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

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 >< li > Handle escalations responding to mails accordingly . li > ul >Job description
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, 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.Get full accessAccess all high-level positions and get the job of your dreams.
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