Job Description:
We are seeking a Health Claims Processing Intern who is a recent MBBS graduate and is interested in transitioning into the health insurance space. This is a part-time internship, ideal for someone looking to apply their medical knowledge to a rapidly growing field. You will gain exposure to health insurance processes, claim analysis, and the intersection of healthcare and insurance technology.

In this role, you’ll work closely with hospital clients to analyze and address challenges in health claims processing, collaborating with AI-driven systems and insurance desks. This internship provides an exciting opportunity to build your career in the health insurance industry, a field that offers vast growth potential.

Core Skills:

1. Medical Knowledge: Strong understanding of medical terminology, diagnoses, and treatment protocols, enabling you to accurately assess health claims and ensure alignment with clinical standards.
2. Claims Analysis: Ability to review and interpret health insurance claims data, ensuring it is consistent with hospital documentation and patient care details.
3. Client Interaction: Comfortably engaging with hospital staff, insurance claim desks, and other stakeholders to understand the challenges in claims processing and provide actionable insights.
4. Data Review and AI Interaction: Experience or interest in working with digitized health claims data and AI systems. Identifying patterns or inconsistencies in data to support process improvements. __________________________________________________________________________________________ Required Skills:
5. Insurance Understanding: Familiarity with basic insurance processes and terminologies related to health claims (e.g., policy types, reimbursement procedures, claims submission, etc.). This knowledge will help bridge the gap between medical data and insurance workflows.
6. Problem Solving: Ability to identify challenges or inefficiencies in the claims process by analyzing the documentation and workflow, and suggest practical solutions to optimize the process.
7. Communication: Strong verbal and written communication skills for presenting findings clearly to both medical and non-medical stakeholders, as well as compiling reports on claim data analysis.
8. Attention to Detail: High level of accuracy when reviewing health claims, cross-referencing with medical documentation, and ensuring compliance with both medical and insurance standards. _______________________________________________________________________________________

Educational Qualifications:

1. Required: Completed MBBS (Doctor of Medicine).
2. Good to Have: Interest in transitioning to the health insurance sector, with a desire to understand the broader healthcare ecosystem. _______________________________________________________________________________________ Responsibilities:
3. Hospital Client Visits: Regularly visit hospital clients to understand the challenges in their health claims processing workflows and identify areas for improvement.
4. Collaboration with Insurance Claim Desks: Engage with insurance claim desks at hospitals to discuss their processes, understand issues, and gather insights on streamlining claims handling.
5. AI-Driven Data Analysis: Review AI-generated claims data, identify inconsistencies or inaccuracies, and work with the technical team to enhance the system’s performance.
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6. Suggest Process Improvements: Propose actionable improvements to optimize both the claims processing workflow and the AI system, ensuring better efficiency and accuracy in claim handling. __________________________________________________________________________________________ This internship is an excellent opportunity for someone looking to diversify their career in healthcare by gaining valuable experience in the health insurance sector. If you’re an MBBS graduate looking for a new challenge and keen on leveraging your medical knowledge in an emerging field, we encourage you to apply!