Medical Officer- Credit- Immediate requirment.
Preferably Male Candidates.
Provide training and implementation support to the Client and In-house.
>· Initiate team meetings with the client to lead them through all parts of the
> Implementation process
>· Understand product functionality and ensure solution meets client requirements.
>· Coordinate with our technical team to ensure that they have all of the proper accesses and contact names to initiate the Platform usage.
>· Demonstrate a high level of empathy for customer concerns and commitments to timelines.
>· Work as a team member, integral to the successful implementation of targeted objectives
>· Resolve and document platform issues.
>· Time tracking for client billing.
>· Suggestions for continued improvements to internal systems and products
>· Continually seeks opportunities to increase customer satisfaction & deepen client relationships
>· Ensure completion of deliverables, managing schedules and meeting milestones
>· Provide post implementation support during the transition from implementation to maintenance.
>· Conduct class room type training, product demonstration with end users.
>· Communicate effectively with Med verve resources at all levels, including the technical team and delivery team
>· Acts as the Subject Matter Expert for the client during and after the implementation period.
>· Provides guidance to development and test teams with respect to overall design and development.
>· Reports to Manager - Implementation
> * Independently process Post hospitalization claims; process complex claims with minimal assistance
> * Responsible for the accurate and timely processing of post discharge cashless claims.
> * Obtains additional information regarding a claim from providers and member when necessary.
> * Meets quantity and quality claims processing standards.
> * In-depth understanding of the hospitals processes, policies and procedures
> * Verify Medical, billing related documents for further claim processing.
> * Needs to validate the information on all medical claims received. Claims must be thoroughly reviewed and ensure that there is no missing or incomplete information.
> * Keep meticulous records of claims and follow up on lapsed cases.
> * Monitoring itemized billings for excessive charges, duplications, and discounts.
> * Requesting and reviewing medical records as needed for basic information to validate billing information
> * Coordinate with Hospital/other departments (Billing, Nursing, Lab, admin dept, insurance desk) for reports/queries.
> * Performs other related duties as assigned.
> * suggest operational policies, workflows and process improvement initiatives
> * Proactive approach by informing Providers regarding missing or repetitive errors by various hospital depts and improvisation of the same.
> * Timely reverts to the queries raised by Payers/Account Receivable Team.