- 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.
- Interested candidates can share their resumes via email or WhatsApp:
- Email: [email protected]
- WhatsApp: 8792840500
Job Types: Full-time, Permanent, Fresher
Pay: ₹22,000.00 - ₹30,000.00 per month
Benefits:
- Health insurance
- Provident Fund
Work Location: In person
