Medical officer - mediclaim process (mbbs/bams/bhms only)

Non-Clinical Job in US based MNC located in Vadodara, Gujarat (On-site job)

About the Role - 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, mass tort matrix and medical opinions on case validity and valuation.

Responsibilities

Analyzing and summarizing medical records for pre and post settlement projects. Interpreting clinical data in terms of medical terminology and diagnosis. Adhering to company policies & principles, hence taking good care of Company culture. Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time. Daily reporting to medical team lead for productivity & quality

Qualifications - MBBS (Freshers & Experienced both can apply)

BHMS & BAMS (1 YEAR CLAIM PROCESS EXPERIENCE IN ANY INSURANCE SECTOR - Mandatory)

Required

Skills Knowledge of basic level of health care data analysis and clinical review. Sound knowledge of medical terminology, assessments, patient evaluation, and clinical medicine. Ability to work proficiently with Microsoft Word, Adobe, and Excel.

Preferred Skills

HIPPA, Critical thinking, Basic understanding of US culture, Basic understanding of organization culture and behavior.