Roles Responsibilities Claim Processing Verify the medical admissibility of a claim by confirming diagnosis and treatment details Claim Scrutiny Scrutinize claims according to the terms and conditions of the insurance policy Data Interpretation Interpret ICD coding evaluate co-pay details and classify non-medical expenses room tariffs and capping details Differentiate between open billing and package deals Process Verification Understand the process difference between a PA and an RI claim and Document Interested candidates canRoles and Responsibilities Education bhms bams 01 Involves Processing of Claims Preauthorization Reimbursement claims 02 Validating and processing these claims within TAT 03 With good communication and medical Knowledge 04 TPA Experience is an added advantage Financial To see to that there is no financial implication for the organization while settlement of claims Role Medical Officer Required Knowledge Skill Clinical TPA Medical knowledge with insurance background Education BDS BHMS BAMS BUMS Working timing Morning Shift General Shift Afternoon Shift Evening Shift Job Location Bangalore mumbai Note This position is for Working from office only Please do not apply if you are looking for working from home share their resumes via email or WhatsApp Email shenbagam j mediassist com (phone hidden) Job Type Full time Pay 350 000 00 - 400 000 00 per year Benefits Health insurance Paid sick time Paid time off Provident Fund Application Question s What is your current CTC How many years of experience do you have What is your expected CTC Work Location In person

📌 Medical Officer (non-clinical) - Mumbai (Maharashtra)
🏢 MEDI ASSIST INSURANCE TPA PRIVATE
📍 Maharashtra