We looking for candidates with minimum 1 year experience in Medical Insurance/TPA with good communication and email writing skills with good medical knowledge in Claims Adjudication. Current open positions: 4 vacancies Profile requirements: Qualification: Strictly from BAMS, BHMS, BSMS and MBBS. Candidates who can join us immediately to max 15 days. Role & responsibilities Cost control, Negotiations with hospitals, Bill revision, Savings update, and reprocessing Knowledge and Skill Requirements Technical Competencies Claims processing - Preauthorization, Medical adjudication, Billing experience GIPSA / MA package / SOC / Tariff deviations Identifying Bill inflations - Insurance Corporate billing Revenue Leakage, Cost control and Negotiations Audit on bundling / Unbundling of procedures Knowledge of surgeries, Advanced treatment, and cost of procedures Reasonable Customary clause Behavioral Competencies : Communication, Teamwork, Time management Interested candidates please reach out to us in whats app - 9880752060 or catherine.xavier@mediassist.in directly for the further interview process.

Roles and Responsibilities: 01. Check the medical admissibility of claim by confirming diagnosis and treatment details 02. Involves Processing of Claims ( Preauthorization / IPD / OPD/ PPD) 03. Validating and processing(Approve or deny claims) these claims within TAT 04. Verify the required documents for processing claims and raise an information request in case of an insufficiency 05. With good communication and medical Knowledge Financial : To see to that there is no financial implication for the organization while settlement of claims. Required Knowledge and Skill Requirement : Clinical / Medical knowledge with insurance background will be added advantage Education : BHMS / BAMS / BDS Interview Schedules: Monday to Friday - 11:00 AM - 5:00 PM Working Mode : Work from office Joining Date : Immediate Note : This position is not for Work from home. Interested candidates please drop your update resume/CV on my WhatsApp no - 9880752060 or Email - catherine.xavier@mediassist.in