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Medi Assist
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Medical Officer- Non clinical

Medical Officer- Non clinical

Medi Assist

0 - 1 years

3 Lacs

Bengaluru

Posted:4 weeks ago| Platform:

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Skills Required

TPA BHMS BAMS OPD Ayurveda Health Care Services Gynecology Doctor Activities General Medicine First Aid Homeopathy Medicine Patient Care Mediclaim Radiology Investigation Medical Hospital Emergency Diagnosis

Work Mode

Work from Office

Job Type

Full Time

Job Description

Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims, as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package, etc. Understand the process difference between a PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as per the terms and conditions within the TAT. Handle escalations and respond to mails accordingly. Interested Candidates can share their resumes to disha.raman@mediassist.in or WhatsApp on 8904968911

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Medi Assist

Hospitals and Health Care

Bengaluru Karnataka

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Medical Officer- Non clinical