Posted:None|
Platform:
Work from Office
Full Time
-Good communication skill.
-Knowledge in computers like MS office.-Good medical knowledge.-Independently process Post hospitalization claims; process complex claims with minimal assistance-Needs to validate the information on all medical claims received. Claims must be thoroughly reviewed and ensure that there is no missing or incomplete information-Suggest operational policies, workflows and process improvement initiatives-Proactive 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 patient-Thorough 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 protocols-Responsible 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 procedures- Verify Medical, billing related documents for further claim processing.
What We Offer:
Opportunities for professional development and career advancement.A collaborative and dynamic work environment.
MedVerve Healthcare Pvt Ltd
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