Posted:1 day ago|
Platform:
Work from Office
Full Time
Qualification: MSC, B.Pharma, M.Pharma
Key Responsibilities:Good communication skill.Knowledge in computers like MS office.Good medical knowledge.Independently process Post hospitalization claims; process complex claims with minimal assistanceNeeds to validate the information on all medical claims received. Claims must be thoroughly reviewed and ensure that there is no missing or incomplete informationSuggest operational policies, workflows and process improvement initiativesProactive 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 patientThorough 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 protocolsResponsible 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 proceduresVerify Medical, billing related documents for further claim processing.
MedVerve Healthcare Pvt Ltd
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