
Doctors Required-fresher's Hiring
5 days ago
**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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