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Medical Officer - Non clinical - NOIDA @ Medi Assist

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 Medical Officer - Non clinical - NOIDA

Job Description


Job Descriptions:

  • 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 nonavailability of tariff.
  • Approve or deny the claims as per the terms and conditions within the TAT.

Required Qualification : BAMS, BHMS


Work from Office only

Interested candidates can share there profiles to li***********r@me*******t.in or WhatsApp to 9008118***.


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): Noida, Gurugram

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Keyskills:   BHMS BAMS Claims TPA Claim adjudication Claims Processing

 Fraud Alert to job seekers!

₹ .25-3.75 Lacs P.A

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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...