Medical Officer

Career Connect Hr Solutions; Vadodara; On-site; INR 350,000 - 650,000; Full time

Benefits offered by this job

Accident Insurance

Conveyance Allowance

Shift Allowance

Medical Insurance

Food Allowance

Gratuity

Job summary

Career Connect Hr Solutions in Vadodara seeks a Medical Records Reviewer to review and verify large volumes of patient records, perform clinical reviews, and prepare detailed assessments including timelines and opinions on case validity and valuation.

The role requires MBBS or BHMS/BAMS with experience in insurance claims, 12 PM to 9 PM shifts, HIPAA compliance, and strong data interpretation and MS Word/Excel skills.

Qualifications

• Knowledge of basic level of health care data analysis and clinical review.
• Sound knowledge of medical terminology, assessments, patient evaluation, and clinical medicine.
• Ability to work proficiently with Microsoft Word, Adobe, and Excel.

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 and hence taking good care of Company culture.
• Adhere to HIPPA all the time.
• Daily reporting to Medical team lead for productivity & quality.

Skills

Healthcare data analysis

Medical terminology

Critical thinking

US culture basics

Organizational behavior

Teamwork

Effective communication

Detail-oriented

Multi-tasking

HIPPA awareness

Education

MBBS

BHMS/BAMS

Tools

Microsoft Word

Adobe

Excel

Job description

POSITION REPORTS TO: MEDICAL TEAM LEAD

DEPARTMENT: OPERATIONS

POSITION LOCATION: VADODARA, GUJARAT, INDIA

SHIFT HOURS: 12 PM to 9 PM

POSITION SUMMARY

The role will be to review and verify large volumes of patient's full medical records with precision, perform clinical reviews as defined by the specific review methodologies and prepare a detailed report that includes chronologies and timelines, summaries, mass tort matrix and medical opinions on case validity and valuation.

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 and hence taking good care of Company culture.
• Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time.
• Daily reporting to Medical team lead for productivity & quality

Technical Skills:

• Knowledge of basic level of health care data analysis and clinical review.
• Sound knowledge of medical terminology, assessments, patient evaluation, and clinical medicine.
• Ability to work proficiently with Microsoft Word, Adobe, and Excel.

Interpersonal Skills:

• Ability to perform well in a team environment, with staff at all levels, to achieve business goals.
• Ability to function under pressure and with deadline-oriented project demands as well as manage multiple initiatives.
• Team player and motivated self-starter.
• Detail-oriented, organized, able to multi-task.
• Effective communication skills.

EDUCATIONAL QUALIFICATION AND EXPERIENCE REQUIRED

• MBBS graduate (No experience required)
• BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector).

ADDITIONAL SKILLS

• HIPPA, Critical thinking, Basic understanding of US culture, Basic understanding of organization culture and behavior.

PERKS

• Accident Insurance
• Conveyance Allowance
• Shift Allowance
• Medical Insurance
• Food Allowance
• Gratuity