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 claims,insurance claim evaluation,patient assessment,medical record analysis,data analysis,insurance

Medical Officer - Vadodara-Insurance Sector -E