Medical Officer

3 days ago

Bengaluru, Karnataka, India MedVerve Healthcare Pvt Ltd Full time ₹ 4,00,000 - ₹ 6,00,000 per year

Experience: 0-12 months

Qualification: BAMS

Key Responsibilities:

Good communication skill.

Knowledge in computers like MS office.

-Good medical knowledge.

-Independently process Post hospitalization claims; process complex claims with minimal assistance

-Needs to validate the information on all medical claims received. Claims must be thoroughly reviewed and ensure that there is no missing or incomplete information

-Suggest operational policies, workflows and process improvement initiatives

-Proactive approach by informing Providers regarding missing or repetitive errors by various hospital departments and improvisation of the same.

-Applying medical and surgical aspects to scrutinize the patient reports and other documents.

-Application of medical knowledge to bifurcate the claims.

-Analyzing and justifying the care and management given to the patient

-Thorough understanding of medical terminology in relation to diagnosis and procedures and meeting daily targets.

-Updating skills and medical knowledge with routine enhancement programs.

-Adjudication of claims as per the office memorandum of the concern scheme protocols

-Responsible for the accurate and timely processing of post discharge cashless claims.

-Meets quantity and quality claims processing standards.

-In-depth understanding of the hospitals processes, policies and procedures

Verify Medical, billing related documents for further claim processing.

What We Offer:

Opportunities for professional development and career advancement.

A collaborative and dynamic work environment.

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