Medical Officer-non Clinical

8 hours ago


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.

**This is a WFO (Work From Office) role only.**

Pay: ₹250,000.00 - ₹320,000.00 per year

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Rotational shift

Application Question(s):

- Current CTC
- Expected CTC
- Total Years of Experience

License/Certification:

- BAMS,BHMS & Bsc nursing (required)

Work Location: In person


  • Medical Officer

    1 week ago


    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...


  • Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    Greetings From Mediassist TPA Pvt Ltd. !! Hurry up Mediassist 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 Shifts: Day shift Rotational 6 days working ( work from office) Job role : Settlement of...


  • Bengaluru, Karnataka, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

    **Roles and Responsibilities** 01. Involves Processing of Claims ( Preauthorization / Reimbursement / IPD / OPD 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...

  • Medical Writer

    6 days ago


    Bengaluru, Karnataka, India MS CLINICAL Full time

    **About the job**: **Job Title**:Medical Writer** Company: MS Clinical Research Pvt Ltd Location: Indiranagar, Bangalore Experience: 2-4 years **About MS Clinical**: MS Clinical is a dynamic and innovative company dedicated to advancing medical research and improving patient outcomes. We specialize in conducting clinical trials and providing...


  • Marathahalli, Bengaluru, Karnataka, India D7 Med Healthcare LLP Full time

    **Looking for an Experienced Clinic Office Administrator for our Multispecialty Clinic.** **Apart from Salary, Performance Bonus will be provided based on the Clinic Performance.** **Please go through the below JD** **Facility & Infrastructure Management** - Oversee daily upkeep and maintenance of the clinic’s infrastructure including ACs, electrical...


  • Bengaluru, Karnataka, India MS CLINICAL Full time

    **Job Title**: Clinical Research Associate (CRA)** **Experience: Minimum 3 years** **Company**: MS Clinical Research Pvt Ltd** About Us: MS Clinical Research (MSCR) is a leading clinical research organization dedicated to advancing scientific discovery and improving healthcare outcomes. We are committed to conducting high-quality clinical trials and...

  • Medical Officer

    1 week ago


    Bengaluru, Karnataka, India Positive Vibes Consulting Pvt. Ltd. Full time

    **Job Opening: Medical Officer** **Locations**: Bommanahalli, Nagarbhavi, and Peenya - Bengaluru **Compensation**:Competitive salary + Performance Bonus **Language**:Fluency in Kannada is mandatory.** We are hiring Medical Officer for a fast-growing startup healthcare OPD chain operating in Bommanahalli, Nagarbhavi, and Peenya — offering an exciting...


  • Bengaluru, India Clinical Research Institute Full time

    **Job Description: Clinical Research Trainee** **Position Overview**: A Clinical Research Trainee is an entry-level role within the field of clinical research, responsible for assisting in the planning, coordination, and execution of clinical trials and research studies aimed at evaluating the safety, efficacy, and effectiveness of new medical treatments,...

  • Medical Officer

    8 hours ago


    Whitefield, Bengaluru, Karnataka, India Vital Healthcare Services Full time

    **Minimum qualification**: Undergraduate in BHMS/BAMS/BDS **Designation**:Medical Officer **About Us**: Vidal Health is 100% Subsidiary of Bajaj Finserv Health (BFHL). Vidal Health Insurance TPA Pvt Ltd was established in March 2002 with the mission to provide top quality TPA services to Health Insurance policyholders and be the most preferred TPA in...

  • Trichologist

    1 week ago


    Bengaluru, Karnataka, India MS CLINICAL Full time

    **Job Title**: Trichologist**: **Location**: Indiranagar, Bangalore **Employment Type**: Part-time/Contract **Job Overview**: **Key Responsibilities**: - Conduct detailed consultations to assess hair and scalp health. - Diagnose conditions such as hair thinning, hair loss (alopecia), dandruff, psoriasis, seborrheic dermatitis, and other scalp disorders. -...