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Assistant Manager EXL / AM / 1131728
exlnoida - centre 42, noida, india30+ days ago
Job descriptionPreferred medical education background –MBBS with Minimum 2 years of experience in reviewing medical records in claim process Review of medical records and abstract relevant information Identifying discrepancies, suspicious issues, negligence, and pre-existing comorbidities Proficiency in written English and ability to paraphrase without altering the meaning of the medical text Computer literacy - Basic IT knowledge and familiarity of operating systems (Windows) Basic Knowledge of using Internet, web browser, search engine, Microsoft excel and word Preferred Typing skills - 40 words per minute with 90% accuracy Adaptability Eagerness to learn / flexibility to change Openness to feedback Team work Business Awareness Managing self Customer focus Desire to excel and improve Self-motivated, team player Problem solving skills Analytical ability Good Communication written and oral
Job Description
Primary Responsibility
- Review the relevant medical information abstracted from medical records and then analyze the claim
- Knowledge of US Insurance / Medical Claims / US Healthcare is preferable
- In depth knowledge of medical terminology and body systems
- Ability to interpret medical records, correlate clinical knowledge with available medical data to create medical summary as per product guidelines
- Knowledge of Short and Long Term Disability will be an added advantage
- Understanding of lifestyle disorders like diabetes, hypertension, obesity, etc. that complicates the normal line of treatment of fracture / pain / soft tissue injuries (helpful in creating treatment plan and recommendations)
- Able to differentiate subjective and objective findings in medical records.
Education
Experience
Competencies
Skills
Soft skills (Desired)