Doctors Required-fresher's Hiring

1 week ago

Andheri Mumbai Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

**Greetings from Mediassist TPA**

**Hiring for Medical officer in Mumbai, Noida & Faridabad**

**Doctors degree -** **BAMS, BUMS, BHMS, BDS,.**

**Fresher's /Experienced both Doctors can apply**

**Roles and Responsibilities**
- **Claim Processing**:

- **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, Fresher

Pay: ₹300,000.00 - ₹450,000.00 per year

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift
- Rotational shift
- Weekend availability

Supplemental pay types:

- Performance bonus

Application Question(s):

- Your Current CTC
- Your Expected CTC
- We are Hiring Bachelor's Degree in BAMS/ BHMS/BDS

**Education**:

- Bachelor's (required)

Work Location: In person

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