Job
Description
Job Location : Mumbai
Job Title: Clinical Executive
Reporting : Team Leader/AM/DM
Location : Bangalore
Working Hours/ Days : 9 Hours / 5 Days a Week.
Shift : U.S Shift (4:30 PM 1:30 AM)
Transportation will be provided
Mandatory: Ideal candidature would be GNM/BSC- Nursing with 0-2 YEARS OF OVERALL EXPERIENCE
Objectives and Responsibilities of Clinical Reviewer Grade CPE/SPE
Think Strategic
(a) Big Picture Perspective:
- Understand the basic professional standards and established procedures, policies before acting and making decisions
(b) Business Acumen:
- Processing claim as per the process guidelines
- Is aware of metric applicable to the role
- Adhering to the SLA, and understanding Quality & Auditing parameters
Drive Results
(a) Planning & Organizing:
- Understanding and adhering to quality standards
(b) Directing & Monitoring
- Acquiring knowledge & skills of related areas of the process
(c) Accountability
- Assumes responsibility for work activities and coordinating efforts
- Clearly sets a goal and works towards achieving it
(d) Problem Solving & Decision making
- an Identify simple problems /issues and tries to improve this based on basic knowledge of the issue
- Identifies problem and escalates it accordingly.
Partner with Customers
(a) Relationship Building
- Presents appropriate information in a clear and concise manner, both orally and in writing
- Is open to new ideas
(b) Passion for excellence
- Understands the Values and Characteristics of work
Lead People
(a) Managing Self
- Adhere to attendance and punctuality norms
- Pursues learning opportunities and ongoing development
- Understands and follows ethical guidelines at ones work place
(b) Inspiring Others / Managing Teams
- Interpersonal relationship at work with peers, supervisors and should not have any recorded instance of misconduct.
Desired skill sets
- US Healthcare
- US Rotational Shift
- Awareness of ISO
- MS office
- Typing skills, computer skills
- Good communication in English
- Good analytical skills
- Comprehending ability
Desired Qualifications
(Including certifications)
Any Nursing Graduates and 10+2+3
Desired years of experience
Minimum 18 months of clinical experience in ISO, NABH, JCI hospitals - (Not Mandatory)