Medical Officer

Roles & Responsibilities:Claim Processing: Verify the medical admissibility of a claim by confirming diagnosis and treatment details.Claim Scrutiny: Scrutinize claims according to the terms and conditions of the insurance policy.Data Interpretation: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariffs, and capping...

Roles & Responsibilities:Claim Processing: Verify the medical admissibility of a claim by confirming diagnosis and treatment details.Claim Scrutiny: Scrutinize claims according to the terms and conditions of the insurance policy.Data Interpretation: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariffs, and capping...

Role & responsibilities :1. Financial Planning & AnalysisLead budgeting, forecasting, and financial modeling processes.Monitor and prepare detailed management reports for informed decision-making.Optimize cost structures and ensure efficient allocation of resources.2.Strategic LeadershipDevelop and execute the company's financial strategy aligned with...

Key Responsibilities:Medical 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...

Bachelor's degree in Commerce, Accounting.Worked on Tally ERP.Experience in accounts data entry.Knowledge of basic accounting principles.Good typing speed and data entry accuracyJob Type: Full-timeWork Location: In person

Job OverviewWe are seeking a highly organized and professional Receptionist/Administrative Assistant to join our dynamic team. This role is essential in providing excellent customer service and administrative support to ensure the smooth operation of our office. The ideal candidate will possess strong communication skills, a friendly demeanor, and the...

Job SummaryThe Operation Coordinator plays a crucial role in ensuring the smooth and efficient functioning of our office operations. This position involves managing various administrative tasks, providing exceptional customer service, and supporting the overall organizational workflow. The ideal candidate will be detail-oriented, possess strong...

Medical Officer hiring in TPA!! Location : Vidhivihar, Mumbai Qualification - BHMS, BAMS,BPT , Experience : 0 - 4 (Clinical / Non clinical ) Salary : 3 LPA - 4.5 LPA Job Description: - Processing of claims request received from the hospital - Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to...

Medical Officer hiring in TPA!! Location : Marol, Mumbai Qualification - BHMS, BAMS, BDS, BPT Pharm D,B Pharmacy ,B.Sc. Nursing Experience : 0 - 4 (Clinical / Non clinical ) Salary : 3 LPA - 4.5 LPA Job Description: - Processing of claims request received from the hospital - Proper scrutiny of the medical documents received from the hospital/ patient and...

Title: Medical Officer Location: Andheri East, Mumbai Job purpose: Medical officer will be responsible for ensuring efficient daily operation of the centre. A multifaceted role, which not only demands clinical/medical skills but also administrative abilities. Qualification: BAMS / BHMS / DHMS **Responsibilities**: - Interview patients and document...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

**Job Summary** Hi Urgent Opening for Medical Officer with a leading TPA at Andheri Marol **WORK FROM OFFICE ONLY** Location -Andheri Vacancy - 1 **Responsibilities**: - Understanding of Policy terms & conditions & Various Protocols / Guidelines - Maintaining & Ensuring Standard Operating Procedures & Protocols Ailment Wise ICD & Procedure Coding -...

**Roles & Responsibilities**: - **Claim Processing**: Verify the medical admissibility of a claim by confirming diagnosis and treatment details. - **Claim Scrutiny**: Scrutinize claims according to the terms and conditions of the insurance policy. - **Data Interpretation**: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses,...

**Job description** **Role**:Medical Officer** **Work from Office only** **Job Descriptions**: - To approve Claims based on the buckets allotted to each approver. - To inform the Network department in case of any erroneous billing / excess billing. - To approve online preauthorization requests received. - In case of any suspicious case, the same will be...

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...

**Job description** **Role**:Medical Officer** **Work from Office only** **Job Descriptions**: - To approve Claims based on the buckets allotted to each approver. - To inform the Network department in case of any erroneous billing / excess billing. - To approve online preauthorization requests received. - In case of any suspicious case, the same will be...