Qureos Mentor

Medi Assist Insurance TPA Private Limited

<ul><li>Check the medical admissibility of a claim by confirming the diagnosis and treatment details.</li><li>Scrutinize the claims, as per the terms and conditions of the insurance policy</li><li>Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.</li><li>Understand the process difference between PA and an RI claim and verify the necessary details accordingly.</li><li>Verify the required documents for processing claims and raise an IR in case of an insufficiency.</li><li>Coordinate with the LCM team in case of higher billing and with the provider team in case of non- availability of tariff.</li><li>Approve or deny the claims as per the terms and conditions within the TAT.</li><li>Handle escalations and responding to mails accordingly.</li></ul>Interested candidate can share their resume to varsha.kumari@mediassist.inJob Type: Full-timePay: &#8377;335,000.00 - &#8377;430,000.00 per yearBenefits:<ul><li>Health insurance</li><li>Paid sick time</li><li>Paid time off</li><li>Provident Fund</li></ul>Application Question(s):<ul><li>What is your current CTC?</li><li>How many years of experience do you have?</li><li>Do you have a degree in BPT / BSc. Nursing/ BAMS/ BHMS/ MBBS?</li></ul>Work Location: In person

Medical Officer (Non Clinical) - BPT/ BSc Nursing / BAMS/ BHMS

Roles &amp; Responsibilities:<ul><li>Claim Processing: Verify the medical admissibility of a claim by confirming diagnosis and treatment details.</li><li>Claim Scrutiny: Scrutinize claims according to the terms and conditions of the insurance policy.</li><li>Data Interpretation: Interpret ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariffs, and capping details. Differentiate between open billing and package deals.</li><li>Process Verification: Understand the process difference between a PA and an RI claim, and verify necessary details accordingly.</li><li>Document Verification: Verify all required documents for processing claims and raise an IR (Information Request) if documents are insufficient.</li><li>Team Coordination: Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of a tariff.</li><li>Claim Approval: Approve or deny claims as per the terms and conditions within the TAT (Turnaround Time).</li><li>Communication: Handle escalations and respond to emails promptly.</li></ul>Interested candidates can share their resumes via email or WhatsApp:<ul><li>Email: kishan.dwivedi@mediassist.in</li><li>WhatsApp: 9795919025</li></ul>Job Type: Full-timePay: &#8377;335,000.00 - &#8377;430,000.00 per yearBenefits:<ul><li>Health insurance</li><li>Paid sick time</li><li>Paid time off</li><li>Provident Fund</li></ul>Application Question(s):<ul><li>What is your current CTC?</li><li>How many years of experience do you have?</li><li>Do you have a degree in BPT / BSc. Nursing/ BAMS/ BHMS/ MBBS?</li></ul>Work Location: In person

Medical Officer (Non-Clinical) - / BAMS/ BHMS/BPT/ BSc Nursing

Roles and Responsibilities01. Involves Processing of Claims ( Preauthorization / Reimbursement claims)02. Validating and processing these claims within TAT03. With good communication and medical Knowledge04. TPA Experience is an added advantageFinancial : To see to that there is no financial implication for the organization while settlement of claimsRole : Medical OfficerRequired Knowledge /Skill : Clinical / TPA /Medical knowledge with insurance backgroundEducation : MBBS / BDS / BHMS/ BAMS ( Freshers are preferred )Working timing: General ShiftJob Location : PP Compound, Off Sujatha Chowk, RanchiNote : This position is for Working from office only. Please do not apply if you are looking for working from home. Salary range mentioned will vary for the education and experienceJob Types: Full-time, FresherPay: &#8377;20,000.00 - &#8377;35,000.00 per monthWork Location: In person

Doctors ( BDS / BHMS / BAMS / MBBS ) _ Non Clinical _ Working from Office

Responsibilities :01. Involves Processing of Claims ( Preauthorization / Reimbursement claims)02. Validating and processing these claims within TAT03. With good communication and medical Knowledge04. TPA knowledge is an added advantageFinancial : To see to that there is no financial implication for the organization while settlement of claimsRole : Medical OfficerRequired Knowledge /Skill : Clinical / TPA /Medical knowledge with insurance backgroundEducation : BDS / BHMS / BAMS Working timing: Morning Shift / General Shift / Afternoon Shift / Evening ShiftJob Location : Medi Assist Insurance TPA Pvt Ltd, 4th Floor, D-BLOCK, IBC Knowledge Park, Bhavani Nagar, S.G. Palya, Bengaluru, Karnataka 560029Note : This position is for Working from office only. Please do not apply if you are looking for working from home.Job Types: Full-time, FresherPay: &#8377;20,000.00 - &#8377;25,000.00 per monthWork Location: In person

Doctor as Medical Officer ( Freshers Preferred ) _ Non Clinical _ WFO

Greetings From Medi AssistJob Title : Medical Officer jobs at MumbaiRole/Position: PermanentEducation: BAMS, BHMS, BDS &amp; Bsc nursingShifts: Rotational Shifts ( work from office)Job role :Check the medical admissibility of claim by confirming diagnosis and treatment detailsVerify the required documents for processing claims and raise an information request in case of an insufficiencyApprove or deny claims as per T&amp;C within TATThanks &amp; RegardsHariprasadJob Types: Full-time, Permanent, FresherPay: &#8377;350,000.00 - &#8377;450,000.00 per yearBenefits:<ul><li>Health insurance</li><li>Provident Fund</li></ul>Work Location: In person

Required doctors - non-clinical job (BAMS & BHMS) - Mumbai

<ul><li>Check the medical admissibility of a claim by confirming the diagnosis and treatment details.</li><li>Scrutinize the claims, as per the terms and conditions of the insurance policy</li><li>Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc.</li><li>Understand the process difference between PA and an RI claim and verify the necessary details accordingly.</li><li>Verify the required documents for processing claims and raise an IR in case of an insufficiency.</li><li>Coordinate with the LCM team in case of higher billing and with the provider team in case of non- availability of tariff.</li><li>Approve or deny the claims as per the terms and conditions within the TAT.</li><li>Handle escalations and responding to mails accordingly.</li></ul>Job Type: Full-timePay: &#8377;340,000.00 - &#8377;430,000.00 per yearBenefits:<ul><li>Health insurance</li><li>Paid sick time</li><li>Paid time off</li><li>Provident Fund</li></ul>Application Question(s):<ul><li>Do you have a degree in BHMS / BAMS / BPT / BSc. Nursing?</li><li>What is your current CTC?</li><li>How many years of experience do you have?</li></ul>Work Location: In person

Medical Officer (Non Clinical) - BAMS/ BHMS/ BPT/ BSc Nursing

Join Medi Assist Insurance TPA Private Limited and explore 6   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.