Medical Officer

  • Bangalore, Karnataka, India
  • Sep 24, 2016
Full time Dentist, Orthodontist Jobs

Job Description

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.