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Assistant Manager- Physician Reviewer

EXL Service · State of Tamil Nādu, India

5–12 yrs experiencefull_timePosted 1w ago
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Job description

- Job Description: Review and analyze patient medical records to extract relevant clinical information in line with defined guidelines and criteria. - Apply clinical knowledge and judgment to accurately interpret diagnoses, treatments, and patient history. - Summarize key medical insights in a clear, concise, and structured format for further review or decision-making. - Ensure compliance with clinical standards, documentation protocols, and data confidentiality requirements. - Collaborate with internal teams to clarify clinical details and maintain high-quality output within defined timelines. Responsibilities: Skills and abilities: - Strong personal and professional ethics - Strong written (documentation) and oral communication skills - Must have a strong analytical, problem-identification and process analysis skills with the ability to envision a solution from requirements - Working within the timelines and getting necessary sign-off on each stages of work from stakeholders - Maintenance and updating reports as required - Must ensure meeting productivity and quality targets - Must ensure availability for meeting/calls as required - Work independently and as a team - Liaison with the program/project manager as required - Good team player & collaborative in approach - Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs **Qualifications: Qualifications:** MBBS in India or MD (foreign medical graduates) MCI license – preferred, not mandatory Prior experience with US health care preferred (not mandatory) Computer literate (MS Word, Excel, PPT) **Experience:** Clinical experience: Minimum 1 year Auditing experience (Optional) **Communication Skill:** Strong written (documentation) and oral communication skills **Working Hours:** - 40 hours per week as Full-time employee - Shift time: 08:00AM TO 05:00PM IST - Weekends Off **Telecommuter/Internet requirements, if applicable:** - High Speed internet connection at home, must be broadband - Must understand and adhere with telecommuter policy