Medical Advisor

**Position - Medical Advisor**

**Location - Faridabad**

**Qualification - BDS / BAMS / BHMS / B.U.M.S in Any Specialization**

**Experience - 1 - 3 years**

**Salary - 3lpa - 5lpa**

**JOB PURPOSE**

To assist clinical research teams and often help training and supporting the sales force. To provide an authoritative opinion regarding medical based questions, legal and regulatory matters thus enabling colleagues to comply with the required statutory requirements..

**PRINCIPAL ACCOUNTABILITIES**
- Scrutiny of files to determine if the claims do really qualify to be reimbursed or to be settled.
- To determine if the amount of the claims requested fits into SOC (Schedule of Charges) or PPN criteria.
- To verify if all the investigation reports have been submitted along with the claims.
- To make sure that intimation is received from the patient depending upon the type of claim i.e. cashless or non cashless (Claims Intimation).
- To verify if all the document submission has been completed in time by the patients (Claim Document Submission).
- Answering patient queries regarding status of claims.
- Answering queries regarding grievance requests raised by patients or hospitals.
- Scrutiny of files to determine if the claims do really qualify to be reimbursed or to be settled.
- To verify if all the investigation reports have been submitted along with the claims.
- To make sure that intimation is received from the patient depending upon the type of claim i.e. cashless or non cashless (Claims Intimation).

**QUALIFICATIONS AND SKILLS**
- Must have minimum 1 year experience with TPA or Insurance
- BDS in Any Specialization, BAMS in Any Specialization, BHMS in Any Specialization, B.U.M.S in Any Specialization
- Must have effective communication skills
- Excellent diagnostic skills using clinical knowledge and x-rays.
- Excellent knowledge about Insurance policy terms and conditions
- Good knowledge about medical admissibility of claims, clinical practices and protocol

**Salary**: ₹20,000.00 - ₹30,000.00 per month

Ability to commute/relocate:

- Faridabad, Haryana: Reliably commute or planning to relocate before starting work (required)

Application Question(s):

- Have you completed BDS / BAMS / BHMS / B.U.M.S in Any Specialization ?
- Do you have experience of working with TPA or Insurance sector ?

**Experience**:

- Medical Advisor: 1 year (required)

**Speak with the employer**
+91 9311074203