Medical Officer/Consultant

Medi Assist Insurance TPA Pvt. Ltd

Job Description:Settlement of medi claims of policy holders as per the prescribed manner within the TAT.Job Roles 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 policyInterpret 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 conditionsHandle escalations and responding to mails accordingly.Error-free processing claims (100% Accuracy)Maintaining TATProductivity (Achieve the daily targets)Shift Timing : Rotational Shifts (Females – 7:00 AM – 3:30 PM,9:30 AM – 6:00 PM, 02:00 PM – 11:00 PM)Educational Qualification:BHMS, BUMS, BAMS, BDS, MDS,BPT, Pharma D,MPT,BSC Nursing.Experience: 0 to 5 yearsInterested candidates can share profile to or wtsup your profile to 6366422910Walk In Details:04th July 2022 – 09th July 2022.Medi Assist India TPA Pvt LtdIBC Knowledge Park,Tower D, 4th Floor,Bannerghatta Main Rd,4/1, Bengaluru,Karnataka 560029RoleMedical Officer,Industry TypeInsurance,Functional AreaHealthcare & Life Sciences,Employment TypeFull Time, Temporary/ContractualRole CategoryDoctorEducationUG :Any GraduateKey SkillsMedical OfficerBDSBHMSTPAInsuranceBAMSProcesserMedical ClaimsSkills highlighted with ‘‘ are preferred keyskills

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