Medical Officer - Non Clinical Role @ Medi Assist

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Medical Officer - Non Clinical Role

Medi Assist
0 - 2 years
Mumbai
2 months ago
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Job Description

POSITION: MEDICAL OFFICER

Role 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.

Preferred Candidates:

BAMS

BHMS

BPT

B.SC Nursing

BDS

Job Classification

Industry: Insurance
Functional Area / Department: Healthcare & Life Sciences
Role Category: Doctor
Role: Medical Officer
Employement Type: Full time

Contact Details:

Company: Medi Assist
Location(s): Mumbai

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Keyskills: Health Insurance Health Claims Mediclaim Claims Claims Processing

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₹ -3.5 Lacs P.A

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Your name (*)

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Mobile (*)

Preferred City (* max. 2 w/comma)

Designation / Expected Role

Current / Recent Company (*)

Experience (*)

Expected Salary (*)

Desired Industry (*):

Functional area / Department (*):

Enter Skills (key skills, subjects, technologies & roles to use in search)

Write briefly about yourself, your experience and education (*)

Attach ResumeMax 2.38 MB (RTF, PDF, DOC, DOCX formats only parsed)

Please, check the file size and type.

Add social media [ + ]

Create password

I agree with website service terms and conditions

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Medi Assist

Medi Assist is a third-party administrator (TPA) which provides a range of wellness programs and value-added services to corporate employees and individuals. It offers health benefits administration services including cashless claims management, reimbursements, pharmacy benefits. Medi Assist sends a...

Medical Officer - Non Clinical Role @ Medi Assist

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