Medical Officer

Open Positions

• Executive
• Senior Executive
• Team Lead
• Assistant Manager

Role & responsibilities

• Adjudicating cashless and Reimbursement claims with claim documents provided by help desk executive.

• Should be able to do claim tabulation to bifurcate payable and non-payable items as per the terms and conditions laid out in the insurance policy

• Monitoring billing as per the Tariff.

• Managing claims escalations form hospitals.

• Evaluate complete claim documents before submission.

• Helping team to understand the Non-medical Items.

• Coordinate with Internal team to understand patient enquires.

Preferred candidate profile

• 1 -6 years of experience in TPA or Insurance claims or similar field