Hiring BAMS,BHMS & Bsc nursing freshers Doctors in Bangalore

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 : 9731826983

Thanks & Regards

Hariprasad

Email

hariprasad.m@mediassist.in

Job Type

Permanent

Pay

₹340,000.00 - ₹400,000.00 per year

Benefits

Health insurance

Work Location

In person