Medical Officer

5 days ago

Bengaluru, Karnataka, India Mongoose Minds Private Limited Full time ₹ 2,40,000 - ₹ 3,00,000 per year

Job Title: Medical Officer

Open Positions: 2

Location: Doddakallasandra

Job Summary:

Looking for experienced professionals with a minimum of 1 year in Indian Health Insurance or TPA operations. Candidates should possess strong communication skills and solid medical knowledge, particularly in claims adjudication.

Qualifications:

  • Mandatory degree in BAMS, BHMS, BSMS or MBBS.
  • Preference for candidates who can join immediately or within 15 days.

Roles & Responsibilities:

  • Review and adjudicate medical claims with accuracy, ensuring adherence to guidelines and compliance standards.

Knowledge & Skill Requirements:

Technical Competencies:

  • Hands-on experience in claims processing, including preauthorization, medical adjudication, and billing.
  • Good understanding of GIPSA/MA packages, SOC and tariff deviations.
  • Ability to identify bill inflations and discrepancies in insurance billing.
  • Strong knowledge of surgeries, advanced medical treatments and procedure cost structures.

Behavioral Competencies:

  • Excellent verbal and written communication skills.
  • Strong teamwork and collaboration abilities.
  • Effective time management and multitasking skills.

Job Type: Full-time

Pay: ₹20, ₹25,000.00 per month

Benefits:

  • Health insurance

Experience:

  • total work: 1 year (Preferred)

Work Location: In person

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