Job Title: Medical officer
Open Positions: 2 VacanciesLocation: Konankunte cross
Job Summary
We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA who have strong communication and along with good medical knowledge in Claims Adjudication.
Qualifications:
· Degree in BAMS, BHMS, BSMS, or MBBS (strictly required).
· Candidates who can join immediately or within 15 days are preferred.
· Roles & Responsibilities:
· Ensuring accuracy and compliance in medical claims adjudication.
Knowledge & Skill Requirements:
· Technical Competencies:
· Claims processing – Preauthorization, Medical Adjudication, and Billing experience.
· Understanding of GIPSA/MA packages, SOC, and Tariff deviations.
· Identifying bill inflations in insurance billing.
· Knowledge of surgeries, advanced treatments, and procedure costs.
Pay: ₹250,000.00 - ₹350,000.00 per year
Work Location: In person
