Medical Record Reviewer for US Insurance Claims

2 days ago


Noida, Uttar Pradesh, India exl Full time

About the Role

We are seeking a highly skilled Medical Record Reviewer to join our team at EXL. As a Medical Record Reviewer, you will play a critical role in reviewing medical information abstracted from medical records and analyzing claims. This is an excellent opportunity to utilize your analytical skills and knowledge of medical terminology to ensure accurate claims processing.

Responsibilities

  • Review medical records to identify relevant information and analyze claims for accuracy and completeness
  • Utilize strong analytical skills to correlate clinical knowledge with available medical data and create comprehensive medical summaries
  • Apply in-depth knowledge of medical terminology and body systems to accurately interpret medical records
  • Differentiate between subjective and objective findings in medical records

Requirements

  • MBBS degree with a minimum of 2 years of experience in reviewing medical records in a claim process
  • Strong analytical skills and ability to work independently
  • Proficiency in written English and ability to paraphrase without altering the meaning of the medical text
  • Computer literacy, including basic IT knowledge and familiarity with operating systems (Windows)
  • PREFERRED: Typing skills - 40 words per minute with 90% accuracy

Competencies

  • Review of medical records and abstraction of relevant information
  • Identifying discrepancies, suspicious issues, negligence, and pre-existing comorbidities

What We Offer

We offer a competitive salary range of $60,000 - $80,000 per annum, depending on experience, plus additional benefits such as health insurance, retirement plan, and paid time off. If you are a motivated and detail-oriented individual with a passion for medical record review, we encourage you to apply for this exciting opportunity.



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