Job Description

Greetings from Mediassist TPA

Hiring for Medical officer in Mumbai, Noida & Faridabad

Doctors degree - BAMS, BUMS, BHMS, BDS,.

• Candidates should be flexible in shifts.

Fresher's /Experienced both Doctors can apply

Roles and Responsibilities

• Claim Processing
• 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.

Job Types: Full-time, Permanent, Fresher

Pay: ?300,000.00 - ?450,000.00 per year

Benefits:

• Health insurance
• Provident Fund

Schedule:

• Day shift
• Rotational shift
• Weekend availability

Supplemental pay types:

• Performance bonus

Application Question(s):

• Your Current CTC
• Your Expected CTC
• We are Hiring Bachelor's Degree in BAMS/ BHMS/BDS

Education:

• Bachelor's (Required)

Work Location: In person