Medical Officer for Processing Claims Non Clinical

**Job description** Vidal is hiring for the position of Medical Officer (non-clinical role),Kindly connect if you are interested through whats app or call-**8761034426**-HR-Vidal Health Insurance TPA Pvt Ltd. **Qualification: BHMS/BAMS/BDS/BUMS only** **Work from office** **Department - Reimbursement (Claims)/Preauth(Cashless)/Case...

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...

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...

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...

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...

Hiring BDS Doctors Freshers (Non Clinical) Experience - 0 to 6 Months (Immediate Joiners) **Location - Whitefield, Bangalore** Company Details - TPA Co. Industry - Insurance (Non Clinical) Qualification - BDS Doctor Job Profile - This is a Non clinical Profile -TPA Claims to be processed. Insurance Claims processing Job. Medical claims, documentation...

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...

**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...

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...

**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...

**Greetings from Sagility.** - **Interpret all types of Medical records**: - **CPT & ICD 9 & 10 Coding**: - Interpret medical necessity in contrast to clinical policies / guidelines - **Interpret medical data and provide accurate clinical review**: - **Identify Cost Savings within Medical Claims**: - **Itemized bill review (IBR) for Institutional...

**Roles and Responsibilites**: - Processing of Claims with verification and Settlement with Customer Accounts. - Evaluation of customer/Claims and posting accordingly. - Resolving Claims related queries and discrepancies, Follow up and respond to queries of Customers. - Approving and Rejection of Payments to the Customers with all verification. - Updating...

**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...

**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...

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...

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...

**Claims operations** On monthly basis, monitor key performance parameters such as - Claims settlement TAT - Claim Settlement Ratio - Efficiency ratio, etc.; - Track deviations against set targets and identify reasons for deviations - Closely monitor and control the high ageing open claims, including co-insurance claims - Review the reserve revisions for...

**WHAT YOU WILL DO** The Incumbent Medical Officer (MO) will be working on our Remote Engagement Digital Service. This mobile phone based service provides families with a platform to interact with health and health service related questions in their regional languages to which a dedicated team of nurses and doctors respond. The two-way service runs via...

**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...

We are seeking a skilled Medical Content Specialist to join our team at MS Clinical Research. The ideal candidate will have excellent writing skills, a strong understanding of scientific research, and the ability to translate complex medical and scientific information into clear, concise, and engaging content.Key Responsibilities:Manuscript Writing: Write,...