Medical Review Consultant

JOB RESPONSIBILITIES:

• Analyzing and summarizing medical records for pre and post settlement projects.
•  Interpreting clinical data in terms of medical terminology and diagnosis.
• Adhering to company policies/ARCHER principles and hence taking good care of Archer culture.
• Adhere to Health Insurance Portability and Accountability Act (HIPPA) all the time.
• Daily reporting to Medical team lead for productivity & quality.

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 (No experience required) o BHMS/BAMS graduate (Minimum 2 years of experience with Claims Processing in the Insurance sector).