Medical Officer

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...

responsibilities:1. provide medical care and treatment to patients in accordance with established protocols and guidelines.2. conduct physical examinations and assess patient's health status.3. diagnose and treat medical conditions and illnesses.4. administer medications and treatments as prescribed by healthcare providers.5. monitor patient progress and...

We are hiring Medical officer profile for Health Insurance TPA Co. Job location will be Delhi/ Ranchi / Bhopal. Minimum 2-5 years experience should be of Insurance Co/ TPA / Ayushmaan Bharat/Govt schemes & Healthcare Industry.

Heads hospital's medical staff, ensures quality of care, and sets clinical standards.

**Key Responsibilities**: - Review and evaluate medical claims for appropriateness and medical necessity - Support underwriting and product development teams with medical insights - Participate in pre-authorization and utilization reviews - Ensure compliance with regulatory and internal clinical guidelines - Collaborate with providers, policyholders, and...

**Job Title: Medical Policy & Scheme Advisor** This job is for someone who has medical knowledge and has worked with government health schemes like RGHS, MAA Yojana, and PMJAY. The company wants someone who understands how these schemes work, how claims are processed, and can guide the team on the right rules and processes. **Location & Timing**: Location:...

Position: Medical Sales Representative Qualification: Graduate with Life Science background (B. Pharm/B.Sc./M. Sc.) Experience: 2-5 years of relevant work experience in Pharmaceutical Product Sales Location: Bhopal, MP **Responsibilities**: Developing an in-depth understanding of company products Scheduling appointments and selling the company's products...

Medical Records Department Intern Location: Care and Cure Multispecialty Hospital [Bhopal] Duration: 3 months Type: Internship: Full-time Department: Medical Records About Us: Care & Cure Multispecialty Hospital is a premier healthcare provider dedicated to excellence in patient care. We are looking for a detail-oriented MRD Intern to support our...

Greetings from Paramount Group ! Kindly find the below Company and job description for your perusal. 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...

**Job Types**: Full-time, Permanent **Salary**: ₹20,000.00 - ₹30,000.00 per month **Benefits**: - Health insurance Schedule: - Morning shift Supplemental pay types: - Performance bonus **Education**: - Bachelor's (preferred) **Experience**: - total work: 1 year (preferred) Work Location: In person **Speak with the employer** +91 9205544296