Job Description

POSITION SUMMARY :

The role will be to review and verify large volumes of patient's full medical records with precision, perform

clinical reviews as defined by the specific review methodologies and prepare a detailed report that includes

chronologies and timelines, summaries, masstort matrix andmedical opinions on case validity and valuation.

JOB RESPONSIBILITIES:

o Analyzing and summarizing medical records for pre and post settlement projects.

o Interpreting clinical data in terms of medical terminology and diagnosis.

o Adhering to company policies/ principles and hence taking good care of Company culture.

o Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time.

o Daily reporting to Medical team lead for productivity & quality

KNOWLEDGE, SKILLS AND ABILITIES:

Technical Skills:

o Knowledge of basic level of health care data analysis and clinical review.

o Sound knowledge of medical terminology, assessments, patient evaluation, and clinical medicine.

o Ability to work proficiently with Microsoft Word, Adobe, and Excel.

Interpersonal Skills:

o Ability to perform well in a team environment, with staff at all levels, to achieve business goals.

o Ability to function under pressure and with deadline-oriented project demands as well as manage

multiple initiatives.

o Team player and motivated self-starter.

o Detail-oriented, organized, able to multi-task.

o Effective communication skills.

EDUCATIONAL QUALIFICATION AND EXPERIENCE REQUIRED:

o MBBS graduate (No experience required)

o BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance

sector).

o HIPPA, Critical thinking, Basic understanding of US culture, Basic understanding of organization

culture and behavior.

Job Types: Full-time, Permanent, Fresher

Pay: ₹620,000.00 - ₹800,000.00 per year

Benefits:

Provident Fund
Language:

English (Preferred)
Work Location: In person