Hiring Medical Officer Claim Processing

3 weeks ago


Kochi, India Optimus Medical Services Pvt Ltd Full time

We are a leading investigation agency specialized in Mediclaim, PA claim, etc. Our specialization stands at the best level in the verification of insurance claims, services in Pan India. Our organization consists of Experience Doctors & investigators, qualified, experienced professionals with extensive investigative experience. We have been able to satisfy our clients and we have maintained high levels of integrity with our clients.100% transparency and accuracy is maintained in all our services. Our services are absolute and prompt. Our team use modern technology. This technological edge differentiates us from our compatriots, and helps us crack even the most complex cases across different geographies, within committed timelines.

QUALIFICATION : B.H.M.S / B.A.M.S / BDS

**REQUIREMENTS**:
Must be Proficient with medical terms & system.

Understand enterprise architecture in health care and public health organizations.

Must have the knowledge of health insurance.

Should be Well versed with medical terminologies.

Basic Computer Knowledge

**Roles and Responsibilities**
- Provide Medical opinion for Health Insurance Claims.
- Processing of Cashless/ Reimbursement Requests & Health Insurance Claim Documents.Review and Analyze the insured persons medical documents received from field verification.
- To maintain the TAT & Quality
- Provide suggestions to the insurance companies based on the terms and conditions within the TAT

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

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

**Salary**: ₹15,000.00 - ₹20,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Day shift

Work Location: In person

**Speak with the employer**

+91 9288000380



  • Kochi, India Optimus Medical Services Pvt Ltd Full time

    **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...


  • Kochi, India Medical Assistance Full time

    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...


  • Kochi, India Medical Assistance Full time

    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...


  • Kochi, India Medical Assistance Full time

    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...

  • Medical Officer

    4 weeks ago


    Kochi, India Optimus Medical Services Private Limited Full time

    Designation : Medical Officer Qualification : BAMS/BHMS/BDS **Roles & Responsibilities** Verification of Medical Records against Hospitalization Health Insurance Claims **Salary**: ₹15,000.00 - ₹20,000.00 per month Schedule: - Day shift Ability to commute/relocate: - Kochi, Kerala: Reliably commute or planning to relocate before starting work...


  • Kochi, India Hippocampus Healthcare Pvt.Ltd. Full time

    Examine claims records and forms to determine whether the patient has medical insurance. **Job Type**: Part-time **Salary**: From ₹13,202.11 per month Schedule: - Flexible shift Ability to commute/relocate: - Chennai, Tamil Nadu: Reliably commute or willing to relocate with an employer-provided relocation package (required) **Education**: -...


  • Kochi, India Bluedot Full time

    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...


  • Kochi, India Bluedot Full time

    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...


  • Kochi, India Clini launch Research Institute Full time

    **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...


  • Kochi, India MediEnsure Pvt Ltd Full time

    **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...

  • Medical Biller

    5 days ago


    Kochi, Kerala, India 33 Holdings Global Full time

    **Company Description** - 33 Holdings Global is a research and strategic consulting company based in Kochi. We specialize in helping in-house brands unlock growth through diversified business strategies and expansion plans. From purpose to product, brand to experience, customers to operations, we provide the insight, rigor, and expertise needed to uncover...


  • Kochi, India Vivid Diagnostic Centre Full time

    **Medical Transcriptionists** typically do the following: Listen to the recorded dictation of a doctor or other healthcare professional. Transcribe and interpret the dictation into diagnostic test results, operative reports, referral letters, and other documents. Submit health records for physicians to approve. Under general supervision, a Medical...


  • Kochi, Kerala, India AKSHAYA HOSPITAL Full time

    Akshaya Hospital Position - Medical officer (female) Location - Kadavathara ,Ernakulam Qualification : MBBS Experience - 1 to 10yrs Job description - A Resident Medical Officer (RMO) is a healthcare professional responsible for providing medical care to patients in a hospital setting - They work under the supervision of a senior Gynecologist and are...


  • Kochi, India Sunrise Hospital Full time

    Minimum 6 Years of Experience. - Overall supervision of Medical Records activities. - Responsible for standardization of all the formats used in the hospital for patient care - Coordinates the medical audit activities - Reports the deficiency check information to the management and the clinical heads - Informing the statistics and information on notifiable...

  • Assistant Manager

    4 weeks ago


    kochi, India EXL Full time

    People Management skills, team leading experience is a must.Attrition management skills and Shrinkage management skills would be an added advantage.Good working knowledge in Appeals, Grievances and Claims, US Healthcare will be an advantage.Reporting knowledge with MS Excel & Power BIGood communicationWilling to work in evening shift and, work from...

  • Assistant Manager

    4 weeks ago


    Kochi, India EXL Full time

    People Management skills,team leading experience is a must.Attrition management skillsandShrinkage management skillswould be an added advantage.Good working knowledge inAppeals, Grievances and Claims, US Healthcarewill be an advantage.Reporting knowledge with MS Excel & Power BIGood communicationWilling to work in evening shift and,work from office - Kochi

  • Assistant Manager

    4 weeks ago


    Kochi, India EXL Full time

    People Management skills, team leading experience is a must.Attrition management skills and Shrinkage management skills would be an added advantage.Good working knowledge in Appeals, Grievances and Claims, US Healthcare will be an advantage.Reporting knowledge with MS Excel & Power BIGood communicationWilling to work in evening shift and, work from office -...

  • Assistant Manager

    4 weeks ago


    kochi, India EXL Full time

    People Management skills, team leading experience is a must. Attrition management skills and Shrinkage management skills would be an added advantage. Good working knowledge in Appeals, Grievances and Claims, US Healthcare will be an advantage. Reporting knowledge with MS Excel & Power BI Good communication Willing to work in evening shift and, work from...

  • Assistant Manager

    4 weeks ago


    Kochi, India EXL Full time

    People Management skills, team leading experience is a must.Attrition management skills and Shrinkage management skills would be an added advantage.Good working knowledge in Appeals, Grievances and Claims, US Healthcare will be an advantage.Reporting knowledge with MS Excel & Power BIGood communicationWilling to work in evening shift and, work from office -...

  • Assistant Manager

    3 weeks ago


    kochi, India Allianz Full time

    Job Description: Not available at the moment Skills Required: Industry Understanding & Competitive Awareness; Claims Assessment; Communication Desirable Skills: 1.Good communication skills. 2.Flexible & adaptable to change. 3.Well versed with MS Office. 4.Should have good analytical and problem-solving skills. 5.Should be aware of the Local language.