Medical Consultant jobs
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Medical Review Consultant
Medical Review Consultant
Job details
Job type
Full job description
JOB RESPONSIBILITIES:
- Analyzing and summarizing medical records for pre and post settlement projects.
- Interpreting clinical data in terms of medical terminology and diagnosis.
- Adhering to company policies/ARCHER principles and hence taking good care of Archer culture.
- Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time.
- Daily reporting to Medical team lead for productivity & quality.
Technical Skills:
o Knowledge of basic level of health care data analysis and clinical review.
o Sound knowledge of medical terminology, assessments, patient evaluation, and clinical medicine.
o Ability to work proficiently with Microsoft Word, Adobe, and Excel.
Interpersonal Skills:
o Ability to perform well in a team environment, with staff at all levels, to achieve business goals.
o Ability to function under pressure and with deadline-oriented project demands as well as manage
multiple initiatives.
o Team player and motivated self-starter.
o Detail-oriented, organized, able to multi-task.
o Effective communication skills.
EDUCATIONAL QUALIFICATION AND EXPERIENCE REQUIRED
o MBBS graduate (No experience required)
o BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance
sector).