Dear Candidates Greetings From Med assist Company!! Hurry up Medi assist is Medical officer – Non clinical job Noida & Fardiabad Designation Sr. Executive/ Medical Officer Function Claims PA/RI Approver Reporting to :Assistant Manager Claims Location : Noida Educational Qualification : BHMS, BUMS, BAMS, & BSC Nursing 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- 2 years No of years of experience 0-3 years Demonstrated abilities if any None Technical Competencies · Analytical Skills · Basic Computer knowledge · Type writing skills Behavioral competencies · Communication skills · Decision Making below address Job location: Address: Medi assist TPA , Ibc knowledge park dairy circle bannerghatta road Bangalore Interested candidate can share there resume on my whatsapp no : 9731826983 Thanks & Regards Hariprasad Email : [email protected] Job Type: Permanent Pay: ₹340,000.00 - ₹400,000.00 per year Benefits: Health insuranceWork Location: In person