Medical Officer

6 hours ago


Bengaluru Karnataka, India Medverve Healthcare Full time

Job Title: Claim Quality Analyst

Location: Bangalore

Company: Medverve Healthcare Pvt Ltd

Experience: 0-12 months

Qualification: MSC, B.Pharma, M.Pharma

About Us: MedVerve is co-Founded and run by a core team of qualified professionals from Healthcare Industry, with experience in Insurance Companies, TPAS, Hospitals and IT Healthcare. Bringing in strong skills in Health Insurance, Payor Domain, Strategic Planning, Provider Process, Technology, Operations and Customer Management.

Key Responsibilities:

- Good communication skill.
- Knowledge in computers like MS office.
- Good medical knowledge.
- Independently process Post hospitalization claims; process complex claims with mínimal assistance
- Needs to validate the information on all medical claims received. Claims must be thoroughly reviewed and ensure that there is no missing or incomplete information
- Suggest operational policies, workflows and process improvement initiatives
- Proactive approach by informing Providers regarding missing or repetitive errors by various hospital departments and improvisation of the same.
- Application of medical knowledge to bifurcate the claims.
- Analyzing and justifying the care and management given to the patient
- Thorough understanding of medical terminology in relation to diagnosis and procedures and meeting daily targets.
- Updating skills and medical knowledge with routine enhancement programs.
- Adjudication of claims as per the office memorandum of the concern scheme protocols
- Responsible for the accurate and timely processing of post discharge cashless claims.
- Meets quantity and quality claims processing standards.
- In-depth understanding of the hospitals processes, policies and procedures

Verify Medical, billing related documents for further claim processing.

What We Offer:

- Opportunities for professional development and career advancement.
- A collaborative and dynamic work environment.

Pay: ₹18,000.00 - ₹20,000.00 per month

**Benefits**:

- Health insurance
- Leave encashment
- Provident Fund

Schedule:

- Morning shift

Supplemental Pay:

- Yearly bonus

Application Question(s):

- Experience as Claims Analyst

**Location**:

- Bangalore, Karnataka (preferred)

Work Location: In person

Expected Start Date: 03/03/2025


  • Chief Medical Officer

    6 hours ago


    Attibele, Bengaluru, Karnataka, India THE OXFORD MEDICAL COLLEGE & HOSPITAL Full time

    Chief Medical Officer is the overall in charge of the general administration and discipline of the Medical Department. We seek an experienced chief medical officer As the chief medical officer, your primary responsibility will be to drive the success of our health care initiatives, ensuring the well-being of our employees and stakeholders. You will have...

  • Duty Medical Officer

    2 weeks ago


    Attibele, Bengaluru, Karnataka, India THE OXFORD MEDICAL COLLEGE & HOSPITAL Full time

    A medical officer **examines and studies the report or record to suggest a suitable treatment or order additional tests to aid in diagnosing**. Ensuring accurate medical record keeping: These professionals ensure accurate documentation of medical records. **Ensuring proper maintenance and functioning of equipments under his charge, of his concerned...

  • Medical Officer

    1 week ago


    Bengaluru, Karnataka, India Medverve Healthcare Full time

    Job Title: Medical Officer Location: Bangalore Company: Medverve Healthcare Pvt Ltd Experience: 0-12 months Qualification: BAMS/ BHMS/ BDS About Us: MedVerve is co-Founded and run by a core team of qualified professionals from Healthcare Industry, with experience in Insurance Companies, TPAS, Hospitals and IT Healthcare. Bringing in strong skills in...

  • Medical Officer

    6 hours 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...

  • Medical Officer

    2 weeks ago


    Bengaluru, Karnataka, India Azim Premji Foundation Full time

    We are looking for experienced MBBS doctors preferably with a background in Community/Family Medicine, who resonate with our social purpose and have an intent to work with underserved communities, to lead a Health Center as the Medical Officer. At our Health Center the Medical Officer would be responsible for the clinical services, medical operations and...

  • Medical Officer

    2 weeks ago


    Bengaluru, Karnataka, India Mongoose Minds Private Limited Full time

    Job Title**: Medical officer** Location: Konankunte cross Job Summary **Qualifications**: - Degree in BAMS, BHMS, BSMS, or MBBS (strictly required). - Roles & Responsibilities: - Ensuring accuracy and compliance in medical claims adjudication. **Knowledge & Skill Requirements**: - Technical Competencies: - Claims processing - Preauthorization,...

  • Medical Officer

    6 days ago


    Bengaluru, Karnataka, India Vital Healthcare Services Full time

    The team of medical practitioner part of Pre-Authorization team/ Claims will use their skills and expertise in authorizing the request received and they will ensure that the customers are attended on time by following the protocol of the policy defined by the insurer and the organization. Medical practitioner/BDS/BHMS/BAMS/ MBBS. Ensure 100% accuracy of...


  • Avalahalli, Bengaluru, Karnataka, India East Point College of Medical Science and Research Center & Hospital Full time

    **Job Title**: Casualty Medical Officer **Key Responsibilities**: - Assessing and diagnosing patients with injuries or acute conditions. - Providing emergency treatment and stabilizing patients. - Coordinating with specialists for further care. - Monitoring patient progress and managing ongoing treatment. - Maintaining accurate medical records. -...

  • Medical Officer

    6 days ago


    Bengaluru, Karnataka, India Risenbro Innoace Private Limited Full time

    We are seeking a qualified Medical Officer (MBBS) to join our growing client team at our clinics located in Peenya, Kamanahalli, and Koramangala, Bengaluru. Eligibility Criteria - Educational Qualification: MBBS Degree from an Indian medical institute only (Foreign medical graduates and FMGE pass-outs are not eligible). - Experience: Minimum 1 Year of...

  • Medical Officer

    7 days ago


    Bengaluru District, Karnataka, India Cadabams Group Full time ₹ 4,20,000 - ₹ 5,40,000 per year

    About Cadabam's: Cadabam's is a renowned psychiatric organization in India dedicated to providing comprehensive mental health services. With a focus on excellence and innovation, we strive to deliver high-quality care to individuals experiencing mental health challenges.Job Description: We are seeking skilled and compassionate Medical Officers with an MBBS...