Medical Officer - Non Clinical Job @ Medi Assist

Job Description

About Us:

Medi Assist is India's leading Health Tech and Insure Tech company focused on

administering health benefits across employers, retail members, and public

health schemes. We consistently strive to drive innovation and participate in

such initiatives, to lower health care costs.

Our Health Benefits:

Administration model is designed to deliver the tools necessary for a health

plan to succeed, whether its our modular claims management system, our

technology that unveils data to make important decisions, or our service

solutions built around the voice of the customer. In short, our goal is to link

our success to that of our members

Roles and Responsibilities:

1. Check the medical admissibility of a claim by confirming the diagnosis and treatment details.
2. Scrutinize the claims, as per the terms and conditions of the insurance policy.
3. Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.
4. Understand the process difference between PA and an RI claim and verify the necessary details accordingly.
5. Verify the required documents for processing claims and raise an IR in case of an insufficiency.
6. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff.
7. Approve or deny the claims as per the terms and conditions within the TAT.
8. Handle escalations and responding to mails accordingly.Work From Office only

Interested candidates can share their CVs to Dona- 9632777***

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0 - 1 Yrs 1 - 2 Yrs 2 - 3 Yrs 3 - 4 Yrs 4 - 5 Yrs 5 - 6 Yrs 6 - 7 Yrs 7 - 8 Yrs 8 - 9 Yrs 9 - 10 Yrs 10 - 11 Yrs 11 - 12 Yrs 12 - 13 Yrs 13 - 14 Yrs 14 - 15 Yrs 15 - 16 Yrs 16 - 17 Yrs 17 - 18 Yrs 18 - 19 Yrs 19 - 20 Yrs 20 - 21 Yrs 21 - 22 Yrs 22 - 23 Yrs 23 - 24 Yrs 24 - 25 Yrs 25 - 26 Yrs 26 - 27 Yrs 27 - 28 Yrs 28 - 29 Yrs 29 - 30 Yrs 30+ Yrs

Expected Salary (*)

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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Accounting / Finance Advertising / MR / PR / Events Agriculture / Dairy Animation / Multimedia Architecture / Interior Design Astrology Automobile / Auto Ancillaries / Auto Components Aviation / Airline / Aerospace / Aeronautical Banking / Financial Services / Broking BPO / Call Center / ITeS Brewery / Distillery Broadcasting Cement / Building Material Chemical / Petro / Plastic / Rubber / Glass Consumer Electronics / Appliances / Durables Courier / Transportation / Freight Defence / Government Education / Teaching / Training Electricals / Switchgears Engineering / Construction / Cement / Metals Environment / Waste Management Export / Import / Trading Facility Management Fertilizers / Pesticides FMCG / Foods / Beverage Food Processing Furnishings / Ceramics / Sanitaryware / Electricals Gems / Jewellery Gifts / Toys / Stationary Government / Departmental Heat Ventilation / Air Conditioning Hotel / Restaurant Industrial Design Industrial Products / Heavy Machinery Insurance Internet / E-Commerce IT - Hardware / Networking IT - Software / Services KPO / Research / Analytics Leather / Leather Products Legal / Courts Logistics / Courier / Transportation Management Consulting / Strategy Manufacturing / Production Matrimony / Matchmaking Media / Entertainment Medical / Healthcare / Hospital Merchant Navy Metal / Iron / Steel MFI - Micro Finance Military / Police / Arms Ammunition Mining / Quarrying NBFC-Non Banking Financial Services NGO / Social Work Office Equipment / Automation Not Mentioned Paint / Art / Sculpture / Craft Paper / Wood Personal Care / Beauty Pharma / Biotech / Clinical Research Politics Power / Energy / Oil / Gas / Petroleum Printing / Publishing / Packaging Quality Certification Real Estate / Property Recruitment Services / RPO Religion / Spirituality Retail Security / Detective Services Semiconductors / Electronics Shipping / Marine Telecom / ISP Textile / Garments / Fashion Travel / Tourism / Hotels / Airlines / Railways Unskilled Labor / Domestic Help Veterinary Science / Pet Care Sports / Fitness / Beauty NBFC ( Non Banking Financial Services ) Manufacturing Travel / Tourism Medical / Healthcare FMCG / F/B Education / Training IT Services / Consulting Software Product BPO / Call Center BFSI Power / Energy Recruitment Services Pharma / Biotech Oil / Gas / Petroleum Banking Real Estate Financial Services Accounting / Auditing Square 1 Consulting Services Hiring For A reputed Chemical industry Consumer Durables / Electronics Media / Dotcom / Entertainment Engineering / Construction Investment Banking / Venture Capital / Private Equity Aviation / Airline Automation Export-Import / Trading Shipping Hospitality FinTech Automobile / Auto Ancillaries Others Printing / Packaging Broking Auto Components E-Learning Furnishings / Sanitaryware / Electricals Chemical / Plastic / Rubber / Glass 97 KPO / Analytics Sanskar HR Consultancy Services Hiring For Chemical Industry Emerging Technologies MFI ( Micro Finance ) Heat ventilation Air conditioning Heat ventilation Air conditioning Subhadra Jobs Consultancy Hiring For Bpo Industry Subhadra Jobs Consultancy Hiring For Bpo Industry Acme Services Private Limited Hiring For Beauty Skin Care Industry Semiconductors Semiconductors Mining Sanskar HR Consultancy Services Hiring For Manufacturing Industry Sports / Fitness AMOHA CONSULTING AND VENTURES PRIVATE LIMITED Hiring For Urgent | Hiring for Branch Sales Manager role in NBFC Industry for Navi Mumbai - 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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Accounts / Finance / Tax / CS / Audit Agent / Agency Analytics & Business Intelligence Architecture / Interior Design Banking / Insurance Beauty / Fitness / Spa Services Content / Journalism Corporate Planning / Consulting CSR & Sustainability Engineering Design / R&D Export / Import / Merchandising Fashion / Garments / Merchandising Guards / Security Services Hotels / Restaurants HR / Administration / IR IT- Hardware / Telecom / Technical Staff / Support IT Software - Application Programming / Maintenance IT Software - Client Server IT Software - DBA / Datawarehousing IT Software - E-Commerce / Internet Technologies IT Software - Embedded /EDA /VLSI /ASIC /Chip Des. IT Software - ERP / CRM IT Software - Mainframe IT Software - Middleware IT Software - Mobile IT Software - Network Administration / Security IT Software - Other IT Software - QA & Testing IT Software - System Programming IT Software - Systems / EDP / MIS IT Software - Telecom Software ITES / BPO / KPO / Customer Service / Operations Legal Marketing / Advertising / MR / PR Pharma / Biotech / Healthcare / Medical / R&D Packaging Production / Maintenance / Quality Purchase / Logistics / Supply Chain Sales / BD Secretary / Front Office / Data Entry Self Employed / Consultants Shipping Site Engineering / Project Management Teaching / Education Top Management Ticketing / Travel / Airlines TV / Films / Production Web / Graphic Design / Visualiser Other Areas

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Keyskills:   Claims Processing Ayurveda Claims Insurance Claims Adjudication TPA Bpt Claims Handling Homeopathy Health Claims Nursing Claim Settlement Health Insurance