Freshers & Experience || Full Time || Reviewer

Jobsflix Consultants pvt. ltd.

0 - 6 Years
30 Openings
1.8 - 4.0 Lac/Yr
Posted 20 days ago
Online interview
Bangalore

Key Skills

Nursing Registered Nurse Medical Reviewer

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Job Description

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 - /