Medical Officer

1 week ago


Andheri, Maharashtra, India Medi Assist Insurance TPA Private Limited Full time ₹ 3,35,000 - ₹ 4,30,000 per year
  • 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 Type: Full-time

Pay: ₹335, ₹430,000.00 per year

Benefits:

  • Health insurance
  • Paid sick time
  • Paid time off
  • Provident Fund

Application Question(s):

  • What is your current CTC?
  • How many years of experience do you have?
  • Do you have a degree in BPT / BSc. Nursing?

Work Location: In person



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