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 positive 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.