Medical Coordinator Officer(MBBS-Tirupati)

Medical Officer / Medical Coordinator *Location:Tirupati,Andhra Pradesh Salary 5 LPA – ₹9 LPA Employment Type : Full-time  Industry: Medical / Healthcare / Hospitals Functional Area: Medical, Healthcare, R&D, Health Insurance Role Category : Medical Professional – Non-Clinical Key Responsibilities: 1.      Medical Records Review & Case Scrutiny:  o      Evaluate and review medical records and cases to provide expert medical opinions for health insurance processes, including pre-authorizations and claims. 2.      Medical Terminology Expertise:  o      Apply a strong understanding of medical terminology in a non-clinical environment. 3.      Policy & Protocol Adherence:  o      Ensure thorough knowledge and compliance with health insurance policies, terms, and protocols related to claims adjudication and processing. 4.      Standard Operating Procedures (SOPs):  o      Implement and follow SOPs in all activities to ensure consistency and accuracy. 5.      Procedure Coding:  o      Accurately code treatments and procedures in line with medical guidelines. 6.      Volume Management:  o      Efficiently manage case volumes to meet turnaround time (TAT) requirements. Required Candidate Profile: 1.      Medical Knowledge:  o      Strong foundation in the medical field with the ability to interpret and evaluate clinical data. 2.      Communication & Negotiation:  o      Excellent oral and written communication skills. o      Ability to negotiate and make effective, timely decisions. Qualifications : •      MBBS Specialization •      PG: Post Graduation Not Required •      Doctorate: Not Required Key Skills: •      Claims Adjudication & Processing •      Health Insurance Policies •      Standard Operating Procedures (SOPs) •      Medical Scrutiny & Case Review •      Procedure Coding � Interested candidates can contact: HR Vandana: +91 9321401218 � Email your CV to: hrmdeprt@gmail.com � Join us and be a part of a growing team in the healthcare sector!