Insurance Medical Officer jobs in Bengaluru, Karnataka
- MEDI ASSIST INSURANCE TPA PRIVATE LIMITEDBengaluru, Karnataka
- Health insurance
- Paid sick time
- Provident Fund
- 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…
- Medi AssistBengaluru, Karnataka
- 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…
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Medical Officer-Claims processing(Nonclinical)
Multiple openingsMEDI ASSIST INSURANCE TPA PRIVATE LIMITEDBengaluru, Karnataka- Health insurance
- Paid sick time
- Provident Fund
- To approve Claims based on the buckets allotted to each approver.
- To inform the Network department in case of any erroneous billing / excess billing.
Medical Officer-Claims processing(Nonclinical)
Multiple openingsMEDI ASSIST INSURANCE TPA PRIVATE LIMITEDBengaluru, Karnataka- Health insurance
- Paid sick time
- Provident Fund
- To approve Claims based on the buckets allotted to each approver.
- To inform the Network department in case of any erroneous billing / excess billing.
- St. John’s National Academy of Health SciencesBengaluru, Karnataka
- FMGE qualification mandatory for foreign medical graduates.
- Competitive salary as per industry standards.
- MBBS degree from a recognized institution.
Job Post Details
Medical Officer - job post
Job details
Pay
- ₹3,10,000 - ₹4,55,000 a year
Job type
- Permanent
- Fresher
- Full-time
Location
Benefits
Pulled from the full job description
- Health insurance
- Paid sick time
- Provident Fund
Full job description
· 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: ₹310,000.00 - ₹455,000.00 per year
Benefits:
- Health insurance
- Paid sick time
- Provident Fund
Education:
- Bachelor's (Preferred)
Work Location: In person