Medical Officer (BHMS, BAMS)

Minimum 2 years of experience with Claims Processing in the Insurance sector

REPORTING RELATIONSHIP

POSITION REPORTS TO: MEDICAL TEAM LEAD

DEPARTMENT: OPERATIONS

POSITION LOCATION: VADODARA, INDIA

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

o Analyzing and summarizing medical records for pre and post settlement projects.

o Interpreting clinical data in terms of medical terminology and diagnosis.

o Adhering to company policies, principles and hence taking good care of company culture.

o Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time.

o Daily reporting to medical team lead for productivity & quality

KNOWLEDGE, SKILLS AND ABILITIES

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

ADDITIONAL SKILLS

o HIPPA, Critical thinking, Basic understanding of US culture, Basic understanding of organization

culture and behavior.

CAREER PATH

o Medical Officer

o Medical Team Lead