Freshers & Experience || Full Time || Reviewer

Jobsflix Consultancy Pvt. Ltd.

0 - 3 Years
30 Openings
1.0 - 3.5 Lac/Yr
Posted 38 days ago
Online interview
Bangalore

Key Skills

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Job Description

Review medical records and follow stringent

protocols to determine whether patients

meet the standards for insurance

reimbursement.

• Clinical review for medical necessity of

identified claims.

• Documentation of clinical rationale

supporting findings of the review.

• Apply clinical judgment, honed over years in

acute care settings, to make responsible

decisions that promote appropriate records

review and applications usage while keeping

resources available to those most in need.

• Review and validate all information pertaining

to the claim.

• Comply with procedures, regulations, and

rules in maintaining medical records.

• Interacts on a continuous basis with other

departments by directing activities towards

positive outcomes.