Medical Officer
15 hours ago
- 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 a 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 respond to mails accordingly.
Interested Candidates can share their resumes to or WhatsApp on
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Chief Medical Officer
1 week ago
Mumbai, Maharashtra, India Caps and Pays Executive Search Full time ₹ 2,00,00,000 - ₹ 2,50,00,000 per yearLooking for Chief Medical Officer for one of the Fastest Growing Emergency Medical Services Company in India Position : Chief Medical Officer - Emergency Medical ServicesLocation : Pune, Maharastra, At Head Office.Reporting to : CEOSalary : Best in the Industry.Education ; MBBS or equivalent degree in Medicine.Should have worked as Chief Medical Officer in...
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Medical Officer
1 week ago
Mumbai, Maharashtra, India Jio World Centre Full time ₹ 4,00,000 - ₹ 12,00,000 per yearCompany OverviewEnvisioned by Nita M. Ambani and spread over 18.5 acres in Mumbais Bandra Kurla Complex, the Jio World Centre is an iconic business, commerce, and cultural destination. A multifaceted development of its kind in India, it includes the musical Fountain of Joy, an upscale retail experience, a multivenue cultural centre, selection of cafs and...
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Medical Officer
4 days ago
Mumbai, Maharashtra, India Jio World Centre Full time ₹ 12,00,000 - ₹ 36,00,000 per yearCompany OverviewEnvisioned by Nita M. Ambani and spread over 18.5 acres in Mumbai's Bandra Kurla Complex, the Jio World Centre is an iconic business, commerce, and cultural destination. A multifaceted development of its kind in India, it includes the musical Fountain of Joy, an upscale retail experience, a multivenue cultural centre, selection of cafés and...
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Consultant - Medical Officer
4 days ago
Mumbai, Maharashtra, India Medi Assist Full time ₹ 2,00,000 - ₹ 6,00,000 per yearGreeting from Medi assist TPA Pvt ltd.Hiring Medical officer for Insurance Claim processing ProfileLocation- Mumbai -Andheri East.Role - Medical officer Exp : 0-3 yearsWORK FROM OFFICE ONLY.Job description :Check the medical admissibility of a claim by confirming the diagnosis and treatment details.Scrutinize the claims, as per the terms and conditions of...
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Medical Officer
2 days ago
Mumbai, Maharashtra, India Paramount Healthcare Management Pvt Ltd Full time ₹ 24,00,000 - ₹ 36,00,000 per yearMedical Claims Review:Analyze and assess pre-authorization and post-treatment reimbursement claims.Review medical records, diagnosis, investigation reports, and treatment plans to ensure clinical appropriateness and policy alignment.Validate claims based on insurance policies, internal guidelines.Decision Making:Determine the admissibility or rejection of...
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Medical Officer
4 days ago
Navi Mumbai, Maharashtra, India Mumbai Rozgaar Full time ₹ 12,00,000 - ₹ 36,00,000 per yearRole & responsibilitiesManage LLs healthcare clinic and team of medical officers.Ensure smooth day-to-day operations of the clinic and manage clinical commitments related to Wellness and Homecare operations.Manage team of Doctors and Para health professionals handling clinical operations and related governance to ensure maximumproductivity and efficiency...
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Consultant - Medical Officer - BSc. Nursing
2 weeks ago
Mumbai, Maharashtra, India Medi Assist Full time ₹ 5,00,000 - ₹ 15,00,000 per yearGreeting from Medi assist TPA Pvt ltd.Hiring Medical officer for Insurance Claim processing ProfileLocation- Mumbai -Andheri East.Role - Medical officerExp : 0-3 yearsWORK FROM OFFICE ONLY.Job description :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...
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Resident Medical Officer
4 days ago
Mumbai, Maharashtra, India Asian Heart Institute Full time ₹ 5,00,000 - ₹ 15,00,000 per yearPosition:As a Resident Medical Officer at Asian Heart Institute, you will be responsible for supervision of the ICU, Casualty, OPD, Wards. You shall be working with Registrars, senior and junior consultants , clinical associates and assistants to investigate and provide treatment to patients being hospitalized in wards and ICU.Responsibilities:1....
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Senior Medical Officer
10 hours ago
Mumbai, Maharashtra, India Medi Assist Full time ₹ 12,00,000 - ₹ 24,00,000 per yearDesignation: Senior Medical OfficerFunction: Claims PA/RI ApproverReporting to: Assistant Manager/ManagerLocation: Andheri East, MumbaiEducational Qualification: BAMS, BHMS, BPT, MBBS, BSc. NursingAdditional Qualification: NoneSpecialization: General MedicineRelated courses attended: NoneManagement Level: Junior Management LevelIndustry Type:...
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Required Medical Officer For Malad
16 hours ago
Mumbai, Maharashtra, India Indira Ivf Hospital Full time ₹ 4,00,000 - ₹ 8,00,000 per yearJob descriptionGreetings from Indira IVF Position - Medical OfficerQualification - BHMS / BAMSLocation- Malad - MumbaiExperience - 1 to 5 YearsJob Timing - 9 am to 6 pmSalary- Best in the industryNotice Period- Immediate JoinersInterested candidates - Kindly share resume onThanks & Regards,KishoriIndira IVF Hospital Pvt Ltd.