Medical Insurance Officer

6 hours ago


Angamali, India RCMASSIST HEALTHCARE SOLUTIONS PRIVATE LIMITED Full time

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.
- Liaise with the clinical services committee of the department.
- Maintain accurate medical records.
- Adhere to quality indicators, TAT and protocols for the dept.
- Ensure that medical information provided in cashless documents are correct and not contradictory or all relevant information including patient history/preexisting conditions are presented in request form/Case sheet/discharge summary/query response etc.
- Support the billing team in selecting surgery packages
- Ensure claims are approved and settled, chances for queries or rejections during settlement to be avoided and high value claims or package deviations are stated with supporting OT notes /progress notes etc
- Oversee the department al functioning report to Head Medical services on operational lags/issues/ patient grievance /staff performance etc
- Provide MIS - Daily/weekly/monthly

ADMINISTRATIVE
- Identify areas of process optimization
- Ensure timely 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.

TRAINING
- Participate in the training activities

Pay: ₹15,000.00 - ₹20,000.00 per month

**Benefits**:

- Health insurance

Schedule:

- Day shift

Supplemental Pay:

- Performance bonus

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

**Speak with the employer**
+91 9946946966
Application Deadline: 17/12/2024
Expected Start Date: 26/12/2024


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