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    Job · 12780902

    Career Connect Hr Solutions logo

    Medical Officer

    Career Connect Hr Solutions · Vadodara · onsite · Posted 62d ago

    Undisclosed0–4 yrsfulltimeSourced fromNaukri

    About a minute. You'll make an account on the way through.

    About this role

    POSITION REPORTS TO: MEDICAL TEAM LEAD

    DEPARTMENT: OPERATIONS

    POSITION LOCATION: VADODARA, GUJARAT, INDIA

    SHIFT HOURS: 12 PM to 9 PM


    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, mass tort matrix and medical opinions on case validity and valuation.

    JOB 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 and 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

    Technical 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.

    Interpersonal Skills:

    • Ability to perform well in a team environment, with staff at all levels, to achieve business goals.
    • Ability to function under pressure and with deadline-oriented project demands as well as manage multiple initiatives.
    • Team player and motivated self-starter.
    • Detail-oriented, organized, able to multi-task.
    • Effective communication skills.

    EDUCATIONAL QUALIFICATION AND EXPERIENCE REQUIRED

    • MBBS graduate (No experience required)
    • BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector).

    ADDITIONAL SKILLS

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

    PERKS

    • Accident Insurance
    • Conveyance Allowance
    • Shift Allowance
    • Medical Insurance
    • Food Allowance
    • Gratuity

    Sourced from naukri

    Skills

    claims adjudicationClaim SettlementHealthcare AnalyticsUS HealthcareInsurance ClaimsHealth insuranceClaims Processing

    Medical Officer · waiting for your command