Freshers BAMS/BHMS

2 days ago


Noida, Uttar Pradesh, India Medi Assist Insurance TPA Private Limited Full time ₹ 24,00,000 - ₹ 48,00,000 per year

Dear Candidates,

Greetings From Medi Assist

Job Title : Medical Officer

Role/Position: Permanent

Education: BAMS, BHMS

Shifts: Rotational Shifts ( work from office)

Job location : Noida

Job role :

  • 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

Interested candidates can send their CV to:

Mail:

Whatsapp:

Job Type: Full-time

Pay: ₹300, ₹400,000.00 per year

Benefits:

  • Health insurance
  • Provident Fund

Application Question(s):

  • What is your current CTC?
  • What is your expected CTC?

Work Location: In person



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