Medical Officer - LCM (Loss Control Measure)

Job Description

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.