Medical Officer - Mediclaim Process (MBBS/BAMS/BHMS ONLY)

Non-Clinical Job in US based MNC located in Vadodara, Gujarat (On-site job)

About the Role - 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.

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 & principles, 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

Qualifications - MBBS (Freshers & Experienced both can apply)

BHMS & BAMS (1 YEAR CLAIM PROCESS EXPERIENCE IN ANY INSURANCE SECTOR - Mandatory)

Required

• 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.

Preferred Skills

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