Clinical MEDI ASSIST INSURANCE TPA PRIVATE LIMITED

2.0 - 6.0 years

0 Lacs

punjab

On-site

The role of Medical Officer involves processing preauthorization and reimbursement claims, ensuring validation and processing within the specified Turnaround Time (TAT). It requires strong communication skills, medical knowledge, and familiarity with Third Party Administrator (TPA) processes. Experience in TPA handling is considered an advantage for this role. One of the key responsibilities is to manage claims settlement efficiently to prevent any financial implications for the organization. The ideal candidate should possess knowledge and skills in clinical practices, TPA procedures, and medical aspects with a background in insurance. The educational qualification required for this role includes a degree in BDS, BHMS, BAMS, BYNS, or BUMS. The working hours are in the general shift from 9:30 a.m. to 6:30 p.m. with a hybrid mode of working. This hybrid model includes three days working from the office and three days working from home. The job location for this position is in Sector 91, Mohali, or Sector 25, Chandigarh. It is essential to note that this role is for working from the office only. Candidates who are looking for remote work and immediate joining are advised not to apply. This is a full-time position with a day shift schedule. As part of the application process, candidates will be asked questions regarding their willingness for a hybrid mode of working and acceptance of the offered salary range. The work location is strictly in person.,

Posted 2 weeks ago

Apply

Claims Executive Ericson Insurance TPA Pvt Ltd

1.0 - 5.0 years

0 Lacs

maharashtra

On-site

As an executive in our claims department, you will be responsible for processing health insurance claims, both cashless and reimbursement. The ideal candidate should have 1-4 years of experience, with TPA experience being mandatory for this role. This is a full-time position located in Chembur, with a day shift schedule. If you have the required experience and skills in processing health insurance claims, we invite you to join our team and contribute to our mission of providing efficient and accurate claims processing services.,

Posted 1 month ago

Apply

Medical Officers - Night Shift Medi Assist

0.0 - 3.0 years

3 - 4 Lacs

bengaluru

Work from Office

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, differentiate 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 respond to emails accordingly. Interested candidates can share their CV'S to disha.raman@mediassist.in or WhatsApp on 8904968911.

Posted Date not available

Apply

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.