Medical Officer - Claims processing

0 - 4 years

0 Lacs

Posted:1 week ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Description: As a Medical Officer, you will be responsible for approving Claims based on the buckets allotted to each approver, informing the Network department in case of any erroneous billing or excess billing, approving online preauthorization requests, and reporting any suspicious cases to the Investigator. Your key focus will be to process cases within the defined Turnaround Time (TAT) while strictly adhering to the policy Terms & Conditions. Key Responsibilities: - Approve Claims based on allotted buckets - Inform Network department of billing errors - Approve online preauthorization requests - Report suspicious cases to Investigator - Process cases within TAT - Adhere strictly to policy T&C Qualification Required: - Bachelor's degree in BAMS, BHMS, or BSC Nursing - Graduates in BAMS, BHMS, or BSC Nursing only Additional Details: The job type is full-time with benefits including health insurance, paid sick time, and Provident Fund. This role requires you to work in the day shift at the office location. Performance bonus is also provided. Application Questions: - Will you be able to join within 7 days - Current Location - Do you have a bachelor's degree in BAMS/BHMS - Total Experience - Current CTC - Expected CTC Work Location: In-person,

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