Claims Processor/medical Officer

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 /...

**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 organization while settlement...

Insurance Claims Processor Job DescriptionAt Alchemy Techsol, we are seeking a skilled Insurance Claims Processor to join our team.Key Responsibilities:Communicate with insurance agents and beneficiaries.Process claim forms and related documentation.Verify claim information and review submissions.Record and maintain insurance policy and claims...

Company OverviewWTW Global Delivery and Solutions India Private Limited is a leading provider of insurance claims services.SalaryThe estimated annual salary for this position is ₹2,200,000 - ₹3,300,000 depending on experience.Job DescriptionWe are seeking an experienced Claims Processor to join our team in Thane. As a Claims Processor, you will be...

We are seeking a skilled Insurance Claims Processor to join our team at WTW Global Delivery and Solutions India Private Limited. This is a hybrid role that offers the perfect blend of work and life.About the JobAs an Insurance Claims Processor, you will be responsible for delivering accurate and timely claims processing services to our clients. Your primary...

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...

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 :...

**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 -...

**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...

**Role Description**: - Seeking a dynamic and experienced individual to lead our Claims and Insurance Process team. - Calling patient & hospital for verification **Core Role Responsibilities**: - Ensure timely and accurate processing of claims in compliance with industry standards and company policies - Maintaining high levels of confidentiality while...

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...

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...

Key Responsibilities: 1) Claims Processing: Learn and follow the established claims processing procedures. Review and validate insurance claims for accuracy and completeness. Input and update claim information in the company's database. 2) Policy Interpretation: Develop a solid understanding of insurance policies and coverage details. Interpret policy...

**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...

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...