinion for Health Insurance Claims - Processing of Cashless Requests & Health Insurance Claim Documents - Proficient with medical terms & systems. - Understanding of Policy terms & conditions & Various Protocols / Guidelines - Understanding of Claims adjudication / Claims Processing - Manage...

01. Involves Processing of Claims 02. Validating and processing these claims within TAT 03. With good English communication and medical Knowledge 04. TPA Experience is an added advantage **Financial**: To see to that there is no financial implication for the organization while settlement of claims **Role **:Medical Officer/Claims processor **Required...

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

Operations Executive - UAE - Health Insurance Claims Process Responsibilities: Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers. Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria. Verify the accuracy and completeness of claim forms, medical records, and...

Operations Executive - UAE - Health Insurance Claims Process Responsibilities: Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers.Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria.Verify the accuracy and completeness of claim forms, medical records,...

Operations Executive - UAE - Health Insurance Claims Process Responsibilities: Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers. Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria. Verify the accuracy and completeness of claim forms, medical records, and...

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

Understand and comply with network agreements between Insurance Companies and Hospital Coordinating with hospital for medical reports and queries from Insurance Companies. Liaise with patients To attend the patient side request / Talk to the hospital & find the Diagnose with the Consultant. To send the Pre - Authorization form to the concern insurance...

Involved in analyzing reports,process medical claims. - Final approval for medical claims - Should have good medical knowledge, eagerness to study,implement new medical aspect. - Providing quality service with in TAT. - Should have good academic qualification in BDS, BHMS and BAMS. - Mininum0-2 year experience. Pay: Up to ₹19,500.00 per...

Desired profile - BAMS, BHMS, BNYS, BDS, MDS, BUMS Verify the documents required for processing claims, notify hospitals in case of insufficiency of documents. scrutinize the claims as per the terms and conditions of the insurance policy and medical admissibility **Job Type**: Permanent **Salary**: ₹300,000.00 - ₹480,000.00 per year Schedule: - Day...

To ensure 100% accurate and efficient insurance process and 0% rejection by the insurance companies. - Claims are sorted daily and screened (Level 1) for missing and incomplete claims. - Patient demographics are completed as per requirement. - Effective claim screening: Claim forms are screened for patient demographics, medical part, patient signature,...

To ensure 100% accurate and efficient insurance process and 0% rejection by the insurance companies. - Claims are sorted daily and screened (Level 1) for missing and incomplete claims. - Patient demographics are completed as per requirement. - Effective claim screening: Claim forms are screened for patient demographics, medical part, patient signature,...

**Job Summary**:The Medical Coding and Billing Specialist is responsible for accurately translating medical procedures and diagnoses into alphanumeric codes for insurance claims, billing, and medical records. This role plays a critical part in ensuring compliance with healthcare regulations, maximizing reimbursement, and facilitating efficient revenue cycles...

We're looking for Field Officers to verify insurance claims **KEY RESPONSIBILITIES** - Meeting with claimant and hospitals to verify insurance claims. - Cross checking with doctors. - Maintain and improve quality of customer service by managing and developing relationships with customers. - Provide assistance with insurance related matters, including claims...

**Greetings From MediEnsure Pvt Ltd** **Job Title: Hospital Auditor** **Qualification-BAMS/BHMS/BDS/BPT/MBA in Healthcare Management/MHA(People with any other healthcare background also can apply)** **Primary Role**: As a hospital auditor, the primary role is to evaluate medical claims made by hospitals to ensure that they are medically necessary and...

WANTED RESIDENT MEDICAL OFFICER Designation: RMO Qualification: MBBS Language Required: MALAYALAM SPEAKING OR MALAYALEE They attend all casualty calls. Treat both out-patients and patients coming for admission. They usually treat simple cases by themselves and refer tricky or complicated cases to the same hospital consultant They go for ward rounds...

**Hiring for Voice Process** We're looking for a passionate individual to join us as International Voice Customer Support Team who can handle the queries from International customers, particularly for U.S. Good to have customer handling, problem solving skills. **Education** - Bachelor's degree **Perks and benefits** - Salary - 16- 20k ( Immediate...