Job Title: Medical Officer
Pay: ₹20,000.00-₹30,000.00 per month
Location: Doddakallasandra
(Bank Officers Layout, 61, 5th Main, off Kanakapura Main Road, Narayana Nagar 2nd Block, 2nd Stage, Doddakallasandra, Bangalore City Municipal Corporation Layout, Bengaluru, Karnataka 560062)
Job Summary:
Looking for experienced professionals with a minimum of 1 year in Indian Health Insurance or TPA operations. Candidates should possess strong communication skills and solid medical knowledge, particularly in claims adjudication.
Qualifications:
- Mandatory degree in BAMS, BHMS, BSMS or MBBS.
- Preference for candidates who can join immediately or within 15 days.
Roles & Responsibilities:
- Review and adjudicate medical claims with accuracy, ensuring adherence to guidelines and compliance standards.
Knowledge & Skill Requirements:
Technical Competencies:
- Hands-on experience in claims processing, including preauthorization, medical adjudication, and billing.
- Good understanding of GIPSA/MA packages, SOC and tariff deviations.
- Ability to identify bill inflations and discrepancies in insurance billing.
- Strong knowledge of surgeries, advanced medical treatments and procedure cost structures.
Behavioral Competencies:
- Excellent verbal and written communication skills.
- Strong teamwork and collaboration abilities.
- Effective time management and multitasking skills.
Pay: ₹20,000.00 - ₹30,000.00 per month
Application Question(s):
- Do you have minimum of 1 year experience working in Indian Health Insurance or TPA operations?
- Do you have any one of these degrees: BAMS, BHMS, BSMS or MBBS.?
Work Location: In person
