Medical claim processer

Job Title: Medical Officer – TPA Claim ProcessDepartment: TPA / Health Insurance DeskLocation: Vadodara Reporting To: TPA Manager / Operations HeadJob Summary:The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination...

Job Title: Medical File Auditor – TPA Claim ProcessDepartment: Claims / OperationsLocation: VadodaraExperience Required: 2–5 years (TPA/Healthcare Industry preferred)Salary: Up to 3LPAJob SummaryThe Medical File Auditor is responsible for reviewing, verifying, and auditing medical claim files submitted by hospitals under cashless and reimbursement...

**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** **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 case, the same will be...

**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 case, the same will be...

TCS is hiring for Claims Adjudication Processor roleLocation -ChennaiJob Summary:We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial health...

Job Description About Job The Medical Claim Processor is responsible for end-to-end processing of medical insurance claims (reimbursement), ensuring accuracy, compliance with policy terms, and adherence to turnaround time (TAT). This role requires close coordination with hospitals, customers, internal teams, and third-party administrators to deliver timely...

TCS is hiring for Claims Adjudication Processor role!!!Location - ChennaiJob Summary: We are seeking a detail-oriented and analytical Claims Adjudication Processor to join our team. The ideal candidate will be responsible for reviewing, processing, and resolving pending healthcare claims while ensuring compliance with federal, government, and commercial...

Job Description Coding Claim Edits Professionals Coding Claim Edits Coder: We are hiring experienced, certified Senior Medical Coders with extensive knowledge of ICD-10-CM, PCS, CPT, HCPCS-II & Modifiers, NCCI Edits, LCD, NDC, etc., and excellent communication skills. 5 to 10 years of experience in Medical Coding and at least 2-5 years of claim editing...

Job Description – OPD Health Claims Processing(MR)Key Skills & CompetenciesKnowledge of health insurance policy coverage, exclusions, and claim processing.Familiarity with claim categories (IPD/OPD/Pre-post health claims processing).Basic understanding of medical terminology and treatment protocols.Strong attention to detail and analytical skills.Good...