Posted:10 hours ago|
Platform:
Work from Office
Full Time
Job description will be as follows: Analysis of Hospitals on claim basis- prepare detailed report Analysis of involved agents/SM& other employees- prepare detailed report In-depth analysis of claims prior to conducting VC with the hospitals Conducting VC with Hospitals Preparing Minutes post VC Follow up of clarifications from the hospitals Information post VC to various stakeholders-Processing team, RCHs, Marketing team Use extensive clinical expertise to identify gaps in diagnosis, treatment, or surgical procedures and offer guidance to hospital doctor s. Promote ethical and evidence-based medical practices among treating physicians during interactions. Stay updated on current medical and surgical trends , including treatment protocols, and educate hospital teams accordingly. Demonstrate proficiency in extracting critical insights and data points from hospital interactions to facilitate mutually beneficial outcomes . Build and nurture long-term partnerships with hospital stakeholders for smooth operations and continuous quality improvement. Key Competencies: Strong Clinical Judgment & Integrity Hospital Relationship Management Ethical & Evidence-Based Medical Understanding Strategic Communication & Influencing Skills Team Leadership & Operational Coordination Attention to Detail in Documentation
Star Health Insurance
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