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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 good 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 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.
CAREER PATH
- Medical Officer
- Medical Team Lead
Skills: insurance claim evaluation,patient assessment,insurance,insurance claims,medical record analysis,data analysis