Core Competencies:
- Ethics. Works with integrity; Upholds organizational values.
- Dependability. Follows instructions, responds to management direction; results oriented and committed to achieving objectives and tasks as required.
- Teamwork and Collaboration. Exhibits objectivity and openness to others views; Gives and welcomes feedback; Contributes to building a positive culture. Communicates effectively.
- Professionalism. approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration; Accountable of all actions and decisions.
- Organizational Support. Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization’s goals and values.
- Quality Management. Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
- Decision Making. Analyzes each situation, looking for opportunities to make any situation more beneficial for the company. Participates effectively in communication to achieve optimum results.
Tasks required:
- Review medical information such as attending physician statements, lab reports, paramedics exams, and/or other related underwriting information consistent per client specifications
- Ability to analyze a case of medical malpractice, personal injury and mass tort cases
- Review case narratives & queries on drug interaction and adverse effects on drugs.
- Performing quality checks by doing case analysis and peer reviews
- Perform the medical review, validate follow-up request and perform the medical assessment
- Look at each medical record to check for missing documentation
- Creating precise and informative medical summaries of patients.
- Interact and work with managers regarding problem-solving and understanding the process.
- Prioritize workloads to ensure expedited cases are processed within defined timelines
- Maintain the client’s database and make sure everything is up to date
- Organize the documents, files and images correctly
- Other ad hoc tasks that would be assigned
Requirements:
- Proven work experience as a Medical Records Reviewer or any relevant role is required
- Ability to understand and summarize the records in chronological order
- Ability to read patient records and decode
- Knowledge of personal injury, mass tort, and medical malpractice cases
- Good analytical and comprehension skills
- Ability to prioritize and time-management skills
- Ability to act strategically and make sound business decisions
- Expertise in medical terminologies
- Good interpersonal, written and verbal communication skills
- Ability to work in a team
- Good English communication skills, both written and verbal
- Highly organized, and able to efficiently prioritize multiple tasks