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
Desired Skill Set :
• Must be willing to work in US rotational shift
• Must be willing to work from Office
• MS office
• Typing skills, computer skills
• Good communication in English
• Good analytical skills
To Apply -
Asthha - /