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In depth analysis of the medical insurance claims, reviewing the medical records and undertaking decision on approval or rejection of claims.
Taking decision on high value and complex medical condition claims.
Work on cost avoidance.
Implementing changes on the reference guidelines
Identify and comprehend medical terms on Claim Form.
Identify fraudulent claims.
Creating basic awareness within the team on medical conditions >

Subject Matter Expert ( SME ) - Doctor

Designation / Job Role : Medical Officer
Job Description :
Key Accountabilities : -

In depth analysis of the medical insurance claims, reviewing the medical records and undertaking decision on approval or rejection of claims.
Taking decision on high value and complex medical condition claims.
Work on cost avoidance.
Implementing changes on the reference guidelines
Identify and comprehend medical terms on Claim Form.
Identify fraudulent claims.
Creating basic awareness within the team on medical conditions
Speciality : Other
Number of Openings : 1
Hiring For : Hiring for our esteemed client in KPO
Location(s) : Pune, Bengaluru/Bangalore
Country : India
Experience : 0 - 3 year(s)
Salary : Not Specified
Salary Remarks : Best in Industry
Date Posted : 04-Dec-2014
Application Deadline : Not Specified
Requirements
Education : MBBS- Medicine
Post Graduation Not Required
Doctorate Not Required
Candidate Profile : Specific position related exp: -

Good communication skills to communicate with offshore clients
Good computer skills
Typing skills (optional)
Face challenges on claim rejection
Company Profile
Posted By : Mr. DocLynk Admin
Organisation Name : Medigrity
Designation : Administration
Job Reference : Not Specified
 
 
   

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