Posted:23 hours ago|
Platform:
Work from Office
Full Time
• 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 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.
Interested candidate can share your resume to varsha.kumari@mediassist.in
Medi Assist
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