
Medical Officer
5 days ago
Greetings From Medi Assist
**Job Title**: Medical Officer
**Role/Position**: Permanent
**Education**: BAMS, BHMS
**Shifts**: Rotational Shifts ( work from office)
**Job location**: Noida/ Mumbai
**Job role**:
- 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
Pay: ₹300,000.00 - ₹400,000.00 per month
**Benefits**:
- Health insurance
- Provident Fund
Application Question(s):
- What is your current CTC?
- What is your expected CTC?
Work Location: In person
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