Medical Officer

1 day ago


Koramangala Bengaluru Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED 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.
- Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
- Verify the required documents for processing claims and raise an IR in case of an insufficiency.
- Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff.
- Approve or deny the claims as per the terms and conditions within the TAT.

Handle escalations and responding to mails accordingly.

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

Pay: ₹300,000.00 - ₹500,000.00 per year

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift
- Morning shift

Supplemental Pay:

- Performance bonus

Work Location: In person


  • Medical Officer

    2 weeks ago


    Koramangala, Bengaluru, Karnataka, India Dr at Doorstep Full time

    **Job description** The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical reviews as defined by the specific review methodologies and prepare a detailed report that includes chronologies and timelines, summaries, mass tort matrix and medical opinions on case validity and...

  • Medical Officer

    7 days ago


    Bengaluru, Karnataka, India Medverve Healthcare Full time

    Job Title: Medical Officer Location: Bangalore Company: Medverve Healthcare Pvt Ltd Experience: 0-12 months Qualification: BAMS/ BHMS/ BDS About Us: MedVerve is co-Founded and run by a core team of qualified professionals from Healthcare Industry, with experience in Insurance Companies, TPAS, Hospitals and IT Healthcare. Bringing in strong skills in...

  • Medical Officer

    2 weeks ago


    Bengaluru, Karnataka, India Mongoose Minds Private Limited Full time

    Job Title**: Medical officer** Location: Konankunte cross Job Summary **Qualifications**: - Degree in BAMS, BHMS, BSMS, or MBBS (strictly required). - Roles & Responsibilities: - Ensuring accuracy and compliance in medical claims adjudication. **Knowledge & Skill Requirements**: - Technical Competencies: - Claims processing - Preauthorization,...


  • Koramangala, Bengaluru, Karnataka, India Clini launch Research Institute Full time

    Basic qualifications: Ability to commit long -term with daytime office availability Prior scribing experience Typing test score of 60+ WPM High school diploma, GED, or equivalent Minimum GPA 3.2 Passion and long-term interest in the medical field with a dedication to succeed. Ability to grasp new concepts quickly and efficiently and work as part of a team....

  • Admission Officer

    5 days ago


    Koramangala, Bengaluru, Karnataka, India Medical Coding Academy Full time

    Processing of enquiries received - Uploading the leads into ERP, regular follow-ups based on the scheduled date and updating status. - Sending mails, SMS and WhatsApp to interested students. - Call cold/warm leads (as provided) - Get students to walk-into the office - Daily reports to be sent to respective heads as per format - Counsel students (from all...

  • Medical Officer

    2 weeks ago


    Bengaluru, Karnataka, India Aashvi Infotech Full time

    Greetings from Aashvi Infotech! We have urgent requirement for our Client, it's Multispecialty Hospital (Best Orthopedic & Maternity Hospital) Requirement: Medical Officer Experience: 1+ Years Location: Nipani-Mahalingpur Rd, near hotel nisarga, Chikodi, Karnataka 591201 Qualification: BHMS / BAMS if anyone interested please share your CV on...


  • Bengaluru, Karnataka, India Docthub Health Tech Private Limited Full time

    **Description** **Requirements**: - We are looking for MBBS qualified doctors based out of Bangalore only or willing to relocate. - Minimum Experience Needed : 1+ years. - Should be multilingual (Hindi/Kannada/English/Telugu/Tamil). Should know at least conversational Kannada. - Should be MCI /state medical council registered doctor. - Should be...

  • Medical Officer

    7 days ago


    Bengaluru, Karnataka, India Jivika Healthcare Full time

    **Designation: Locum Medical Officer** **Employment Type: Locum** **Location**:Bangalore** **Camp Date: 21st Oct. 2024 to 25th Oct 2024** **Responsibilities**: - Ensure awareness and promotion. - To promote and support immunization. - Involved and prepared in all aspects of immunization - education, managing vaccination, vaccine administration,...

  • Medical Officer

    2 weeks ago


    Bengaluru District, Karnataka, India Cadabams Group Full time ₹ 4,20,000 - ₹ 5,40,000 per year

    About Cadabam's: Cadabam's is a renowned psychiatric organization in India dedicated to providing comprehensive mental health services. With a focus on excellence and innovation, we strive to deliver high-quality care to individuals experiencing mental health challenges.Job Description: We are seeking skilled and compassionate Medical Officers with an MBBS...


  • Attibele, Bengaluru, Karnataka, India THE OXFORD MEDICAL COLLEGE & HOSPITAL Full time

    Provide immediate medical care to patients in emergency settings. - Perform rapid assessment and diagnosis of patients' conditions. - Stabilize patients and manage treatment in acute situations. - Work closely with other healthcare professionals to develop treatment plans And Many more related works Pay: ₹35,000.00 - ₹55,000.00 per...