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Medical Officer

2 months ago

Vadodara Gujarat, India Paramount Healthcare Management Pvt Ltd. 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.
- verify the necessary details accordingly.
- Verify the required documents for processing claims and raise an IR in case of an insufficiency.
- Approve or deny the claims as per the terms and conditions within the TAT.

Handle escalations and responding to mails accordingly.

To complete target. To work as a team.

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

Pay: Up to ₹25,000.00 per month

**Benefits**:

- Paid sick time

Schedule:

- Day shift
- Morning shift

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work: 1 year (preferred)

**Location**:

- Vadodara, Gujarat (required)

Work Location: In person