Consultant Medical Officer
1 week ago
Roles and Responsibilities:
- 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 share their resumes to or Whatsapp on
-
Resident Medical Officer
2 days ago
Bengaluru, Karnataka, India Docthub Jobs Full time ₹ 8,00,000 - ₹ 24,00,000 per yearDiagnose and treat a wide range of medical conditions and illnesses.Provide immediate medical care in emergencies and urgent situations.Conduct thorough patient examinations and medical histories.Prescribe medications and treatments as necessary.Languages:English, Kannada and Hindi- Candidates with the ability to work as a General Family Physician are...
-
Medical Officer
15 hours ago
Bengaluru, Karnataka, India Ohealer Healthcare Services Pvt Ltd Full time ₹ 8,40,000 - ₹ 9,60,000 per yearAbout ClinikkWe are dedicated to democratizing healthcare through technology - ensuring families get high-quality healthcare whenever they need it.Backed by marquee investors like Rajan Anandan, 500 Startups, Times Internet, WEH Ventures, EMVC, First Principles, we are transforming healthcare for Middle India by coupling primary care and comprehensive health...
-
Medical Officer- Peenya
4 days ago
Bengaluru, Karnataka, India Ohealer Healthcare Services Private Limited Full time ₹ 72,00,000 - ₹ 96,00,000 per yearAbout ClinikkWe are dedicated to democratizing healthcare through technology - ensuring families get high-qualityhealthcare whenever they need it. Backed by marquee investors like Rajan Anandan, 500 Startups, Times Internet, WEH Ventures, EMVC, First Principles, we are transforming healthcare for Middle India by coupling primary care andcomprehensive health...
-
Medical Officer – MBBS
2 weeks ago
Bengaluru, Karnataka, India Keyway Abroad Full time ₹ 7,20,000 - ₹ 9,00,000 per yearJob Title: Medical Officer – MBBS (Bengaluru)Company Overview:We are a fast-growing healthcare provider dedicated to delivering quality primary care services across Bengaluru. Our clinics are committed to patient-centered care, and we are looking for passionate Medical Officers to join our team and contribute to improving community health.Location:Multiple...
-
Medical Officer
16 hours ago
Bengaluru, Karnataka, India Navi Full time ₹ 5,00,000 - ₹ 15,00,000 per yearAbout the Team The Claims team at Navi is responsible for delivering a fast, transparent, and customer-first claims experience. From initial intimation to final settlement—whether cashless or reimbursement—they manage the end-to-end process with a strong focus on accuracy and turnaround time. The team works closely with the Hospital Partnerships...
-
Medical Officer
2 weeks ago
Bengaluru, Karnataka, India Azim Premji Foundation Full time ₹ 6,00,000 - ₹ 18,00,000 per yearInviting passionate MBBS doctors to serve vulnerable communities in Bengaluru.We are working to improve the health of the underserved communities living in urban settlements of Bengaluru.Since 2022, we have started an integrated community health program across 5 locations in Bengaluru. At each location, we have our Health Centre and a team of Community...
-
Resident Medical Officer
1 week ago
Bengaluru, Karnataka, India Lifebridge Senior Care Full time ₹ 12,00,000 - ₹ 36,00,000 per yearPosition SummaryThe Resident Medical Officer (RMO) is responsible for delivering comprehensive medical care to elderly patients within the geriatric care facility. The role includes clinical diagnosis, treatment planning, emergency care, and coordination with the interdisciplinary healthcare team. The RMO plays a vital role in ensuring personalized and...
-
Resident Medical Officer( RMO)
2 weeks ago
Bengaluru, Karnataka, India Chinjay Enterprises Full time ₹ 4,00,000 - ₹ 12,00,000 per yearThe doctor will be responsible for consulting patients , providing primary medical care and supporting day to day clinical operations.
-
Senior Medical Officer
5 days ago
Bengaluru, Karnataka, India Vidal Health Insurance Full time ₹ 5,00,000 - ₹ 12,00,000 per yearThe team of medical practitioner part of Pre-Authorization team will use their skills and expertise in authorizing the request received and they will ensure that the customers are attended on time by following the protocol of the policy defined by the insurer and the organization.Ensuring error free processing of preauthorisation within agreed TAT...
-
Medical Officer(Whitefield)
4 days ago
Bengaluru, Karnataka, India Sukino Healthcare Solutions Full time ₹ 18,00,000 per yearQualification-MBBSExperience yrsLocation-Whitefield Shift- Day shift( 10 AM to 06PM)CCF Clients' Admission Process - Active participation in the clients' admission process at the Continuum Care Facility, from a medical, holistic & continuum care point of view, understanding the needs of the client and the scope of services needed.The admission process at...