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MEDI ASSIST INSURANCE TPA PRIVATE LIMITED
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Freshers BAMS/BHMS - Non clinical

Freshers BAMS/BHMS - Non clinical

MEDI ASSIST INSURANCE TPA PRIVATE LIMITED

0 years

3 - 4 Lacs

noida uttar pradesh

Posted:4 weeks ago| Platform: SimplyHired logo

Apply

Skills Required

anatomy knowledge bachelor's degree patient care in-person medical terminology

Work Mode

On-site

Job Type

Full Time

Job Description

Dear Candidates,

Greetings From Medi Assist

Job Title : Medical Officer

Role/Position: Permanent

Education: BAMS, BHMS

Shifts: Rotational Shifts ( work from office)

Job location : Noida

Job role :

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 send their CV to:

Mail: [email protected]

Whatsapp: 7631162388

Job Type: Full-time

Pay: ₹300,000.00 - ₹400,000.00 per year

Benefits:

Health insurance
Provident Fund

Application Question(s):

What is your current CTC?
What is your expected CTC?

Work Location: In person

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