AddressReview medical records and follow stringent protocols to determine whether patients meet the standards for insurance reimbursement.
1. Documentation of clinical rational supporting findings of the review.
2. 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.
3. Review and validate all information pertaining to the claim.
4. Comply with procedures, regulations, and rules in maintaining medical records.
5. Clinical review for medical necessity of identified claims.
6. Maintaining patient's documents & updating.
Skills: Clinical Executive, Sr Clinical Executive, clinical judgment,
Experience: 1.00-3.00 Years
Education: Masters in Technology (M.Tech/M.E), Bachelor of Science (B.Sc)
