We are looking for a qualified registered clinical reviewer for Sagility Health in Whitefield to provide quality healthcare services to patients. The day-to-day tasks involve monitoring patient conditions, administering treatments, and assisting doctors in medical procedures. The position offers an in-hand salary of ₹15000 - ₹29000.
Key Responsibilities:
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
Desired Skill Set
• 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
Desired Qualifications (Including
Certificates)
Comprehending ability
Any Nursing Graduates and 10+2+3 ( BSc
Nursing/Post Bsc/Msc Nursing)
Desired years of experience
Minimum 0 to 2 years of clinical experience in ISO,
NABH, JCI hospitals (Not Mandatory)
Facility
Both Ways Transportation will be provided