Medical Auditor-MBBS

Medical Auditor-MBBS

MD India Healthcare Networx Private Limited
Pune
0-5 years
Not Specified

Job Description

Medical auditor, Claims processor, Adjudication,
Job Description
1 Scrutiny of medical documents and adjudication.
2 Assess the eligibility of medical claims and determine financial outcomes.
3 Identification of trigger factors of insurance related frauds and inform the concerned department.
4 Determine accuracy of medical documents.
5 Approval of the final payable amount after all adjudication.
We currently have opening for medical professional with the following qualifications:-
Designation : Medical Advisor full time
Qualification : BAMS/BHMS/BDS
Job Location : Pune
Experience : 0-5 Years, Freshers can also apply
Gender : Male/Female
Requirement : Good medical knowledge

MDIndia Healthcare Services (TPA) Pvt. Ltd. was founded in November 2000, with exclusive focus on healthcare insurance and aim of providing TPA (Third Party Administration) services to Indian Health Insurance Sector. IRDA (Insurance Regulatory and Development Authority), the regulatory body that governs and licenses all players in the insurance industry, issued the TPA License (No. 005) to MDIndia in March 2001.

MDIndia, a leading third party administrator, is a young, professional and dynamic organization.

The company services over 6 million customers across India through a strong network of 102 branches and over 4000 empaneled hospitals.

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