Job Title: Medical Reviewer
Location: Thane
Shift: Monday to Saturday - 2 pm to 11 pm
Department: Medical Process Management
Reports To: Associate Vice President - Medical Process Management Services
Job Description
We are seeking a detail-oriented, analytical Medical Reviewer to evaluate, interpret, and summarize medical details, and to coordinate with medical facilities, insurance adjusters, and clients. The ideal candidate will possess strong knowledge of healthcare, documentation expertise, and professional communication skills. Experience in telemedicine or virtual healthcare environments is highly preferred. This role requires a combination of clinical understanding, administrative coordination, and confident outbound communication.
Key Responsibilities
· Review and analyze medical records, diagnostic reports, treatment summaries, prescriptions, and billing documentation.
· Prepare accurate medical summaries, chronologies, and treatment analyses.
· Contact medical facilities to request, verify, and clarify medical documentation.
· Communicate professionally with insurance adjusters to confirm case details and documentation requirements.
· Coordinate with clients to obtain necessary medical and case-related information.
· Maintain detailed call logs and documentation of all communications.
· Ensure strict compliance with HIPAA and data privacy regulations.
· Meet defined productivity, quality, and turnaround time benchmarks.
Required Qualifications
· B.Pharm, M.Pharm, B.Sc (Life Sciences / Medical Sciences), M.Sc (Medical / Life Sciences), or Bachelor’s degree in Hospital Management, Life Sciences, or related healthcare discipline, including:
· 2+ years of experience in medical record review, healthcare documentation, telemedicine coordination, or medical-legal support.
· Strong understanding of medical terminology, pharmacology, treatment protocols, and healthcare workflows.
· Experience interacting with medical facilities and insurance professionals.
· Excellent verbal and written communication skills.
· Professional telephone etiquette and confidence in handling outbound calls.
· Proficiency in MS Office and healthcare documentation systems.
Preferred Experience
· Experience in telemedicine or virtual healthcare environments.
· Experience in personal injury, workers’ compensation, or medical-legal review.
· Familiarity with EMR/EHR systems.
· Experience in medical-legal outsourcing or legal process outsourcing environments.
· Ability to manage high-volume case documentation and follow-ups efficiently.
Key Competencies
· Analytical and critical thinking
· Strong verbal communication and negotiation skills
· Proficiency in the English Language mandatory.
· Attention to detail
· Confidentiality and compliance awareness
· Time management and prioritization
· Client-focused coordination
Interested candidates are to email their updated resumes to [email protected]
Job Types: Full-time, Permanent
Pay: ₹9,403.04 - ₹47,129.84 per month
Benefits:
Work Location: Hybrid remote in Thane, Maharashtra
