Medical officer - TPA ,Claims(BAMS, BHMS, BDS, Phar.D) (Bengaluru)

Medical officer - TPA ,Claims(BAMS, BHMS, BDS, Phar.D) (Bengaluru)

12 Sep
|
Stalwarts Servicios
|
Bengaluru

12 Sep

Stalwarts Servicios

Bengaluru

Job Title: Medical officer

Open Positions: 2 VacanciesLocation: Konankunte cross

Job Summary

We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA who have strong communication and along with valuable medical knowledge in Claims Adjudication.

Qualifications:

· Degree in BAMS, BHMS, BSMS, or MBBS (strictly required).

· Candidates who can join immediately or within 15 days are preferred.

· Roles & Responsibilities:

· Ensuring accuracy and compliance in medical claims adjudication.

Knowledge & Skill Requirements:

· Technical Competencies:

· Claims processing – Preauthorization, Medical Adjudication, and Billing experience.

· Understanding of GIPSA/MA packages, SOC, and Tariff deviations.

· Identifying bill inflations in insurance billing.

· Knowledge of surgeries, advanced treatments, and procedure costs.

Pay: ₹250,000.00 - ₹350,000.00 per year

Work Location: In person

📌 Medical officer - TPA ,Claims(BAMS, BHMS, BDS, Phar.D) (Bengaluru)
🏢 Stalwarts Servicios
📍 Bengaluru

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