Dear Candidates

Greetings From Med assist Company!!

Hurry up Medi assist is Medical officer – Non clinical job Noida & Fardiabad

Designation Sr. Executive/ Medical Officer

Function Claims PA/RI Approver

Reporting to :Assistant Manager Claims

Location : Noida

Educational Qualification : BHMS, BUMS, BAMS, & BSC Nursing

Industry Type : Hospital/TPA/Healthcare/Insurance

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 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 non- availability of tariff.





· Approve or deny the claims as per the terms and conditions within the TAT.

· Handle escalations and responding to mails accordingly.

Key Results and Outcomes driven by this role:

· Error-free processing (100% Accuracy)

· Maintaining TAT

· Productivity (Achieve the daily targets)

Relevant Experience

0- 2 years

No of years of experience

0-3 years

Demonstrated abilities if any

None

Technical Competencies

· Analytical Skills

· Basic Computer knowledge

· Type writing skills

Behavioral competencies

· Communication skills

· Decision Making

below address

Job location: Address: Medi assist TPA , Ibc knowledge park dairy circle bannerghatta road Bangalore

Interested candidate can share there resume on my whatsapp no : +91-XXXXXXXXXX

Thanks & Regards

Hariprasad

Email : [email protected]

Job Type: Permanent

Pay: ₹340,000.00 - ₹400,000.00 per year

Advantages:

- Health insurance

Work Location: In person

📌 Hiring BAMS,BHMS & Bsc nursing freshers Doctors in Bangalore (Bengaluru)
🏢 Medi Assist India TPA
📍 Bengaluru