Medical Coordinator Officer

Medical Officer / Medical Coordinator

*Location:Tirupati,Andhra Pradesh

Salary 5 LPA – ₹9 LPA

Employment Type : Full-time 

Industry: Medical / Healthcare / Hospitals

Functional Area: Medical, Healthcare, R&D, Health Insurance

Role Category : Medical Professional – Non-Clinical

Key Responsibilities:

1.      Medical Records Review & Case Scrutiny: 

o      Evaluate and review medical records and cases to provide expert medical opinions for health insurance processes, including pre-authorizations and claims.

2.      Medical Terminology Expertise: 

o      Apply a strong understanding of medical terminology in a non-clinical environment.

3.      Policy & Protocol Adherence: 

o      Ensure thorough knowledge and compliance with health insurance policies, terms, and protocols related to claims adjudication and processing.

4.      Standard Operating Procedures (SOPs): 

o      Implement and follow SOPs in all activities to ensure consistency and accuracy.

5.      Procedure Coding: 

o      Accurately code treatments and procedures in line with medical guidelines.

6.      Volume Management: 

o      Efficiently manage case volumes to meet turnaround time (TAT) requirements.

Required Candidate Profile:

1.      Medical Knowledge: 

o      Strong foundation in the medical field with the ability to interpret and evaluate clinical data.

2.      Communication & Negotiation: 

o      Excellent oral and written communication skills.

o      Ability to negotiate and make effective, timely decisions.

Qualifications :

•      MBBS Specialization

•      PG: Post Graduation Not Required

•      Doctorate: Not Required

Key Skills:

•      Claims Adjudication & Processing

•      Health Insurance Policies

•      Standard Operating Procedures (SOPs)

•      Medical Scrutiny & Case Review

•      Procedure Coding

� Interested candidates can contact:

HR Vandana: +91 9321401218

� Email your CV to: hrmdeprt@gmail.com

� Join us and be a part of a growing team in the healthcare sector!