Medical Officer - LCM (Loss Control Measure)

We looking for candidates with minimum 1 year experience in Medical Insurance/TPA with good communication and email writing skills with good medical knowledge in Claims Adjudication.

Current open positions: 4 vacancies

Profile requirements:

Qualification: Strictly from BAMS, BHMS, BSMS and MBBS.

Candidates who can join us immediately to max 15 days.

Role & responsibilities

Cost control, Negotiations with hospitals, Bill revision, Savings update, and reprocessing

Knowledge and Skill Requirements

Technical Competencies

• Claims processing - Preauthorization, Medical adjudication, Billing experience
  
• GIPSA / MA package / SOC / Tariff deviations
  
• Identifying Bill inflations - Insurance Corporate billing
  
• Revenue Leakage, Cost control and Negotiations
  
• Audit on bundling / Unbundling of procedures
  
• Knowledge of surgeries, Advanced treatment, and cost of procedures
  
• Reasonable Customary clause
  

Behavioral Competencies : Communication, Teamwork, Time management

Interested candidates please reach out to us in whats app - 9880752060 or catherine.xavier@mediassist.in directly for the further interview process.