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Medical Officer/Consultant - Non Clinical Jobs Opening in Medi Assist at Andheri East, Thane, Mumbai

Medical Officer/Consultant - Non Clinical

Medi Assist
experience-icon 0 to 3+ Years
salary-icon 340000 - 450000 Yearly
qualification-icon MBBS, BAMS, BHMS
location-icon Mumbai
Expired
Posted: 01 Sep 25
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Job Description

Designation: Medical Officer/Consultant - Non Clinical
Function: Claims PA/RI Approver 
Reporting to: Assistant Manager Claims 
Location: Mumbai 
Educational Qualification: BHMS, BAMS, MBBS(Indian registration Required) 
Shift: Rotational Shift (for female employee shift ends at 8:30 PM) 
Week offs: 6 rotational week offs Provided per month Related courses attended: None Management Level: Junior Management Level 
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- 5 years 
No. of years of experience: 0-5 years 
Demonstrated abilities if any: None 

Technical Competencies:
  • Analytical Skills
  • Basic Computer knowledge
  • Type writing skills 
Behavioral competencies:
  • Communication skills
  • Decision Making

More information about this Medical Officer/Consultant - Non Clinical Job

Please go through the below FAQs to get all answers related to the given Medical Officer/Consultant - Non Clinical job

  1. What are the job requirements to apply for this Medical Officer/Consultant - Non Clinical job position?
    • Ans: A candidate must have a minimum of 0 to 3+ year experience as an Medical Officer/Consultant - Non Clinical

  2. What is the qualification for this job?
    • Ans: The candidate can be a Graduate from any of the following: MBBS, BAMS, BHMS

  3. What is the hiring Process of this job?
    • Ans: The hiring process all depends on the company. Normally for an entry level, hiring the candidate has to go for Aptitude, GD (If they look for communication),Technical test and face to face interviews.

  4. This Medical Officer/Consultant - Non Clinical is a work from home job?
    • Ans: No ,its not a Work from Home Job.

  5. How many job vacancies are opening for the Medical Officer/Consultant - Non Clinical position?
    • Ans: There are immediate 1 job openings for Medical Officer/Consultant - Non Clinical in our Organisation.

Job Particulars

Role doctor physician
Education MBBS, BAMS, BHMS
Who can apply Freshers and Experienced (0 to 3+ Years )
Hiring Process Walk - In, Telephonic Interview, Virtual Interview
Employment TypeFull Time
Job Id2745379
Job Category Health Care
Locality Address Andheri East , Thane
State Maharashtra
Country India

About Company

Medi Assist
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