BAMS / BHMS Freshers - Non Clinical (Mumbai) - Andheri, Mumbai, Maharashtra

Only for registered members Andheri, Mumbai, Maharashtra, India

1 week ago

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Job summary

BAMS/BHMS Freshers - Non Clinical


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.< / li >
  • Cordinate with LCM team in case higher billing < br / >
    and provider team in case non availability tariff .< / li >< li > Approve or deny claims as per terms conditions within TAT .< li > Handle escalations responding to mails accordingly .
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    Donec lacinia nisi nec odio ultricies imperdiet.
    Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.

    Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
    , at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
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