Medical Officer- Non clinical

0 - 3 years

3 - 4 Lacs

Noida

Posted:17 hours ago| Platform: Naukri logo

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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

About Us: Medi Assist is India's leading Health Tech and Insure Tech company focused on administering health benefits across employers, retail members, and public health schemes. We consistently strive to drive innovation and participate in such initiatives, to lower health care costs. Our Health Benefits: Administration model is designed to deliver the tools necessary for a health plan to succeed, whether its our modular claims management system, our technology that unveils data to make important decisions, or our service solutions built around the voice of the customer. In short, our goal is to link our success to that of our members Roles and Responsibilities: 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. Handle escalations and responding to mails accordingly. Qualification: BAMS BHMS Work from office only Interested candidates can send their CV to dona.antony@mediassist.in or WhatsApp to 9632777628

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Medi Assist
Medi Assist

Hospitals and Health Care

Bengaluru Karnataka

1001-5000 Employees

56 Jobs

    Key People

  • Ravi Kumar

    CEO
  • Vijaya N

    Head of Operations

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