Medical Officer

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 policyInterpret 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...

· To develop a complete business plan to run the BSES Hospital as a standalone and self sustaining, comprehensive diagnostic and treatment Hospital offering a wide range of health care facilities.· To take charge of all operations/ functions in various departments of the hospital.· To analyze the cost of operations and implementing effective cost...

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...

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...

WORK FROM OFFICEMEDICAL BILLINGMumbai (Andheri )bai (Andheri )ai (Andheri )Shift Time: 8pm to 5am / 5:30pm to 2:30amExperience: Freshers & 1+ year of experience into voiceEducational Qualifications: Any Under Graduate or GraduateJob Description:Outbound calls to insurances for claim status and eligibility verification.Denial documentation and further...

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...

Greetings From Medi assist Company!! Hurry up Medi assist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Experience: looking for TPA background and clinical experience in health insurance. Education: BAMS,BDS ,BUMS, BHMS,BPT MPT & Bsc nursing. Shifts: Day shift Rotational 6 days working ( work from office) Job role :...

Greetings From Medi assist Company!! Hurry up Medi assist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Education: BAMS,BDS ,BUMS, BHMS,BPT ,MPT,MDS,MBBS,BPharma,Mpharma Shifts: Rotational Shifts ( work from office) Job role: To approve PAs based on the buckets allotted to each approver To inform the Network department...

Greetings From Medi assist Company!! Hurry up Medi assist is Hiring Medical officer for Full time Job in Mumbai. Role/Position: Permanent Education: BAMS,BDS ,BUMS, BHMS,BPT ,MPT,MDS,MBBS,BPharma,Mpharma Shifts: Rotational Shifts ( work from office) Job role: To approve PAs based on the buckets allotted to each approver To inform the Network department...

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...

Greetings, Trent Medical Systems is an Authorised Distributor for - Medtronic India -E.N.T Equipment & Consumables. - Medtronic -Neuro Equipment ,Consumables. - KLS Martin ,Germany - Instruments ,ENT,Neuro,Onco,Spine. - Heinemann Germany-ENT Work Station - Nihon Kohden -Hematology cell counter - Skanray - Smith&Nephew Our area of operations are Western...

**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...