
Medical Officer
10 hours ago
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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