Medical Officer Job in Bengaluru at Mediassist

Medi Assist is hiring for the role of Medical Officer!

Responsibilities of the Candidate:

• 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.
• Approve or deny the claims as per the terms and conditions within the TAT.
• Handle escalations and respond to mails accordingly

Requirements:

• Error-free processing (100% Accuracy)
• Maintaining TAT
• Productivity (Achieve the daily targets)
• 0 – 3 years of experience is required.