Medical Officer- Non clinical @ Medi Assist

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Medical Officer- Non clinical

Medi Assist
0 - 5 years
Noida, Gurugram
23 days ago
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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 do********y@me*******t.in

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): Noida, Gurugram

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

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₹ .25-4.25 Lacs P.A

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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 [ + ]

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Medi Assist

ICCS is Established in 2005, with 100% focus on customer experience, employs more than 7,000+ customer experience and specialists providing services to 70+ marquee customers India & globally. ICCS footprint consists of 12 delivery centers focusing in Automotive, Banking & Finance Services, E...

Medical Officer- Non clinical @ Medi Assist

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