Medical Officer - Non Clinical - Night Shift

Job description

Role & 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 nterpret 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.

Work Mode : Work from office

Shift Timings : Night Shift

Preferred Qualification: BAMS , BHMS, Bsc Nursing & BDS (Male Candidates)