Medical Officer

**WE ARE HIRING MEDICAL OFFICER**

**Location: Begumpet Hyderabad

**Education: BAMS, or BHMS degree

Salary Range :( CTC 38000-/ In hand 30,000)

Core Responsibilities

**Claim Adjudication**

Review hospital bills, investigation reports, and discharge summaries to determine the medical admissibility of claims.

**Pre-Authorization**

Assess cashless hospitalization requests and approve or reject them based on policy guidelines and standard treatment protocols.

**Medical Scrutiny**

Analyze the correlation between the patient's diagnosis and the medical/surgical procedures performed.

**Query Resolution**

Coordinate with hospital TPA (Third Party Administrator) desks and treating doctors to obtain missing documents or clarify clinical discrepancies.

**Fraud Detection**

Identify potential medical anomalies, overcharging, or unnecessary procedures before claim settlement.

**Contact HR:**

**Pratiksha Shitole**

Group Leader – Talent Acquisition

[phone removed]

(mail to:[email removed])

**MDIndia Health Insurance TPA Pvt. Ltd.**