Noida - Medical Officer-Non Clinical Job @ Medi Assist

Job Description

Greeting from Medi assist TPA Pvt ltd.

Hiring Medical officer for Insurance Claim processing Profile

Location- Noida Sector 3

Role - Medical officer

Exp : 0-3 years

WORK FROM OFFICE ONLY.

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, 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.

We are looking for fresher or exp candidates BAMS, BHMS, B.Sc Nursing, BPT, MBBS (ONLY Indian Registration)

mail id - ki***********i@me*******t.in

Thanks & Regards

Whatsapp : 9795919***

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   Bpt BHMS Bsc Nursing BAMS Insurance Claims Claims Management tpa Doctor Claims Adjudication Mediclaim Insurance Cases Claims Processing Health Insurance