Insurance Medical Officer

1 week ago

Trichur, India RCM assist healthcare solutions Full time

The Insurance Medical Officer (IMO) is a key member of the Insurance Team responsible for the servicing of Patients from Insurance, ESI, ECHS. The IMO will provide opinions and recommendations in the co-ordination of medical case management. This relates to broad medical issues including liaising with treating medical officers.The IMO will be involved in the assessment of complex claims cases to ascertain pre existing elements and validity of the claim. The IMO will provide support to the insurance division in the assessment of cancellation claims and the provision of medical reports and will also provide medical assessment for ESI and ECHS cases where required, as per direction from the Hospital Authorities. Should demonstrate excellent inter-personal and communication skills,and be able to communicate in a way which assists understanding.Must have a working knowledge of the use of personal computers.

Work as a team member to provide clinical service

Key Responsibilities:

- CLINICAL

Examine the patients, and record the history in EMR, in a safe, compassionate and ethical manner and in compliance with Good Medical Practice.

Request investigations, and record the results in the medical chart.

Conduct daily ward rounds, and record the notes about patient progress and health status.

Work according to the management plan approved by the registrar / consultant in-charge

Work as a team member during the on-call duties to ensure organization of comprehensive patient management.

Assist senior members of the team in performing invasive procedures.

Handle common clinical scenarios and emergency situations such as, cardio-pulmonary resuscitation, and then communicate with the senior members of the team.

Liaise with the clinical services committee of the department.

Maintain accurate medical records.

Participate in inter-departmental clinical meetings to ensure comprehensive patient management.

Adhere to quality indicators, patient bylaws, TAT and protocols for the dept.

Adhere to prescribed infection control standards

ADMINISTRATIVE

Identify areas of cost reduction and process optimization

Ensure on time documentation and submission of reports

Ensure that there are no medico legal issues due to errors and negligence in the dept. In case of such issues, take complete ownership to resolve the matter

CONTINUING PROFESSIONAL DEVELOPMENT

Ensure to keep abreast with latest developments in his/her area

Demonstrate evidence of successful participation in mandatory courses required by the Hospital.

TEACHING

Conduct Training for the staffs

Day shift

Ability to commute/relocate:
**Experience**:
total work: 1 year (preferred)

**Job Types**: Full-time, Contractual / Temporary
Contract length: 11 months

**Salary**: ₹15,000.00 - ₹30,000.00 per month

Schedule:

- Day shift

Supplemental pay types:

- Performance bonus

Ability to commute/relocate:

- Thrissur, Kerala: Reliably commute or planning to relocate before starting work (preferred)

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work (preferred)

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