Medical Officer Heritage health insurance TPA

0.0 - 4.0 years

0 Lacs

jaipur, rajasthan

On-site

Role Overview: As the Medical Officer in Claims Processing, your main responsibility will be to evaluate the medical aspects of insurance claims. You will play a crucial role in ensuring accurate, timely, and fair claim settlements by reviewing medical records, assessing treatment necessity and appropriateness, verifying diagnoses, and assisting in detecting fraud or overbilling. Key Responsibilities: - Evaluate medical records related to insurance claims - Assess the necessity and appropriateness of treatments - Verify diagnoses provided in the claims - Assist in detecting instances of fraud or overbilling Qualifications Required: - Degree in Medicine or related field - Strong analytical sk...

Posted 22 hours ago

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Medical Advisor LuxoraExperiences

2.0 - 6.0 years

0 Lacs

pune, maharashtra

On-site

As a Patient Care Coordinator at Luxoras, your role involves the following responsibilities: - Speaking with prospective patients to understand their medical concerns, goals, and expectations. Guiding them on suitable treatment options and assessing basic eligibility based on medical history. - Reviewing diagnostic reports and medical documents to assist in preliminary evaluation before forwarding to partner hospitals or specialists. - Helping patients understand recommended procedures, expected outcomes, recovery timelines, and pre/post-operative care essentials. - Acting as a medical liaison, translating clinical information into patient-friendly language and ensuring smooth communication ...

Posted 1 month ago

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Medical Officer Heritage health insurance TPA

0.0 - 4.0 years

0 Lacs

jaipur, rajasthan

On-site

You will be responsible for evaluating the medical aspects of insurance claims to ensure accurate, timely, and fair claim settlements. This will involve reviewing medical records, assessing the necessity and appropriateness of treatments, verifying diagnoses, and helping to detect fraud or overbilling. Key Responsibilities: - Evaluate medical records related to insurance claims - Assess the necessity and appropriateness of treatments - Verify diagnoses provided in the claims - Aid in detecting instances of fraud or overbilling Qualifications Required: - Medical degree with a valid license - Strong analytical skills - Attention to detail Please note that this position is available as full-tim...

Posted 2 months ago

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Occupational Health Physician - Hospital Huquo Consulting

2.0 - 7.0 years

8 - 12 Lacs

bihar

Work from Office

Key Responsibilities: - Conduct medical evaluations, screenings, and assessments of employees - Evaluate and manage work-related injuries and illnesses - Provide medical consultations and advice to employees on work-related health issues - Conduct Health Risk Assessments for clients in various industries - Develop and implement occupational health programs and policies - Develop and manage plans for emergency medical response for offshore clients - Maintain accurate and confidential medical records - Collaborate with other healthcare professionals, such as HR / HSE / OHS departments, to promote a healthy workplace environment - Stay up-to-date with the latest occupational health trends and r...

Posted Date not available

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