Medical Officer- Non clinical @ Medi Assist

Home > Operations

Medical Officer- Non clinical

Medi Assist
0 - 3 years
Pune
20 days ago
Email to a friend
Report this job

Job Description

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 ro***********i@me*******t.in or WhatsApp to 8050017***

Job Classification

Industry: Insurance
Functional Area / Department: Customer Success, Service & Operations
Role Category: Operations
Role: Operations - Other
Employement Type: Full time

Contact Details:

Company: Medi Assist
Location(s): Pune

+ View Contact

Login

Candidates can login here to view contacts and apply.

Sign In Sign Up

Email:

Password:

Password too short

To create your profile, apply for a job or make a registration

Your name (*)

Email (*)

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 Resume Max 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

Candidates are expected to provide most recent and accurate profile information, inappropriate content is strictly prohibited!

Keyskills: TPA Experience Medical Knowledge BAMS Claims Adjudication Claims Processing BSC Nursing BHMS medical officer Msc Nursing

Fraud Alert to job seekers!

₹ .25-3.75 Lacs P.A

Job application

We will notify the employer with your details. You can also attach a resume or a cover letter.

Sign In Sign Up

Email:

Password:

Password too short

To create your profile, apply for a job or make a registration

Your name (*)

Email (*)

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

Similar positions

Medical Officer

Prominent Consultant

0 - 5 years

Vadodara

7 days ago

₹ Not Disclosed

Medical Officer- Non clinical

Medi Assist

0 - 5 years

Pune

22 days ago

₹ .25-4.25 Lacs P.A.

Quality Manager / Senior Manager Home Health - Medical Coding

Gebbs Healthcare

9 - 14 years

Hyderabad

25 days ago

₹ Not Disclosed

Non Customer Service Healthcare Lead - BPS

Hexaware Technologies

1 - 4 years

Mumbai

27 days ago

₹ Not Disclosed

Medi Assist

\n\nEstd in 2004, Convate (team of 60 recruiters) is a leading International Recruitment Company having operations in Bangalore and Dubai. We specialize in the recruitment of IT/Healthcare/Engineering in India and the Middle East. Convate provides a learning-based work culture with a strong opportun...

Medical Officer- Non clinical @ Medi Assist

Home > Operations