Medical Officer (Non-Clinical) - Mumbai

Roles & Responsibilities:

• Claim Processing: Verify the medical admissibility of a claim by confirming diagnosis and treatment details.
• Claim Scrutiny: Scrutinize claims according to the terms and conditions of the insurance policy.
• Data Interpretation: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariffs, and capping details. Differentiate between open billing and package deals.
• Process Verification: Understand the process difference between a PA and an RI claim, and Document

Interested candidates canRoles and Responsibilities

Education: bhms ,bams

01. Involves Processing of Claims ( Preauthorization / Reimbursement claims)

02. Validating and processing these claims within TAT

03. With good communication and medical Knowledge

04. TPA Experience is an added advantage

Financial : To see to that there is no financial implication for the organization while settlement of claims

Role : Medical Officer

Required Knowledge /Skill : Clinical / TPA /Medical knowledge with insurance background

Education : BDS/ BHMS/ BAMS/BUMS

Working timing: Morning Shift / General Shift / Afternoon Shift / Evening Shift

Job Location : Bangalore, mumbai

Note : This position is for Working from office only. Please do not apply if you are looking for working from home. share their resumes via email or WhatsApp:

• Email: shenbagam.j@mediassist.com
• 8097549803

Job Type: Full-time

Pay: ₹350,000.00 - ₹400,000.00 per year

Benefits:

• Health insurance
• Paid sick time
• Paid time off
• Provident Fund

Application Question(s):

• What is your current CTC?
• How many years of experience do you have?
• What is your expected CTC?

Work Location: In person