Medical Claims Review Advisor

Qualifications

• MBBS.
• Maintain active Medical as required by state and company guidelines
• Clinical experience in hospital/clinic for 3 or more years
• Team player
• Flexible/Adaptable
• Excellent time management, organizational, and research skills
• Experience with MS Office Suite (Outlook, Excel, Access, SharePoint)

Preferred Qualifications

• Utilization Review or Claim Review experience in Health insurance
• Knowledge of the Principles of Health Care Reimbursement

Key Skills and Competencies

• Strong background in quantitative decision making, ability to drive business/operations metrics
• Metrics-driven. Able to translate strategy into measurable operational goals and objectives. Disciplined in assessing performance and addressing problems.
• Good communication and strong interpersonal skills.
• Highly organized, structured & proactive.
• Good inter-cultural skills & Exposure to global work environment.
• Good time management skills - meet tight timelines and manage ad hoc deliverables, if any.