Job Details:
Job Title Clinical Executive
Reporting to Team Leader
Location: Chamundi towers Garvebhavipalya, Bangalore
Working Hours/ Days 9 Hours / 5 Days a Week.
Incentive for Over time will be applicable
U.S Shift (4:30 PM 1:30 AM) (8:30 PM to 5:30 AM)
Facility
Both Ways Transportation will be provided
Mandatory: Ideal candidature would be GNM/BSC/MSC – Nursing
EXPERIENCE: 0-3 YEARS
Objectives and Responsibilities of Clinical Reviewer
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
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
Comprehending ability
Training Period 3months to 8 Months
Interview process
1st round with TA
2 nd round with Operations
NOTE: Immediate Joiners preferred. Pay can be negotiated for immediate joiners with attractive joining bonus
Job Types: Permanent, Full-time, Fresher
Salary: ₹15,000.00 – ₹30,000.00 per month
Benefits:
• Food provided
• Provident Fund
Schedule:
• Day shift
• Monday to Friday
• Night shift
• Rotational shift
• US shift
Supplemental pay types:
• Performance bonus
Ability to commute/relocate:
• Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Required)
Education:
• Bachelor’s (Preferred)
Experience:
• Nursing: 1 year (Preferred)
Expected Start Date: 01/10/2023
Tagged as: Business development manager