REPORTING RELATIONSHIP

POSITION REPORTS TO: MEDICAL TEAM LEAD

DEPARTMENT: OPERATIONS

POSITION LOCATION: VADODARA, INDIA

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
Analyzing and summarizing medical records for pre and postsettlement projects. o Interpreting clinical data in terms of medical terminology and diagnosis.
Adhering to company policies/ARCHER principles and hence taking positive care of Archer culture
o Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time.
Daily reporting to Medical team lead for productivity & quality

KNOWLEDGE, SKILLS AND ABILITIES 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 setting, 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.

Skills: medical terminology,medical record summarization,clinical documentation,hipaa,medical chronology preparation,medical record review,claims processing,medical reporting,clinical review,insurance

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