Medical Officer- Non clinical @ Medi Assist

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 a 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 respond to mails accordingly.

Interested Candidates can share their resumes to di********n@me*******t.in or WhatsApp on 8904968***

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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5.5 LPA (Micro LAP) Paint Railways Legal BPM / BPO, IT Services / Consulting, Leather Film / Music / Entertainment, Retail, BPO / Call Centre, Recruitment / Staffing, Software Product, Electronic Components / Semiconductors, Banking, Medical Services / Hospital (Diagnostics), Electrical Equipment, Facility Management Services, Analytics / KPO / Research, Medical Services / Hospital, Biotechnology, Accounting / Auditing, Internet, E-Learning / EdTech, Insurance, Education / Training, Financial Services (Asset Management), Chemicals (Paints), Financial Services (Broking), Pharmaceutical / Life Sciences, Financial Services, FMCG (Tobacco), Investment Banking / Venture Capital / Private Equity, Engineering / Construction, Iron / Steel, FinTech / Payments, Telecom / ISP, NBFC, Printing / Publishing, Travel / Tourism, Consumer Electronics / Appliances, Medical Devices / Equipment, NBFC (Micro Finance), Chemicals, Food Processing (Dairy), Internet (E-Commerce), Hardware / Networking, Real Estate, Emerging Technologies (Cloud), FMCG, Industrial Equipment / Machinery (Construction Equipment), Miscellaneous, Real Estate (Co-working), Gaming, Management Consulting, Hotels / Restaurants, Beauty / Personal Care, Advertising / Marketing, Agriculture / Forestry / Fishing, Automobile, Industrial Equipment / Machinery, Industrial Automation, Gems / Jewellery, Water Treatment / Waste Management, Automobile (Automobile Dealers), Design, Advertising / Marketing (Digital Marketing), Electronics Manufacturing (Electronic Manufacturing Services (EMS)), Power, Courier / Logistics, Building Material, Metals / Mining, Textile / Apparel (Fashion), Auto Components, Clinical Research / Contract Research, Emerging Technologies (AI/ML), Electronics Manufacturing, Events / Live Entertainment, Law Enforcement / Security Services, Agriculture / Forestry / Fishing (Agri-tech), Food Processing, Government / Public Administration, Petrochemical / Plastics / Rubber, Architecture / Interior Design, Import / Export, Packaging / Containers, Courier / Logistics (Logistics Tech), Legal, Industrial Equipment / Machinery (Machine Tools), Emerging Technologies, Beverage, Furniture / Furnishing, Furniture / Furnishing, NGO / Social Services / Industry Associations, Beverage (Brewery / Distillery), TV / Radio, Emerging Technologies (Nanotechnology), Sports / Leisure / Recreation, Oil / Gas, Defence / Aerospace, Textile / Apparel (Yarn / Fabric), Building Material (Glass), Power (Wind), Textile / Apparel, Aviation, Content Development / Language, Automobile (Electric Vehicle (EV)), Fitness / Wellness, Railways, Emerging Technologies (IoT), Military / Police / Arms / Ammunition Animation EmpowerHire Associates Hiring For Casting Forging industry Gaming Job Search Hiring For Manufacturing Industry Auto Components (Tyre), Emerging Technologies (Drones/Robotics), Power (Hydro), Food Processing (Meat / Poultry), Building Material (Ceramic), Animation / VFX, Pulp / Paper, Job Search Hiring For Reak Estate industry Fertilizers / Pesticides / Agro chemicals, Defence / Aerospace Jobs Territory Hiring For Business Development Manager-Jewellery industry Ports / Shipping, Government Department Sunergeo India Corporation Hiring For Manufacturing Industry AIM JOBS HR SERVICE Hiring For Garment Industry Zecruiters Jobconnect Private Limited Hiring For Taxtile Industry M-Corp Services Hiring For Leading Appliance Industry Client EmpowerHire Associates Hiring For Forging Industry Job Search Hiring For Financial Industry Transformatrix Global Private Limited Hiring For Banking Industry Aarvi Encon Limited Hiring For staffing industry Job Search Hiring For Pharma Industry IT Services u0026 Consulting Square 1 Consulting Services Hiring For a reputed manufacturing industry Power (Solar), Building Material (Cement), Emerging Technologies (AR/VR), Emerging Technologies (Cybersecurity), Textile / Apparel (Home Textile),

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Keyskills:   TPA BHMS BAMS OPD Ayurveda Health Care Services Gynecology Doctor Activities General Medicine First Aid Homeopathy Medicine Patient Care Mediclaim Radiology Investigation Medical Hospital Emergency Diagnosis