Job Description

Job Title: Medical Officer

Location: Bangalore

Company: Medverve Healthcare Pvt Ltd

Experience: 0-12 months

Qualification: BAMS/ BHMS/ BDS

About Us: MedVerve is co-Founded and run by a core team of qualified professionals from Healthcare Industry, with experience in Insurance Companies, TPAS, Hospitals and IT Healthcare. Bringing in strong skills in Health Insurance, Payor Domain, Strategic Planning, Provider Process, Technology, Operations and Customer Management.

Website: http://medverve.com

Key Responsibilities:

?Good communication skill.

?Knowledge in computers like MS office.

?Good medical knowledge.

?Independently process Post hospitalization claims; process complex claims with minimal assistance

?Needs to validate the information on all medical claims received. Claims must be thoroughly reviewed and ensure that there is no missing or incomplete information

?Suggest operational policies, workflows and process improvement initiatives

?Proactive approach by informing Providers regarding missing or repetitive errors by various hospital departments and improvisation of the same.

?Applying medical and surgical aspects to scrutinize the patient reports and other documents.

?Application of medical knowledge to bifurcate the claims.

?Analyzing and justifying the care and management given to the patient

?Thorough understanding of medical terminology in relation to diagnosis and procedures and meeting daily targets.

?Updating skills and medical knowledge with routine enhancement programs.

?Adjudication of claims as per the office memorandum of the concern scheme protocols

?Responsible for the accurate and timely processing of post discharge cashless claims.

?Meets quantity and quality claims processing standards.

?In-depth understanding of the hospitals processes, policies and procedures

Verify Medical, billing related documents for further claim processing.

What We Offer:

Opportunities for professional development and career advancement.

A collaborative and dynamic work environment.

Job Type: Full-time

Pay: ?25,000.00 - ?30,000.00 per month

Benefits:

Health insurance Leave encashment Provident Fund
Application Question(s):

Willing to relocate?
Location:

Bangalore, Karnataka (Preferred)
Work Location: In person